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Associations of adverse childhood experiences with common psychiatric disorder in later life: results from the China mental health survey

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机构: [1]Tianjin Med Univ, Tianjin Anding Hosp, Mental Hlth Ctr, Tianjin, Peoples R China [2]Peking Univ, Peking Univ Sixth Hosp, Inst Mental Hlth, Natl Clin Res Ctr Mental Disorders,Minist Hlth, Beijing, Peoples R China [3]Peking Univ, Peking Univ Sixth Hosp, Inst Mental Hlth, Key Lab Mental Hlth,Minist Hlth, Beijing, Peoples R China [4]Cent South Univ, Xiangya Hosp 2, Mental Hlth Inst, Changsha 410011, Hunan, Peoples R China [5]Peking Univ, Inst Social Sci Survey, Beijing 100871, Peoples R China [6]Jilin Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Changchun, Peoples R China [7]Kunming Med Univ, Affiliated Hosp 1, Dept Psychiat, Kunming 650032, Yunnan, Peoples R China [8]Ningxia Med Univ, Sch Publ Hlth & Management, Dept Epidemiol & Stat, Yinchuan 750004, Ningxia, Peoples R China [9]Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Shanghai Key Lab Psychot Disorders, Shanghai, Peoples R China [10]Sichuan Univ, West China Hosp, Mental Hlth Ctr, Chengdu 610041, Sichuan, Peoples R China [11]Hangzhou Seventh Peoples Hosp, Dept Psychiat, Hangzhou 310013, Zhejiang, Peoples R China [12]Fourth Peoples Hosp Urumqi, Urumqi 830002, Peoples R China [13]Chinese Ctr Dis Control & Prevent, Natl Ctr Chron & Noncommunicable Dis Control & Pre, Beijing 100050, Peoples R China [14]Fourth Mil Med Univ, Dept Epidemiol, Xian 710032, Shaanxi, Peoples R China [15]Cent South Univ, Sch Publ Hlth, Dept Social Med & Hlth Management, Changsha 410078, Hunan, Peoples R China [16]Suzhou Guangji Hosp, Suzhou 215008, Jiangsu, Peoples R China [17]Chifeng Anding Hosp, Chifeng 024000, Inner Mongolia, Peoples R China
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关键词: Adverse childhood experiences Psychiatric disorder Mental health Older adults

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BackgroundAssociations between adverse childhood experiences (ACEs) and common psychiatric disorders among older Chinese individuals have not been well reported. The objectives of this study are to examine the prevalence of ACEs and the associations of ACEs with common psychiatric disorders among older adults in China.MethodsThe study used data from the China Mental Health Survey (CMHS), a nationally representative epidemiological survey, which used computer-assisted personal interviewing (CAPI), logistic regression models were used to examine community-based adult psychiatric disorders and associated risk factors. Finally, 2,317 individuals aged 60 years or over were included in the CMHS. The national prevalence of ACEs in older adults were estimated and logistic regression were used to analyse the association between ACEs and past-year psychiatric disorders.ResultsPrevalence of ACEs among older adults in China was 18.1%. The three most common types of ACEs were neglect (11.6%), domestic violence (9.2%), and parental loss (9.1%). This study proved the association between ACEs and common past-year psychiatric disorders in older adults. ACEs increased the risk of past-year psychiatric disorders in older adults. After adjustment for age, sex, marital status, employment status, education, rural or urban residence, region, and physical diseases, the association between ACEs and past-year psychiatric disorders were still significant.ConclusionsACEs are linked to an increased risk for past-year psychiatric disorders in older adults. ACEs may have long-term effects on older adults' mental well-being. Preventing ACEs may help reduce possible adverse health outcomes in later life.

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大类 | 2 区 医学
小类 | 2 区 老年医学 2 区 老年医学
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出版当年[2023]版:
Q2 GERIATRICS & GERONTOLOGY Q2 GERONTOLOGY
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Q2 GERIATRICS & GERONTOLOGY Q2 GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Tianjin Med Univ, Tianjin Anding Hosp, Mental Hlth Ctr, Tianjin, Peoples R China
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