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儿童或青少年时期不良事件与过早死亡风险之间的性别差异。

Gender differences in the association between adverse events in childhood or adolescence and the risk of premature mortality.

机构信息

Graduate Program in Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.

Escuela de Fisioterapia, Universidad Industrial de Santander, Bucaramanga, Colombia.

出版信息

Sci Rep. 2022 Nov 9;12(1):19118. doi: 10.1038/s41598-022-23443-y.

Abstract

To examine, by gender, the relationship between adverse events in childhood or adolescence and the increased risk of early mortality (before 80 years). The study sample included 941 participants of the English Longitudinal Study of Aging who died between 2007 and 2018. Data on socioeconomic status, infectious diseases, and parental stress in childhood or adolescence were collected at baseline (2006). Logistic regression models were adjusted by socioeconomic, behavioral and clinical variables. Having lived with only one parent (OR 3.79; p = 0.01), overprotection from the father (OR 1.12; p = 0.04) and having had an infectious disease in childhood or adolescence (OR 2.05; p = 0.01) were risk factors for mortality before the age of 80 in men. In women, overprotection from the father (OR 1.22; p < 0.01) was the only risk factor for mortality before the age of 80, whereas a low occupation of the head of the family (OR 0.58; p = 0.04) and greater care from the mother in childhood or adolescence (OR 0.86; p = 0.03) were protective factors. Independently of one's current characteristics, having worse socioeconomic status and health in childhood or adolescence increased the risk of early mortality in men. Parental overprotection increased the risk of early mortality in both sexes, whereas maternal care favored longevity in women.

摘要

本研究旨在探讨儿童或青少年时期发生的不良事件与早逝(80 岁前)风险增加之间的关系,并按性别进行分析。研究样本包括参加英国老龄化纵向研究的 941 名参与者,这些参与者于 2007 年至 2018 年期间死亡。在基线(2006 年)时收集了有关社会经济地位、儿童或青少年时期的传染病和父母压力的数据。使用逻辑回归模型对社会经济、行为和临床变量进行了调整。仅与一位父母生活(OR 3.79;p=0.01)、父亲过度保护(OR 1.12;p=0.04)和儿童或青少年时期患有传染病(OR 2.05;p=0.01)是男性 80 岁前死亡的危险因素。对于女性,父亲的过度保护(OR 1.22;p<0.01)是 80 岁前死亡的唯一危险因素,而家庭主要负责人的低职业(OR 0.58;p=0.04)和儿童或青少年时期母亲更多的照顾(OR 0.86;p=0.03)是保护因素。无论当前特征如何,儿童或青少年时期较差的社会经济地位和健康状况都会增加男性早逝的风险。父母的过度保护会增加两性早逝的风险,而母亲的照顾则有利于女性长寿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8d/9646814/841d44d64b88/41598_2022_23443_Fig1_HTML.jpg

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