School of Public Health, University of NV, Reno, NV, USA.
School of Human Evolution and Social Change, Center for Evolution and Medicine, AZ State University, Tempe, AZ, USA.
Ann Hum Biol. 2024 Feb;51(1):2390834. doi: 10.1080/03014460.2024.2390834. Epub 2024 Sep 20.
Adolescent violence victimisation is associated with a spectrum of adult social and behavioural health outcomes, including adverse mental health symptoms. However, underlying social stress mechanisms linking adolescent victimisation to adult cardiometabolic health remains poorly understood.
The current study aims to reveal how adolescent and adult interpersonal violence exposures each get "under the skin" to affect adult metabolic syndrome, including direct victimisation and, additionally, witnessing violence.
We use a nationally representative longitudinal cohort, the National Longitudinal Study of Adolescent to Adult Health, and leverage a quasi-experimental approach, propensity score matching regression analysis ( = 14,267).
We find that adolescent violence exposure carries an enduring effect on young adult metabolic syndrome risk factor incidence and high-risk status, which is independent of young adult violence. Violence effects do not vary by sex or racial identity.
In sum, adolescent exposure to direct interpersonal violence significantly affects young adult cardiometabolic health in ways suggesting adolescence is a sensitive period for the onset of harmful cardiometabolic effects in early adulthood. Findings warrant future study of underlying pathways and how these effects shape social inequities in cardiometabolic health among U.S. adults broadly.
青少年受暴力侵害与一系列成人社会和行为健康结果相关，包括不良心理健康症状。然而，将青少年受侵害与成人心脏代谢健康联系起来的潜在社会压力机制仍知之甚少。
本研究旨在揭示青少年和成人人际暴力暴露如何“深入皮肤”影响成人代谢综合征，包括直接受害和另外的目睹暴力。
我们使用了一个具有全国代表性的纵向队列，即青少年至成人健康纵向研究，并利用准实验方法，倾向评分匹配回归分析（n=14267）。
我们发现，青少年时期的暴力暴露对年轻成年人代谢综合征风险因素的发生和高危状态具有持久影响，且独立于年轻成年人的暴力。暴力的影响不因性别或种族身份而异。
总之，青少年直接遭受人际暴力的暴露会显著影响年轻成年人的心脏代谢健康，这表明青春期是成年早期出现有害心脏代谢影响的敏感时期。这些发现值得进一步研究潜在的途径以及这些影响如何在更广泛的美国成年人中心血管代谢健康方面塑造社会不平等。
