Exposure to Adversity and its Impact on Later Life Cognitive, Mental, and Physical Health.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2024-06-19 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1606499

Elyse A Jennings, Sumaya Mall, Darina T Bassil, Kathleen Kahn

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引用次数: 0

Abstract

Objectives: We aimed to assess later-life health responses to childhood and lifetime adversity in a cohort of rural, Black South African adults.

Methods: We performed ordinary least squares regression using two waves of data from Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI) to estimate a decline in cognitive, mental, and physical health over approximately 3 years. Our analytic sample consisted of 1,993 women and 1,496 men.

Results: Associations between several types of adversity and health outcomes point to declines in health. At the same time, many adverse experiences are associated with improvements in cognitive, mental, and physical health in later life. The direction of the association varied by type of exposure, health outcome, and gender.

Conclusion: In populations exposed to many adversities during life, specific adverse experiences may sometimes be associated with greater improvements (and not just greater decline) in health in later life. Further research is needed to unpack the mechanisms at play in these populations.

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遭遇逆境及其对晚年认知、心理和身体健康的影响。

目的我们旨在评估南非农村黑人成年人队列中童年和终生逆境对晚年健康的影响：我们利用非洲健康与老龄化的两波数据进行了普通最小二乘法回归：我们利用《非洲健康与老龄化：南非 INDEPTH 社区纵向研究》（HAALSI）的两波数据进行了普通最小二乘法回归，以估计约 3 年的认知、精神和身体健康下降情况。我们的分析样本包括 1,993 名女性和 1,496 名男性：结果：几种类型的逆境与健康结果之间的关联表明了健康状况的下降。同时，许多逆境经历与晚年认知、精神和身体健康的改善有关。这种关联的方向因接触类型、健康结果和性别而异：结论：在一生中面临许多不利因素的人群中，特定的不利经历有时可能与晚年健康状况的改善（而不仅仅是下降）有关。需要进一步的研究来揭示在这些人群中发挥作用的机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.