Department of Sociology, University of Georgia, Athens, GA, 30602, USA.
Center for Family Research, University of Georgia, Athens, GA, 30605, USA.
J Youth Adolesc. 2019 Jan;48(1):1-16. doi: 10.1007/s10964-018-0977-4. Epub 2019 Jan 2.
There is strong evidence that chronic, systemic inflammation hastens onset of the diseases of old age that ultimately lead to death. Importantly, several studies suggest that childhood adversity predicts chronic inflammation. Unfortunately, this research has been plagued by retrospective reports of childhood adversity, an absence of controls for adult stressors, and a failure to investigate various competing models of the link between childhood adversity and chronic inflammation. The present study was designed to address these limitations. Using 18 years of data collected from 413 African Americans (58% female) included in the Family and Community Health Study, hierarchical regression analyses provided support for a nuanced early life sensitivity explanation for the link between early adversity and adult chronic inflammation. Controlling for health risk behaviors and adult SES, late childhood (ages 10-12) adversity amplified the association between adult adversity (age 29) and chronic inflammation. This interaction operated in a domain-specific fashion. Harsh parenting amplified the relation between intimate partner hostility and inflammation, whereas early discrimination amplified the relation between adult discrimination and inflammation. These findings suggest that individuals may be primed to respond physiologically to adverse adult circumstances that resemble those experienced earlier in life.
有强有力的证据表明,慢性、系统性炎症会加速老年疾病的发作,而这些疾病最终会导致死亡。重要的是,有几项研究表明,儿童时期的逆境预示着慢性炎症。不幸的是,这项研究一直受到回顾性报告儿童时期逆境、缺乏对成人压力源的控制以及未能调查儿童时期逆境与慢性炎症之间联系的各种竞争模型的困扰。本研究旨在解决这些局限性。利用来自家庭和社区健康研究的 413 名非裔美国人(58%为女性)18 年的数据,分层回归分析为早期逆境与成人慢性炎症之间的联系提供了一个微妙的早期敏感性解释。在控制健康风险行为和成人社会经济地位后,儿童后期(10-12 岁)的逆境加剧了成人逆境(29 岁)与慢性炎症之间的关联。这种相互作用以特定于领域的方式运作。严厉的育儿方式加剧了亲密伴侣敌意与炎症之间的关系,而早期歧视则加剧了成人歧视与炎症之间的关系。这些发现表明,个体可能对与早期生活经历相似的成人逆境做出生理反应。