Adverse Childhood Experiences and Subjective Cognitive Decline in the US

被引:19
|
作者
Brown, Monique J. [1 ,2 ,3 ,4 ]
Kaur, Amandeep [1 ]
James, Titilayo [1 ]
Avalos, Carlos [1 ]
Addo, Prince N. O. [1 ]
Crouch, Elizabeth [3 ,5 ]
Hill, Nikki L. [6 ]
机构
[1] Univ South Carolina, Arnold Sch Publ Hlth, Dept Epidemiol & Biostat, 915 Greene St Discovery 1,435C, Columbia, SC 29208 USA
[2] Univ South Carolina, South Carolina SmartState Ctr Healthcare Qual, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[3] Univ South Carolina, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[4] Univ South Carolina, Arnold Sch Publ Hlth, Off Study Aging, Columbia, SC 29208 USA
[5] Univ South Carolina, Arnold Sch Publ Hlth, Dept Hlth Serv Policy & Management, Columbia, SC 29208 USA
[6] Penn State Univ, Coll Nursing, University Pk, PA USA
关键词
abuse and neglect; cognition; epidemiology; mental health; quantitative methods; RETROSPECTIVE REPORTS; UNITED-STATES; HEALTH; ASSOCIATION; RISK; SEX; DISPARITIES; FRAMEWORK; SYMPTOMS; STRESS;
D O I
10.1177/07334648211058718
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objective The aim of this study was to determine the association between adverse childhood experiences (ACEs) and subjective cognitive decline (SCD) among a representative sample of the adult US population. Methods Data were obtained from the 2019 Behavioral Risk Factor Surveillance System (N = 82,688, >= 45 years). Adverse childhood experiences included sexual, physical/psychological and environmental ACEs, and a score. Multivariable logistic regression was used to determine the association between ACEs and SCD, and SCD-related outcomes. Results Sexual (adjusted OR (aOR: 2.83; 95% CI: 2.42-3.31)), physical/psychological (aOR: 2.05; 95% CI: 1.83-2.29), and environmental (aOR: 1.94; 95% CI: 1.74-2.16) ACEs were associated with SCD in the past year. There was also a dose-response relationship between ACE score and SCD. Conclusion ACEs were associated with SCD. Interventions to maximize cognitive health in aging and prevent future cognitive impairment should consider the potential role of ACEs among affected populations.
引用
收藏
页码:1090 / 1100
页数:11
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