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父母养育子女的童年经历与老年期癌症风险:来自英国老龄化纵向研究(ELSA)的结果。

Childhood experiences of parenting and cancer risk at older ages: findings from the English Longitudinal Study of Ageing (ELSA).

机构信息

Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK.

First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, Aghia Sophia Children's Hospital, Athens, Greece.

出版信息

Int J Public Health. 2018 Sep;63(7):823-832. doi: 10.1007/s00038-018-1117-3. Epub 2018 Jun 14.

Abstract

OBJECTIVES

Despite the importance of childhood experiences for adult health and psychosocial factors for cancer development, parenting, a key childhood psychosocial exposure, has yet to be studied in relation to cancer risk at older ages. We examined whether childhood experiences of poor-quality parenting are associated with an increased risk of cancer at older ages.

METHODS

We used a sample of 4471 community dwellers aged ≥ 55 years in 2007. Poor-quality parenting was defined as low levels of parental care and high levels of parental overprotection.

RESULTS

Overall poorer experiences of parenting, decreasing parental care and increasing parental overprotection were associated with increased risk of incident all-site and skin cancer in men, but not in women. Increasing paternal overprotection was also associated with increased risk of incident colorectal cancer in men. Overall poorer experiences of parenting and increasing paternal overprotection were associated with increased risk of prevalent all-site and colorectal cancer in women. Adjustment for covariates explained a small part of these associations.

CONCLUSIONS

Older adults who reported childhood experiences of poorer quality parenting appear to have an increased risk of cancer. These findings improve our understanding of the role of psychosocial factors in cancer over the life course.

摘要

目的

尽管儿童时期的经历对成年人的健康和癌症发展的心理社会因素很重要,但作为关键的儿童心理社会暴露因素,养育方式与老年人的癌症风险之间的关系尚未得到研究。我们研究了较差的养育质量的儿童经历是否与老年时期癌症风险的增加有关。

方法

我们使用了 2007 年年龄在 55 岁及以上的 4471 名社区居民的样本。较差的养育质量定义为父母照顾水平低和父母过度保护水平高。

结果

总体而言,养育经历较差、父母照顾减少和父母过度保护增加与男性所有部位和皮肤癌的发病风险增加相关,但与女性无关。父亲过度保护的增加也与男性结直肠癌发病风险增加相关。总体而言,较差的养育经历和父亲过度保护的增加与女性所有部位和结直肠癌的现患风险增加相关。调整协变量后,这些关联的解释程度较小。

结论

报告儿童时期经历较差养育质量的老年人似乎有更高的癌症风险。这些发现提高了我们对心理社会因素在整个生命过程中对癌症的作用的理解。

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