1 University of Washington, Seattle, USA.
J Aging Health. 2019 Feb;31(2):211-230. doi: 10.1177/0898264317726448. Epub 2017 Aug 26.
This study examines pathways from adverse childhood experiences (ACEs) to physical health, directly and indirectly through lower income, health risk behaviors, social support, and adult adversity within a theoretical framework postulating stress proliferative and biological trajectories of cumulative adversity.
Data were obtained from 12,549 adult respondents of a state Behavioral Risk Factor Surveillance System survey. Multigroup structural equation modeling elucidated pathways differentiated by sex and age (older/younger than 45).
Good model fit was achieved in each test, indicating consistency with stress theorizing that ACEs significantly contribute to poorer physical health through direct and mediated paths. Younger adults evidenced direct ACE pathway to poor health suggesting early biological erosion, whereas paucity of social support among older adults was directly associated.
Findings indicate that stress process roles in eroding physical health and experience of wellness. Addressing early adversity is an important strategy toward reducing preventable health problems.
本研究在一个理论框架内，通过压力增殖和累积逆境的生物学轨迹假设，检验了从不良童年经历（ACEs）到身体健康的途径，包括通过低收入、健康风险行为、社会支持和成人逆境的直接和间接途径。
数据来自一个州行为风险因素监测系统调查的 12549 名成年受访者。多组结构方程模型阐明了按性别和年龄（45 岁以上/以下）区分的途径。
在每项测试中都实现了良好的模型拟合，表明与压力理论的一致性，即 ACEs 通过直接和间接途径对身体健康产生负面影响。年轻成年人表现出 ACE 对健康不良的直接影响途径，表明早期生物侵蚀，而老年成年人缺乏社会支持则与直接相关。
研究结果表明，压力过程在侵蚀身体健康和体验健康方面发挥着重要作用。解决早期逆境是减少可预防健康问题的重要策略。
