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首页> 外文期刊>Journal of youth and adolescence >Childhood Adversities as Determinants of Cardiovascular Disease Risk and Perceived Illness Burden in Adulthood: Comparing Retrospective and Prospective Self-Report Measures in a Longitudinal Sample of African Americans
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Childhood Adversities as Determinants of Cardiovascular Disease Risk and Perceived Illness Burden in Adulthood: Comparing Retrospective and Prospective Self-Report Measures in a Longitudinal Sample of African Americans

机译：儿童逆境作为成年心血管疾病风险的决定因素和成年期的感知疾病负担：比较非洲裔美国人纵向样本中的回顾和预期自我报告措施

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摘要

A large body of evidence suggests that exposure to childhood adversities increases risk for poor quality physical health in adulthood. Much of this evidence is based on retrospective measures which are believed to be contaminated by the limitations and biases of autobiographical memory. Using longitudinal data on 454 African Americans (61 percent female) this study examines the corroboration between prospective and retrospective measures of childhood adversities gathered approximately two decades apart, and the relative ability of the measures to predict self-reported illnesses and a biomarker of 30-year cardiovascular disease risk. Comparisons indicated that the retrospective and prospective measures demonstrated weak convergence and did not provide completely equivalent information about self-reported adverse childhood experiences. A series of regression models indicated that the two measures of adversities exhibited similar associations with the cardiovascular disease biomarker but divergent associations with self-reported illnesses. Furthermore, both the prospective and retrospective measures simultaneously predicted cardiovascular disease risk in adulthood. That the prospective measure did not significantly predict perceived illnesses after adjusting for the retrospective measure is evidence that childhood adversities predict self-reported health burden insofar as respondents remember those adversities as adults. The findings provide evidence that retrospective self-report measures of childhood adversities do not closely converge with prospective measures, and that retrospective measures may not provide valid estimates of the association between childhood adversities and perceived illnesses in adulthood.
机译：大量证据表明，暴露于儿童逆境的风险会增加成年人质量劣质的身体健康风险。这一证据的大部分是基于回顾措施，被认为是由自传记忆的局限性和偏见的污染。在454个非洲裔美国人（女性61％）上使用纵向数据本研究探讨了童年逆境的前瞻性和回顾性措施之间的奖状性，相隔大约二十年，以及预测自我报告的疾病和30-生物标志物的措施的相对能力。年份心血管疾病风险。比较表明，回顾性和前瞻性措施表现出薄弱的收敛性，并且没有提供有关自我报告的不良童年经历的完全等同的信息。一系列回归模型表明，两种逆境的措施与心血管疾病生物标志物具有类似的关联，而是与自我报告的疾病发散。此外，前瞻性和回顾性措施同时预测成年期的心血管疾病风险。前瞻性措施在调整回顾性措施后未能显着预测感知疾病是有证据表明，儿童逆境预测自我报告的健康负担，因为受访者记得成年人的逆境。调查结果提供了证据表明，儿童逆境的回顾性自我报告措施并未密切收敛于前瞻性措施，并且追溯措施可能不会提供儿童逆境与成年期间疾病之间的有效估计。

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