Objective:To explore the relationship between exposure and accumulation of adverse childhood experiences(ACE)and multimorbidity in middle and elderly people in China,and to provide research evidence and theoretical basis for the risk identification and prevention policy formulation of people with high-risk comorbidity.Methods:This study is based on the combined data of the 2014 life course survey data from the China health and retirement longitudinal study and the 2020 review data,with older people aged 45 years and older,ten ACE were extracted and classified by exposure into no exposure group,and low ex-posure group and high exposure group,the log-binomial regression model was used to analyze the association between the occur-rence and accumulation of a single ACE and the occurrence of multimorbidity.Results:The incidence of chronic disease comorbidi-ties among middle-aged and elderly people in China is 56.49%,and the incidence of chronic disease comorbidities among middle-aged and elderly people who have experienced four or more ACE is 65.37%.Physical abuse(RR=1.066),domestic violence(RR=1.068),parental mental abnormalities(RR=1.070),family insufficiency(RR=1.046),parental adverse behavior(RR=1.093),childhood hunger(RR=1.092),parental disability or self-care disorder(RR=1.104)are the risk factors for comorbidity in middle-aged and older people after adjusting the influence of multiple factors(P<0.05).Conclusion:The incidence of multi-morbidity in middle-aged and elderly people in China is high,especially in those with a history of exposure to ACE.To enhance sensitivity and attention to ACE as a public health threat,it is necessary to conduct early detection and intervention of risk events,reduce the risk of multimorbidity in middle-aged and elderly people and improve the physical fitness and health level of middle-aged and elderly people.
Prevention and Control of Chronic DiseaseMultimorbidityAdverse Childhood ExperienceMiddle-aged and Elderly People
万方数据
维普
