School of Medicine, Tulane University, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St. #8318, STE 2000, New Orleans, LA 70112, USA.
Int J Environ Res Public Health. 2020 Dec 28;18(1):165. doi: 10.3390/ijerph18010165.
We investigated if adverse childhood experiences (ACEs) and ACE sub-types were associated with increased odds of planning to have children and adolescent pregnancy. The Gulf Resilience on Women's Health (GROWH) is a diverse cohort of reproductive-age women living in southeastern Louisiana during the 2010 Deepwater Horizon oil spill. In our sample of 1482 women, we used multinomial logistic regression to model odds ratios of wanting future children and assessed effect measure modification by educational attainment. We also estimated odds ratios of adolescent pregnancy with binomial logistic regression. Exposure to ACEs increased odds of wanting future children across all ACE sub-types. Among women with lower educational attainment, three or more ACEs (overall, childhood, and adolescence) had over two times the odds of wanting future children. History of ACE and the various sub-types, except for emotional abuse, were associated with increased risk of adolescent pregnancy. ACEs may be linked to adolescent pregnancy and reproductive plans, and variations by educational status highlighted social discrepancies and importance of social context in evaluation and intervention.
我们研究了不良的童年经历（ACEs）和 ACE 亚型是否与增加生育计划和青少年怀孕的几率有关。海湾妇女健康韧性研究（GROWH）是一个由居住在路易斯安那州东南部的育龄妇女组成的多样化队列，她们在 2010 年深水地平线石油泄漏期间生活。在我们的 1482 名女性样本中，我们使用多项逻辑回归来模拟想要未来孩子的几率比，并评估教育程度的效果衡量修正。我们还使用二项逻辑回归估计青少年怀孕的几率比。接触 ACEs 会增加所有 ACE 亚型的生育意愿几率。在教育程度较低的女性中，有三种或更多 ACE（总体、儿童期和青春期）的女性想要未来孩子的几率增加了两倍多。ACE 史和各种亚型（除了情感虐待）与青少年怀孕的风险增加有关。ACEs 可能与青少年怀孕和生殖计划有关，而教育状况的差异突显了社会差异和社会背景在评估和干预中的重要性。
