The Relationship Between Adverse Childhood Experiences and Subjective Cognitive Decline Based on Sexual Orientation.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-11-13 DOI:10.1080/07317115.2023.2282484

Yan Xu, Yanfang Wang, Yana Chen, Yuan Zhang, Li Tong, Yue He, Jiaxin Fang, Runhong Li, Xinyao Zhang, Lina Jin

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Abstract

Objectives: Research indicates adverse childhood experiences (ACEs) were associated with subjective cognitive decline (SCD), with higher ACEs reported by sexual minoritized individuals (i.e. lesbian, gay, and bisexual; LGB). This study aimed to explore the relationships between ACEs and SCD based on sexual orientation in middle-aged and older adults.

Methods: The study included 76,592 participants from the 2019-2020 Behavioral Risk Factor Surveillance Survey (BRFSS). Multivariate logistic regressions analyzed ACEs status, score, and type associations with SCD.

Results: 2.18% of the participants identified as sexual minoritized individuals. More sexual minoritized individuals reported SCD compared to heterosexual individuals (10.70% for heterosexuals; 17.27% for sexual minoritized individuals). Positive association between SCD and ACEs status (OR = 2.18, 95%CI: 1.09-4.40) was identified among sexual minoritized individuals.

Conclusions: The association between ACEs and SCD was strong in both heterosexual and sexual minoritized populations. Given the higher experience of ACEs among sexual minoritized adults, the subsequent frequency of SCD among these adults also may be higher.

Clinical implications: Sexual minoritized older adults may have a history of numerous ACEs, which could contribute to a greater burden of SCD. Clinicians and other stakeholders may wish to consider relationships between ACEs and SCD based on sexual orientation.

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儿童期不良经历与基于性取向的主观认知能力下降的关系

研究表明，不良童年经历(ace)与主观认知能力下降(SCD)有关，性少数群体(即女同性恋、男同性恋和双性恋)报告的ace较高;性恋)。本研究旨在探讨基于性取向的中老年ace与SCD之间的关系。方法:该研究纳入了2019-2020年行为风险因素监测调查(BRFSS)的76592名参与者。多变量logistic回归分析ace状态、评分和类型与SCD的关联。结果:2.18%的参与者被确定为性少数群体。与异性恋者相比，更多的性少数群体报告了SCD(异性恋者为10.70%;性少数群体占17.27%)。在性少数群体中，SCD与ace状态呈正相关(OR = 2.18, 95%CI: 1.09-4.40)。结论:ace和SCD之间的关联在异性恋和性少数人群中都很强。考虑到性少数群体的成年人有较高的ace经历，这些成年人随后发生SCD的频率也可能更高。临床意义:性少数的老年人可能有多次ace病史，这可能会增加SCD的负担。临床医生和其他利益相关者可能希望考虑基于性取向的ace和SCD之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.