父母监禁,儿童行为问题,青少年和年轻人心脏代谢风险:来自澳大利亚前瞻性出生队列研究的结果

IF 3 Q1 CRIMINOLOGY & PENOLOGY
Michael E Roettger, Jolene Tan, Brian Houle, Jake M Najman, Tara McGee
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引用次数: 0

摘要

目的:最近的研究表明,父母监禁(PI)与生命后期的心脏代谢风险相关。然而,这些关联的潜在风险因素以前没有被探索过。本研究采用生命历程框架,在澳大利亚出生队列的男性和女性受访者中,探讨了儿童早期情绪和行为失调以及PI如何与青春期和青年期进行性心脏代谢危险因素相关。方法:该研究追踪了1981年至1984年在澳大利亚布里斯班出生的7223名活产单胎婴儿,收集了5岁和14岁时父母监禁的数据,以及5岁时儿童行为检查表(CBCL)中的行为。我们的样本检查了1884名男性和1758名女性,他们的母亲完成了产前、5岁和14岁的访谈,受访者在14岁、21岁和30岁时在健康诊所完成了一次或多次访谈。多元回归用于检验横断面结果,而个体增长模型检验纵向模式。结果:按性别划分分析,我们检查了父母监禁是如何被CBCL对攻击、社会注意思维(SAT)障碍、内化和抑郁的亚量表测量潜在地介导或调节的。在男性受访者中没有发现关联。在女性受访者中,控制这些行为,父母监禁与30岁时较高的收缩压之间存在显着关联,而所有CBCL测量都发现30岁时腰围适中,14岁,21岁和/或30岁时BMI适中。使用个体生长曲线模型,我们观察到随着受访者成年年龄的增长,CBCL攻击和SAT分数的增加与BMI的增加越来越相关。结论:使用前瞻性队列数据,我们的研究结果表明,从14岁到30岁,PI、情绪和行为失调与女性的BMI、收缩压和腰围有关,同时通过BMI增加来测量心脏代谢风险的潜在增加水平。该结果提示了检查早期情绪/行为问题和PI作为发展为心脏代谢危险因素的联合危险因素的重要性,这些危险因素可能在生命后期发展为心脏代谢疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parental imprisonment, childhood behavioral problems, and adolescent and young adult cardiometabolic risk: results from a prospective Australian birth cohort study.

Objectives: Recent studies have demonstrated that parental imprisonment (PI) is associated with cardiometabolic risk later in life. However, underlying risk factors for these associations have not previously been explored. Using a life course framework, the present study explores how early childhood emotional and behavioral dysregulation and PI may be associated with progressive cardiometabolic risk factors in adolescence and young adulthood among male and female respondents in an Australian birth cohort.

Methods: The study follows a subset of 7,223 live, singleton births from 1981 to 1984 in Brisbane, Australia where data was collected on parental imprisonment at ages 5 & 14 and behaviors from the Child Behavioral Checklist (CBCL) at age 5. Our sample examines 1,884 males and 1,758 females whose mothers completed prenatal, age 5, and age 14 interviews and respondents completed one or more interviews at a health clinic at ages 14, 21, and 30. Multivariate regression was used to examine cross-sectional results, while individual growth models examined longitudinal patterns.

Results: Dividing the analysis by sex, we examined how parental imprisonment was potentially mediated or moderated by CBCL subscale measures for aggression, social-attention-thought (SAT) disorders, internalizing, and depression. No associations were found among male respondents. Among female respondents, controlling for these behaviors, there was a significant association between parental imprisonment and higher systolic blood pressure at age 30, while all CBCL measures were found to moderate waist circumference at age 30 and BMI at ages 14, 21, and/or 30. Using individual growth curve modelling, we observed the increased CBCL aggression and SAT scores were increasingly associated with higher BMI as respondents aged in adulthood.

Conclusions: Using prospective cohort data, our results suggest that PI and emotional and behavioral dysregulation are associated with BMI, systolic blood pressure, and waist circumference in females, along with potentially increasing levels of cardiometabolic risk, as measured by increased BMI, from age 14 through age 30. The result is suggestive of the importance of examining early emotional/behavioral problems and PI as joint risk factors for developing cardiometabolic risk factors that may progress into cardiometabolic diseases at later stages in the life course.

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来源期刊
Health and Justice
Health and Justice Social Sciences-Law
CiteScore
4.10
自引率
8.60%
发文量
34
审稿时长
13 weeks
期刊介绍: Health & Justice is open to submissions from public health, criminology and criminal justice, medical science, psychology and clinical sciences, sociology, neuroscience, biology, anthropology and the social sciences, and covers a broad array of research types. It publishes original research, research notes (promising issues that are smaller in scope), commentaries, and translational notes (possible ways of introducing innovations in the justice system). Health & Justice aims to: Present original experimental research on the area of health and well-being of people involved in the adult or juvenile justice system, including people who work in the system; Present meta-analysis or systematic reviews in the area of health and justice for those involved in the justice system; Provide an arena to present new and upcoming scientific issues; Present translational science—the movement of scientific findings into practice including programs, procedures, or strategies; Present implementation science findings to advance the uptake and use of evidence-based practices; and, Present protocols and clinical practice guidelines. As an open access journal, Health & Justice aims for a broad reach, including researchers across many disciplines as well as justice practitioners (e.g. judges, prosecutors, defenders, probation officers, treatment providers, mental health and medical personnel working with justice-involved individuals, etc.). The sections of the journal devoted to translational and implementation sciences are primarily geared to practitioners and justice actors with special attention to the techniques used.
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