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  • 标题:아동기 부정적 생애경험과 성인기 건강 간의 관계: 성별 차이의 탐
  • 本地全文:下载
  • 作者:Hana Lee ; Ick-Joong Chung
  • 期刊名称:Adonghakoeji
  • 印刷版ISSN:1226-1688
  • 电子版ISSN:2234-408X
  • 出版年度:2021
  • 卷号:42
  • 期号:3
  • 页码:343-357
  • DOI:10.5723/kjcs.2021.42.3.343
  • 语种:Korean
  • 出版社:Korean Association of Child Studies
  • 摘要:Objectives This study aimed to (1) understand the associations between Adverse Childhood Experiences (ACEs) and poor adult health outcomes, specifically looking at both physical and mental health indicators, and (2) examine gender differences in ACEs’ impact on adult health outcomes. Methods Data were obtained from the 2012 Korean General Social Survey. The study sample comprised 1,396 individuals aged ≥ 18 years who answered the ACE questionnaire. Controlling for sociodemographic factors, linear regression models were run to estimate the relationships between ACEs and adult physical (self-rated poor physical health status) and mental health indicators (depressive symptoms). Furthermore, the Chow test was carried out to ascertain whether there were any gender differences in ACEs’ impact on both adult physical and mental health outcomes. Results Higher numbers of ACEs were significantly and positively associated with worse adult physical and mental health outcomes, such as poorer physical health status and higher levels of depressive symptoms compared with individuals who reported no adversities during childhood. In addition, gender differences were identified in ACEs’ impact on both health indicators, suggesting that females were at a higher risk of depression, while males were more likely to experience poor physical health. Conclusion Adults reporting multiple adversities during childhood are more likely to experience poorer physical and mental health, demonstrating a strong, graded dose-response relationship between the number of ACEs and a range of negative adult health outcomes. Gender differences also exist in ACEs’ impact on adult physical and mental health, thus suggesting the need for gender-based intervention strategies to address ACEs in the adult population.
  • 关键词:Adverse Childhood Experiences (ACEs);adult physical health;depression;gender difference
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