Childhood Adversity Phenotypes and Risky Health Behaviors among Chinese Adolescents: Extending the Concept of Adversity  

作　　者：WANG Geng Fu YUAN Meng Yuan CHANG Jun Jie LI Yong Han SU Pu Yu 

机构地区：[1]Department of Maternal,Child and Adolescent Health,School of Public Health,Anhui Medical University,Hefei 230032,Anhui,China [2]Key Laboratory of Population Health Across Life Cycle(Anhui Medical University),Ministry of Education of the People's Republic of China,Hefei 230032,Anhui,China [3]NHC Key Laboratory of study onabnormal gametes and reproductive tract,Hefei 230032,Anhui,China

出　　处：《Biomedical and Environmental Sciences》2022年第8期699-710,共12页生物医学与环境科学（英文版）

基　　金：This study has been supported by grants from the National Natural Science Foundation of China[Grant number 81874268].

摘　　要：ObjectiveTo present an approach to phenotyping ACEs and explore the association between ACEs and adolescent health risky behaviors based on the social context of China.Methods Totally,5,726 adolescents aged 12-18 years were investigated about their ACEs in the family,peer,school,and personal domains and the occurrence of six types of risky health behaviors(i.e.,smoking,drinking,sexual intercourse,self-harm,and suicidal ideation and attempts).Latent class analysis(LCA)was used to explore the ACE patterns.Results Six latent classes of ACEs were identified,including low adversity,school adversity,school adversity and peer victimization,peer victimization,maltreatment and peer victimization,and high adversity,and associated with risky health behaviors in adolescents.Being physically punished by a teacher,experiencing sexual abuse,and experiencing family trauma most strongly differentiated from the six AcE classes and were correlated with an increased risk for risky adolescent health behaviors.ConclusionThis study supports a positive association between ACEs and risky adolescent health behaviors.Peer victimization,school adversity and associated contexts need to be considered in future ACEstudies.

关 键 词：Adverse childhood experiences Adolescents Healthy risky behaviors Sexual abuse Peer victimization China 

分 类 号：R179[医药卫生—妇幼卫生保健]