Li Simon M, Zhang Chengmian, Bi Kaiwen, Chen Mark Shuquan
Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY, United States.
Center of Student Mental Health, Wuhan, Institute of Design and Science, Wuhan, China.
Child Abuse Negl. 2023 Nov 16:106543. doi: 10.1016/j.chiabu.2023.106543.
Adverse childhood experiences (ACEs) elevate the risk of poor health later in life.
This study aims to provide a more comprehensive investigation of the multidimensional health risks associated with ACEs, to address a gap in the understanding of their longitudinal impact on mental, physical, and behavioral health domains.
This study included 6, 504 participants (51.61 % females) from the National Longitudinal Study of Adolescent to Adult Health (1994-2018).
We utilized latent class growth analysis to identify trajectories from adolescence to adulthood in three health domains: depression (Mental Health, MH), self-report physical health (SRH), and binge drinking frequency (BDF). Binary logistic regression was then used to assess the unique contributions of different types of ACEs to these longitudinal health trajectories.
Three to four trajectories were identified for MH (consistently low, decreasing, increasing), SRH (consistently low, decreasing, increasing, consistently high), and BDF (consistently low, decreasing, moderate). Regression results showed that experience of emotional abuse and witnessed community violence elevated the risk associated with unfavorable trajectories in the mental health and behavioral health domains, respectively.
Individual ACEs differentially predicted mental, physical, and behavioral health trajectories, potentially through various pathways. Prevention of ACEs could mitigate health risks for adolescents and young adults across these domains.
童年不良经历（ACEs）会增加日后健康状况不佳的风险。
本研究旨在更全面地调查与ACEs相关的多维度健康风险，以填补对其对心理、身体和行为健康领域纵向影响理解上的空白。
本研究纳入了来自青少年到成人健康全国纵向研究（1994 - 2018年）的6504名参与者（51.61%为女性）。
我们利用潜在类别增长分析来确定从青春期到成年期在三个健康领域的轨迹：抑郁（心理健康，MH）、自我报告的身体健康（SRH）和暴饮频率（BDF）。然后使用二元逻辑回归来评估不同类型的ACEs对这些纵向健康轨迹的独特贡献。
在心理健康（持续低、下降、上升）、自我报告的身体健康（持续低、下降、上升、持续高）和暴饮频率（持续低、下降、中等）方面分别确定了三到四条轨迹。回归结果表明，情感虐待经历和目睹社区暴力分别增加了心理健康和行为健康领域中与不良轨迹相关的风险。
个体ACEs通过各种途径对心理、身体和行为健康轨迹有不同的预测作用。预防ACEs可以降低青少年和年轻人在这些领域的健康风险。
