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性别和种族/民族差异与儿童虐待和记忆表现。

Disparities by Gender and Race/Ethnicity in Child Maltreatment and Memory Performance.

机构信息

University of South Carolina, Columbia, SC, USA.

Wayne State University, Detroit, MI, USA.

出版信息

J Interpers Violence. 2022 Aug;37(15-16):NP14633-NP14655. doi: 10.1177/08862605211015222. Epub 2021 Jun 12.

Abstract

Adverse childhood experiences, which include child maltreatment, are a major public health issue nationally. Child maltreatment has been linked to poorer cognitive functioning, which can start in childhood and persist into adulthood. However, studies examining the potential disparities by gender and race/ethnicity are lacking. The aim of this study was to assess the gender and racial/ethnic disparities in the association between child maltreatment and memory performance. Data were obtained from Waves III and IV of the National Longitudinal Study of Adolescent to Adult Health ( = 11,624). Weighted multiple linear regression models were used to assess the associations between sexual abuse, physical abuse, neglect, and child maltreatment score and memory. Models were stratified by gender, race, and ethnicity. Men who were exposed to sexual abuse, neglect and two or three child maltreatment types scored one to three points lower (β = -1.44; 95% CI: -2.83, -0.06; β = -2.41; 95% CI: -3.75, -1.08; β = -3.35; 95% CI: -5.33, -1.37; β = -2.31; 95% CI: -3.75, -0.86) in memory performance compared to men who did not report sexual abuse, neglect, or child maltreatment, respectively. Black respondents who were exposed to sexual abuse scored two points lower (β = -1.62; 95% CI: -2.80, -0.44) in memory performance compared to Black respondents who did not report sexual abuse. Among Other race and Hispanic respondents, those who reported neglect scored four points lower (β = -4.06; 95% CI: -6.47, -1.66; β = -4.15; 95% CI: -5.99, -2.30) in memory performance, respectively, compared to their counterparts who did not report neglect. Gender- and racial/ethnic-responsive memory performance interventions addressing child maltreatment may be beneficial for affected populations.

摘要

童年逆境经历,包括儿童虐待,是一个全国性的主要公共卫生问题。儿童虐待与认知功能下降有关,这种情况可能在儿童期开始,并持续到成年期。然而,目前缺乏关于性别和种族/民族差异的研究。本研究旨在评估儿童虐待与记忆表现之间关联的性别和种族/民族差异。数据来自全国青少年至成人健康纵向研究的第三波和第四波(n=11624)。使用加权多重线性回归模型评估性虐待、身体虐待、忽视和儿童虐待评分与记忆之间的关联。模型按性别、种族和民族分层。暴露于性虐待、忽视和两种或三种儿童虐待类型的男性记忆得分比未报告性虐待、忽视或儿童虐待的男性低 1-3 分(β=-1.44;95%置信区间:-2.83,-0.06;β=-2.41;95%置信区间:-3.75,-1.08;β=-3.35;95%置信区间:-5.33,-1.37;β=-2.31;95%置信区间:-3.75,-0.86)。暴露于性虐待的黑人受访者的记忆得分比未报告性虐待的黑人受访者低 2 分(β=-1.62;95%置信区间:-2.80,-0.44)。在其他种族和西班牙裔受访者中,报告忽视的人记忆得分比未报告忽视的人低 4 分(β=-4.06;95%置信区间:-6.47,-1.66;β=-4.15;95%置信区间:-5.99,-2.30)。针对儿童虐待的性别和种族/民族响应记忆表现干预措施可能对受影响人群有益。

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