Ho Grace W K, Chan Ko Ling, Wong Kwan Ho, Leung Sau Fong, Karatzias Thanos
School of Nursing, Hong Kong Polytechnic University.
Department of Applied Social Sciences, Hong Kong Polytechnic University.
Psychol Trauma. 2024 Jul 18. doi: 10.1037/tra0001732.
Adverse and benevolent childhood experiences (ACEs and BCEs) impact health across the lifespan. No known study has investigated these associations across different health domains using a representative adult sample. This study examined the associations between adult physical, mental, and behavioral health with ACEs and BCEs based on two ACEs conceptualizations.
A cross-sectional population-based survey was conducted in Hong Kong. Thirteen ACEs were measured and conceptualized as cumulative ACE scores and ACE patterns. Self-reports of BCEs; 10 physical health problems; current mental health; posttraumatic stress; history of diagnosed mental illness; suicidal thought and suicide attempt; and engagement in three health risk behaviors (smoking, illicit substance misuse, binge drinking) were also included. A series of regression analyses were conducted to examine the association between childhood experiences and health.
In a random sample of 1,070 Hong Kong adults ( = 41.78 years; 53.93% female; mean ACEs = 1.64), 649 (60.65%) reported at least one ACE. Four ACE patterns were identified (). Higher ACE scores associated with poorer health in a dose-response fashion. Two ACE patterns shared similar average ACE scores but differentially linked with outcomes across health domains. High BCEs negatively associated with mental and behavioral health problems.
Public health responses to ACEs should consider both the accumulation and co-occurrence of ACE exposure. Schools, neighborhoods, and the wider community should take an active role in helping children and families create more positive experiences as a universal prevention strategy to safeguard population health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
童年不良经历和良性经历（ACEs和BCEs）会影响一生的健康。尚无已知研究使用具有代表性的成人样本在不同健康领域调查这些关联。本研究基于两种ACEs概念化方式，考察了成人身体、心理和行为健康与ACEs和BCEs之间的关联。
在香港进行了一项基于人群的横断面调查。测量了13种ACEs，并将其概念化为累积ACE分数和ACE模式。还纳入了BCEs的自我报告；10种身体健康问题；当前心理健康状况；创伤后应激；已确诊精神疾病史；自杀念头和自杀未遂；以及三种健康风险行为（吸烟、非法药物滥用、暴饮）的参与情况。进行了一系列回归分析，以考察童年经历与健康之间的关联。
在1070名香港成年人的随机样本中（年龄=41.78岁；53.93%为女性；平均ACEs=1.64），649人（60.65%）报告至少有一次ACE。识别出四种ACE模式。ACE分数越高，与健康状况越差呈剂量反应关系。两种ACE模式的平均ACE分数相似，但在不同健康领域与结果的关联有所不同。高BCEs与心理和行为健康问题呈负相关。
针对ACEs的公共卫生应对措施应考虑ACE暴露的累积和共现情况。学校、社区及更广泛的社会应积极帮助儿童和家庭创造更多积极经历，作为保障人群健康的普遍预防策略。（《心理学文摘数据库记录》（c）2024美国心理学会，保留所有权利）
