儿童期性创伤与主观认知衰退：种族/民族和性取向差异评估。
Childhood Sexual Trauma and Subjective Cognitive Decline: An Assessment of Racial/Ethnic and Sexual Orientation Disparities.
机构信息
Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
出版信息
J Appl Gerontol. 2023 Oct;42(10):2129-2138. doi: 10.1177/07334648231175299. Epub 2023 May 22.
Prior studies examining the association between childhood sexual abuse (CSA) and subjective cognitive decline (SCD) are limited. The aim of this study was to examine the racial/ethnic and sexual orientation disparities in the association between CSA and SCD. Using data from the 2019 Behavioral Risk Factor Surveillance System Survey, crude and multivariable logistic regression models were used to determine the association between CSA and SCD adjusting for sociodemographic characteristics, diabetes, hypertension, and depression. There were statistically significant differences in CSA status by age, gender, income, education, employment, and health status (depression). Black and Hispanic/Latine respondents had a stronger relationship between CSA and SCD compared to White populations. Also, sexual minority populations had a stronger relationship between CSA and SCD compared to heterosexual populations. Health disparities exist in the association between CSA and SCD. Trauma-informed interventions should be implemented among affected populations.
先前研究儿童期性虐待（CSA）与主观认知下降（SCD）之间关联的研究有限。本研究旨在检验 CSA 与 SCD 之间关联的种族/民族和性取向差异。本研究使用 2019 年行为风险因素监测系统调查的数据，采用单因素和多因素逻辑回归模型，在调整社会人口特征、糖尿病、高血压和抑郁等因素后，确定 CSA 与 SCD 之间的关联。CSA 状况在年龄、性别、收入、教育、就业和健康状况（抑郁）方面存在统计学差异。与白人相比，黑人和西班牙裔/拉丁裔受访者 CSA 与 SCD 之间的关系更强。此外，与异性恋人群相比，性少数人群 CSA 与 SCD 之间的关系更强。在 CSA 与 SCD 之间的关联中存在健康差异。应在受影响人群中实施以创伤知情干预为基础的干预措施。
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