Childhood experiences and frailty trajectory among middle-aged and older adults in China.

IF 3.7 2区社会学 Q1 GERONTOLOGY

European Journal of Ageing Pub Date : 2022-12-01 DOI:10.1007/s10433-022-00746-7

Yuqi Yan, Liqing Cai, Nan Lu

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Abstract

This study examined the associations between childhood experiences and frailty trajectory among middle-aged and older Chinese adults. Data were derived from the China Health and Retirement Longitudinal Study. We used data from all four waves (i.e., 2011, 2013, 2015, 2018) and the life history survey in 2014. Data for 10,963 respondents were included. Latent growth curve models were conducted to examine the proposed model. The results show that adverse childhood experiences, self-rated childhood socioeconomic status, and the objective indicators of childhood health and health care were associated with both the baseline level and change rate of frailty. The educational attainment of fathers and perceived childhood health and healthcare conditions were associated with baseline frailty only. Our findings highlight the crucial role of childhood antecedents in the progression of frailty in later life. We further found strong evidence that childhood is an essential life stage for human development. Future social policies and interventions should use childhood experiences as a screening tool and promote child protection, health education, and life course interventions.

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中国中老年人的童年经历与衰弱轨迹。

本研究探讨了中国中老年人的童年经历与脆弱轨迹之间的关系。数据来源于中国健康与退休纵向研究。我们使用了所有四波(即2011年、2013年、2015年和2018年)和2014年生活史调查的数据。包括10963名受访者的数据。使用潜在生长曲线模型来检验所提出的模型。结果表明，不良童年经历、儿童社会经济地位自评、儿童健康和保健客观指标与脆弱基线水平和变化率均相关。父亲的受教育程度和感知到的儿童健康和保健条件仅与基线虚弱有关。我们的研究结果强调了童年经历在以后的生活中变得虚弱的关键作用。我们进一步发现了强有力的证据，证明童年是人类发展的重要阶段。未来的社会政策和干预措施应利用童年经历作为筛查工具，促进儿童保护、健康教育和生命历程干预。

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

European Journal of Ageing GERONTOLOGY-

CiteScore

6.50

自引率

7.90%

发文量

期刊介绍： The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.

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