Department of Biostatistics & Informatics, Colorado School of Public Health, Aurora, Colorado.
Department of Public Health, Purdue University, West Lafayette, Indian.
Am J Prev Med. 2023 Jul;65(1):30-38. doi: 10.1016/j.amepre.2023.01.025. Epub 2023 Mar 3.
This study investigated the intersectionality of adverse childhood experiences (ACEs) among subgroups of sex, race/ethnicity, and sexual orientation.
Using data from the Behavioral Risk Factor Surveillance Survey across 34 states (N=116,712) from 2009 to 2018, authors stratified subgroups of sex (male/female), race/ethnicity (White/Hispanic/Black/multiracial/other), and sexual orientation (heterosexual/bisexual/gay) to investigate the number of ACEs across groups. Analyses were conducted in 2022.
Stratification resulted in 30 distinct subgroups (e.g., bisexual Black females, straight multiracial males) with significant post hoc differences per group. Generally, those identifying as sexual minority individuals had the highest number of ACEs (the top 14 of 30 subgroups), whereas seven of the top ten subgroups were female. Surprisingly, no clear patterns emerged by race/ethnicity, although the two largest groups (straight White females and straight White males) were 27th and 28th of 30, respectively.
Although studies have examined ACEs by individual demographic variables, less is known about the extent to which ACEs are present in stratified subgroups. Sexual minority subgroups (particularly female bisexual subgroups) trend toward a higher number of ACEs, whereas heterosexual subgroups (regardless of sex) comprised the lowest 6 groups with respect to ACEs. Implications include further examination of bisexual and female subgroups (including specific ACE domain investigations) to identify the vulnerable population.
本研究调查了性别、种族/民族和性取向亚组中不良儿童经历（ACEs）的交叉性。
使用 2009 年至 2018 年来自 34 个州的行为风险因素监测调查（BRFSS）数据（N=116712），作者对性别（男/女）、种族/民族（白种人/西班牙裔/黑种人/多种族/其他）和性取向（异性恋/双性恋/同性恋）的亚组进行分层，以调查各群体中 ACE 的数量。分析于 2022 年进行。
分层产生了 30 个不同的亚组（例如，双性恋黑人女性，异性恋多种族男性），每个组之间存在显著的事后差异。一般来说，那些认同为性少数群体的人拥有最多的 ACEs（30 个亚组中的前 14 个），而十个亚组中有七个是女性。令人惊讶的是，种族/民族方面没有出现明显的模式，尽管最大的两个群体（异性恋白种女性和异性恋白种男性）分别排在第 27 位和第 28 位。
尽管研究已经通过个别人口统计学变量检查了 ACEs，但对于 ACEs 在分层亚组中存在的程度知之甚少。性少数群体亚组（特别是女性双性恋亚组）趋向于 ACEs 数量较多，而异性恋亚组（无论性别如何）在 ACEs 方面构成了最低的 6 个组。这意味着需要进一步研究双性恋和女性亚组（包括对特定 ACE 领域的调查），以确定弱势人群。
