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 WANG Geng Fu;YUAN Meng Yuan;CHANG Jun Jie;LI Yong Han;SU Pu Yu

作者机构：Department of MaternalChild and Adolescent HealthSchool of Public HealthAnhui Medical UniversityHefei 230032AnhuiChina Key Laboratory of Population Health Across Life Cycle(Anhui Medical University)Ministry of Education of the People's Republic of ChinaHefei 230032AnhuiChina NHC Key Laboratory of study onabnormal gametes and reproductive tractHefei 230032AnhuiChina 

出 版 物：《Biomedical and Environmental Sciences》 (生物医学与环境科学（英文版）)

年 卷 期：2022年第35卷第8期

页      面：699-710页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100404[医学-儿少卫生与妇幼保健学] 10[医学] 

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

主　　题：Adverse childhood experiences Adolescents Healthy risky behaviors Sexual abuse Peer victimization China 

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 *** 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 *** 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 *** 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 *** study supports a positive association between ACEs and risky adolescent health *** victimization,school adversity and associated contexts need to be considered in future ACEstudies.