Loxton Deborah, Townsend Natalie, Dolja-Gore Xenia, Forder Peta, Coles Jan
a Research Centre for Generational Health and Ageing , The University of Newcastle , Callaghan , Australia.
b Department of General Practice , Monash University , Notting Hill , Australia.
J Child Sex Abus. 2019 Jul;28(5):511-525. doi: 10.1080/10538712.2018.1523814. Epub 2018 Oct 4.
The current study aims to present the prevalence of adverse childhood experiences and examine the healthcare costs associated with primary, allied, and specialist healthcare services. The Australian Longitudinal Study on Women's Health is a general health survey of four nationally representative age cohorts. The current study uses 20 years of survey and administrative data (1996-2015) from the cohort born 1973-1978. Overall, 41% of women indicated at least one category of childhood adversity. The most commonly reported type of childhood adversity was having a household member with a mental illness (16%), with the most commonly reported ACES category being psychological abuse (17%). Women who had experienced adversity in childhood had higher healthcare costs than women who had not experienced adversity. The healthcare costs associated with experiences of adversity in childhood fully justify a comprehensive policy and practice review.
本研究旨在呈现童年不良经历的发生率，并考察与初级、辅助和专科医疗服务相关的医疗保健成本。澳大利亚妇女健康纵向研究是一项针对四个具有全国代表性年龄队列的一般健康调查。本研究使用了1973年至1978年出生队列的20年调查和行政数据（1996年至2015年）。总体而言，41%的女性表示至少经历过一类童年逆境。最常报告的童年逆境类型是有家庭成员患有精神疾病（16%），最常报告的童年不良经历类别是心理虐待（17%）。童年经历过逆境的女性比未经历过逆境的女性医疗保健成本更高。与童年逆境经历相关的医疗保健成本完全有理由进行全面的政策和实践审查。
