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Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China

Adverse childhood experiences (ACEs) have life-course impact and may be associated with healthy aging. This study aimed to explore the association between ACEs and healthy aging trajectories among middle- and older-aged adults in China. The data were obtained from the China Health and Retirement Lon...

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Autores principales: Sun, Ju, Wang, Jingru, Li, Haomiao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492199/
https://www.ncbi.nlm.nih.gov/pubmed/37692835
http://dx.doi.org/10.1016/j.ssmph.2023.101501
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author Sun, Ju
Wang, Jingru
Li, Haomiao
author_facet Sun, Ju
Wang, Jingru
Li, Haomiao
author_sort Sun, Ju
collection PubMed
description Adverse childhood experiences (ACEs) have life-course impact and may be associated with healthy aging. This study aimed to explore the association between ACEs and healthy aging trajectories among middle- and older-aged adults in China. The data were obtained from the China Health and Retirement Longitudinal Study from 2011 to 2018. A total of 8906 respondents were enrolled in the analysis. Through latent growth mixture model, five categories of healthy aging trajectories which defined as ‘stable type with high starting point’, ‘stable type at the middle level’, ‘stable type with low starting point’, ‘rapid descending type with high starting point’, and ‘stable descending type with medium starting point’ were identified. Based on multinomial logistic regression, ACEs were significantly associated with healthy aging trajectories (stable type at the middle level/stable type with high starting point: relative risk reduction [RRR] = 1.19; P < 0.01; 95% CI = 1.16–1.23; stable type with low starting point/stable type with high starting point: RRR = 1.35; P < 0.01; 95%CI = 1.21–1.51; rapid descending type with high starting point/stable type with high starting point: RRR = 1.09; P < 0.1; 95% CI = 0.99–1.19; and stable descending type with medium starting point/stable type with high starting point: RRR = 1.30; P < 0.01; 95% CI = 1.23–1.38). When treating ACEs as a categorical variable, the healthy aging trajectory of the rapid descending type with a high starting point was not affected by any ACE groups. Further analysis of the relationship between each ACE and the trajectories of healthy aging reveals that parental disability, household mental illness, domestic violence, physical abuse, unsafe neighbourhood and bullying had significant impacts on almost every developmental trajectory of unhealthy aging. The government should promote the realisation of healthy aging from the perspective of the entire population and life cycle, intervene early in life, avoid the occurrence of ACEs as much as possible, and minimize the harm done by ACEs as much as possible.
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spelling pubmed-104921992023-09-10 Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China Sun, Ju Wang, Jingru Li, Haomiao SSM Popul Health Regular Article Adverse childhood experiences (ACEs) have life-course impact and may be associated with healthy aging. This study aimed to explore the association between ACEs and healthy aging trajectories among middle- and older-aged adults in China. The data were obtained from the China Health and Retirement Longitudinal Study from 2011 to 2018. A total of 8906 respondents were enrolled in the analysis. Through latent growth mixture model, five categories of healthy aging trajectories which defined as ‘stable type with high starting point’, ‘stable type at the middle level’, ‘stable type with low starting point’, ‘rapid descending type with high starting point’, and ‘stable descending type with medium starting point’ were identified. Based on multinomial logistic regression, ACEs were significantly associated with healthy aging trajectories (stable type at the middle level/stable type with high starting point: relative risk reduction [RRR] = 1.19; P < 0.01; 95% CI = 1.16–1.23; stable type with low starting point/stable type with high starting point: RRR = 1.35; P < 0.01; 95%CI = 1.21–1.51; rapid descending type with high starting point/stable type with high starting point: RRR = 1.09; P < 0.1; 95% CI = 0.99–1.19; and stable descending type with medium starting point/stable type with high starting point: RRR = 1.30; P < 0.01; 95% CI = 1.23–1.38). When treating ACEs as a categorical variable, the healthy aging trajectory of the rapid descending type with a high starting point was not affected by any ACE groups. Further analysis of the relationship between each ACE and the trajectories of healthy aging reveals that parental disability, household mental illness, domestic violence, physical abuse, unsafe neighbourhood and bullying had significant impacts on almost every developmental trajectory of unhealthy aging. The government should promote the realisation of healthy aging from the perspective of the entire population and life cycle, intervene early in life, avoid the occurrence of ACEs as much as possible, and minimize the harm done by ACEs as much as possible. Elsevier 2023-08-26 /pmc/articles/PMC10492199/ /pubmed/37692835 http://dx.doi.org/10.1016/j.ssmph.2023.101501 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Regular Article
Sun, Ju
Wang, Jingru
Li, Haomiao
Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China
title Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China
title_full Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China
title_fullStr Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China
title_full_unstemmed Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China
title_short Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China
title_sort are adverse childhood experiences associated with trajectories of healthy aging? evidence from china
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492199/
https://www.ncbi.nlm.nih.gov/pubmed/37692835
http://dx.doi.org/10.1016/j.ssmph.2023.101501
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