Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 1013, Miami, FL, 33136, USA.
Department of Human Development and Family Science, The University of Georgia, Athens, GA, USA.
J Behav Med. 2019 Feb;42(1):150-161. doi: 10.1007/s10865-018-9952-5. Epub 2018 Jul 23.
The study examined the mediating roles of risky health lifestyle and depressive symptoms in relation to childhood/adolescence adversity and young adult cardiometabolic risk with data from the National Longitudinal Study of Adolescent to Adult Health (n = 9421). Four classes of youth emerged from a latent class analysis with varying early adversity patterns: (a) both low disadvantaged SES and stressful experience (54.8%), (b) high disadvantaged SES and low stressful experience (31.0%), (c) low disadvantaged SES and high stressful experience (10.9%), and (d) both high disadvantaged SES and stressful experience (3.3%). Early adversity had multiple direct and indirect effects on CM risk for those experiencing SES-related adversities. Instead, early adversity generated mediational processes between adversity and CM risks through risky health lifestyle and depressive symptoms for those experiencing stressful experience. Implications for intervention when dealing with youths who have experienced multiple forms of early adversity are discussed.
这项研究使用来自全国青少年纵向健康研究的数据，考察了风险健康生活方式和抑郁症状在童年/青少年逆境与青年成年人心血管代谢风险之间的中介作用（n=9421）。潜在类别分析从数据中得出了四类青年群体，他们具有不同的早期逆境模式：（a）低不利社会经济地位和高压力经历（54.8%），（b）高不利社会经济地位和低压力经历（31.0%），（c）低不利社会经济地位和高压力经历（10.9%），（d）高不利社会经济地位和高压力经历（3.3%）。对于经历 SES 相关逆境的人来说，早期逆境对 CM 风险有多种直接和间接影响。相反，对于经历压力经历的人来说，早期逆境通过风险健康生活方式和抑郁症状在逆境和 CM 风险之间产生了中介过程。讨论了在处理经历多种形式早期逆境的青少年时干预的意义。
