Natasha Bechman, John Thornby, Emma Brandstatter, Des Hewitt, Vinod Patel
The Helping Everyone Achieve Long Term Health Passport: exploring potential use of the HEALTH Passport in primary and secondary schools
Journal of public health (Oxford, England)
study aims investigate association adverse childhood experiences aces childhood socioeconomic status ses lung function among general chinese middleaged older adults participants baseline 9052 individuals aged 45 years old china health retirement longitudinal study charls populationbased cohort chinese adults analyses conducted data three waves 2011 2013 2015 aces included five threatrelated indicators ie physical abuse household substance abuse domestic violence unsafe neighborhood bullying five deprivationrelated adversities ie emotional neglect household mental illness incarcerated household member parental separation divorce parental death cumulative score threatrelated deprivationrelated aces used analysis lung function assessed peak expiratory flow pef twolevel linear mixed growth models used evaluate longitudinal association aces childhood ses pef participants three deprivationrelated aces significantly associated lower pef b 1145 lmin 95ci 1840 449 adjusting multiple confounding factors threatrelated aces associated pff fathers illiterate education predicted lower lung function b 849 lmin 95ci 1168 531 middleaged older adults mothers illiterate education significantly associated pef among men b 921 lmin 95ci 1820 022 middleaged adults b 796 lmin 95ci 1435 157 aces disadvantaged childhood ses important predictors lower lung function adulthood reducing aces improving childhood ses may beneficial longterm health development