1 University of Wisconsin-Madison, Madison, WI, USA.
J Health Soc Behav. 2017 Sep;58(3):371-386. doi: 10.1177/0022146516685370. Epub 2017 Jan 17.
Guided by the stress process model and the life course perspective, we hypothesize: (1) that childhood abuse is concentrated, in terms of type and intensity, among socially disadvantaged individuals, and (2) that experiencing serious abuse contributes to poor biological profiles in multiple body systems in adulthood. Data came from the Biomarker subsample of Midlife in the United States (2004-2006). We used latent class analysis to identify distinct profiles of childhood abuse, each reflecting a combination of type and severity. Results indicate that disadvantaged groups, women, and those from disadvantaged families are at greater risk of experiencing more severe and multiple types of abuse. Those with more severe and multifaceted childhood abuse show greater physiological dysregulation. Childhood abuse experiences partially accounted for the social status differences in physiological profiles. Our findings underscore that differential exposure to serious childhood stressors plays a significant role in gender and class inequalities in adult health.
在压力过程模型和生命历程观点的指导下，我们提出假设：(1) 童年期虐待在类型和强度方面集中在社会劣势个体中；(2) 经历严重虐待会导致成年后多个身体系统的生物特征变差。数据来自美国中年生物标志物子样本（2004-2006 年）。我们使用潜在类别分析来确定童年期虐待的不同模式，每种模式反映了类型和严重程度的组合。结果表明，弱势群体、女性和来自弱势家庭的人更有可能经历更严重和多种类型的虐待。那些经历过更严重和多方面童年期虐待的人表现出更大的生理失调。童年期虐待经历部分解释了生理特征方面的社会地位差异。我们的研究结果强调，严重童年期应激源的差异暴露在成年期健康方面的性别和阶层不平等中起着重要作用。
