Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfaction
BackgroundAlthough a significant amount of literature has examined the association between childhood adversity and adverse health outcomes, which may be affected by sleep duration and life satisfaction. However, this relationship has not been researched in the Chinese population. This study aimed to...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1092971/full |
| _version_ | 1797866051646521344 |
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| author | Haojie Yin Xueying Qiu Yan Zhu Qing Yang |
| author_facet | Haojie Yin Xueying Qiu Yan Zhu Qing Yang |
| author_sort | Haojie Yin |
| collection | DOAJ |
| description | BackgroundAlthough a significant amount of literature has examined the association between childhood adversity and adverse health outcomes, which may be affected by sleep duration and life satisfaction. However, this relationship has not been researched in the Chinese population. This study aimed to assess the association between childhood adversity and health outcomes, with sleep duration and life satisfaction as mediators.MethodsA total of 14,693 subjects aged 45 and over from the 2018 China Health and Retirement Longitudinal Study (CHARLS) were included. Taking childhood adversity as the independent variable, the health level of middle-aged and older individuals as the dependent variable, and sleep time and satisfaction as the mediating factors, Mplus 8.0 software was used to establish a structural equation model (SEM) to analyze the link between childhood adversity and health level and to explore the mediating effect of target mediators between childhood adversity and health level.ResultsIn this study, childhood adversity was positively associated with depression symptoms, activities of daily living (ADL), and the number of chronic diseases (r = 0.116, 0.026 and 0.050, respectively, P < 0.001). Associations between adverse childhood experiences (ACEs) and depressive symptoms, ADL, and number of chronic diseases were mediated by sleep duration and life satisfaction, respectively.ConclusionAdversity experienced in childhood can affect the health status of middle-aged and older people. By ensuring adequate sleep and improving life satisfaction, health outcomes can be improved, and the negative effects of childhood adversity can be reduced. |
| first_indexed | 2024-04-09T23:18:53Z |
| format | Article |
| id | doaj.art-bd3d5b62feb84684908fa4834c004ca1 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-09T23:18:53Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-bd3d5b62feb84684908fa4834c004ca12023-03-22T04:50:41ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-03-011410.3389/fpsyt.2023.10929711092971Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfactionHaojie Yin0Xueying Qiu1Yan Zhu2Qing Yang3Geriatrics, Respiratory and Critical Care Department, The First People’s Hospital of Neijiang, Neijiang, ChinaGeriatrics, Respiratory and Critical Care Department, The First People’s Hospital of Neijiang, Neijiang, ChinaDepartment of Hepatobiliary Surgery, The First People’s Hospital of Neijiang, Neijiang, ChinaSichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, ChinaBackgroundAlthough a significant amount of literature has examined the association between childhood adversity and adverse health outcomes, which may be affected by sleep duration and life satisfaction. However, this relationship has not been researched in the Chinese population. This study aimed to assess the association between childhood adversity and health outcomes, with sleep duration and life satisfaction as mediators.MethodsA total of 14,693 subjects aged 45 and over from the 2018 China Health and Retirement Longitudinal Study (CHARLS) were included. Taking childhood adversity as the independent variable, the health level of middle-aged and older individuals as the dependent variable, and sleep time and satisfaction as the mediating factors, Mplus 8.0 software was used to establish a structural equation model (SEM) to analyze the link between childhood adversity and health level and to explore the mediating effect of target mediators between childhood adversity and health level.ResultsIn this study, childhood adversity was positively associated with depression symptoms, activities of daily living (ADL), and the number of chronic diseases (r = 0.116, 0.026 and 0.050, respectively, P < 0.001). Associations between adverse childhood experiences (ACEs) and depressive symptoms, ADL, and number of chronic diseases were mediated by sleep duration and life satisfaction, respectively.ConclusionAdversity experienced in childhood can affect the health status of middle-aged and older people. By ensuring adequate sleep and improving life satisfaction, health outcomes can be improved, and the negative effects of childhood adversity can be reduced.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1092971/fulladverse childhood experiencesdepressionactivities of daily livingchronic diseasemediation analysis |
| spellingShingle | Haojie Yin Xueying Qiu Yan Zhu Qing Yang Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfaction Frontiers in Psychiatry adverse childhood experiences depression activities of daily living chronic disease mediation analysis |
| title | Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfaction |
| title_full | Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfaction |
| title_fullStr | Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfaction |
| title_full_unstemmed | Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfaction |
| title_short | Adverse childhood experiences affect the health of middle-aged and older people in China: The multiple mediating roles of sleep duration and life satisfaction |
| title_sort | adverse childhood experiences affect the health of middle aged and older people in china the multiple mediating roles of sleep duration and life satisfaction |
| topic | adverse childhood experiences depression activities of daily living chronic disease mediation analysis |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1092971/full |
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