生命早期灾难事件暴露对人口全生命周期精神健康的长期影响

郭超; 赵艺皓; 杨斐斐

doi:10.16462/j.cnki.zhjbkz.2019.11.021

生命早期灾难事件暴露对人口全生命周期精神健康的长期影响

doi: 10.16462/j.cnki.zhjbkz.2019.11.021

1.
100871 北京, 北京大学人口研究所/亚太经合组织健康科学研究院
2.
510632 广州, 暨南大学经济学院

基金项目:

国家社会科学基金 18CRK005

详细信息

中图分类号: C92
计量
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- HTML全文浏览量: 201
- PDF下载量: 30
- 被引次数: 0
出版历程
- 收稿日期: 2019-06-15
- 修回日期: 2019-09-12
- 刊出日期: 2019-11-10

Long-term effects of early-life disaster exposure on mental health during the whole life cycle

1.
Institute of Population Research/APEC Health Science Academy(HeSAY), Peking University, Beijing 100871, China
2.
College of Economics, Jinan University, Guangzhou 510632, China

Funds:

National Social Science Foundation of Chin 18CRK005

摘要

摘要: 生命早期的营养状况、生活方式和生活经历对人一生的健康和发展至关重要。本研究从全生命周期视角入手，对现有国内外研究中胎儿期地震、洪水、暴风雪、飓风、饥荒等多种自然灾难事件暴露对人口健康的长期影响进行回顾和梳理。结果表明，胎儿期经历灾难性事件，对儿童到成人的生命周期精神健康均有一定的不良影响。基于国内外研究成果，未来对生命早期灾难性事件对精神健康的长期影响研究，可从扩展研究对象、完善研究方法、延伸研究内容等方面进一步探索。
- 胎儿期 /
- 灾难 /
- 地震 /
- 洪水 /
- 健康 /
- 长期影响
Abstract: Early nutritional status, lifestyle and life experiences are critical to the health and development of one's whole life. Previous studies on the effect of earthquake, flood, ice storm and hurricane, famine on population health were reviewed and sorted out from a perspective of life cycle. It turned out that catastrophic events exposure during the fetus period could have some adverse effects on the growth and development of fetuses, newborns and children, and also on mental health during the life cycle from newborns to adults. Based on the research results at home and abroad, future research on the long-term impacts of early-life adverse events on mental health could be further explored from such aspects as expanding research objects, improving research methods, and extending research content.
- Fetus period /
- Disaster /
- Mental health /
- Long-term effects /
- /

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图 1 生命早期灾难事件暴露对人口全生命周期身心健康的长期影响框架图

Figure 1. Long-term effect of early-life exposure to catastrophic events on mental health during the whole life cycle

下载: 全尺寸图片幻灯片

表 1 生命早期暴露于应激性灾难事件对全生命周期精神健康的影响研究

Table 1. Effects of early-life exposure to stress-related events on whole life-cycle mental health

编号	作者	灾难种类、时间及地点	研究设计类型	研究对象	样本量(人)
1	王学义(1999)	地震，1976，中国唐山	横断面研究	青少年	120
2	王学义(2005)	地震，1976，中国唐山	横断面研究	高三学生	1 215
3	王学义(2006)	地震，1976，中国唐山	横断面研究	高三学生	1 215
4	王学义(2007)	地震，1976，中国唐山	横断面研究	高三学生	1 205
5	Li(2015)	地震，1976，中国唐山	横断面研究	成年人	907
6	王丽萍(2009)	地震，1976，中国唐山	横断面研究	成年人	501
7	Simcock(2017)	洪水，2011，澳大利亚昆士兰	队列研究	30个月	130
8	Austin(2017)	洪水，2011，澳大利亚昆士兰	队列研究	30个月	230
9	Mclean(2018)	洪水，2011，澳大利亚昆士兰	队列研究	4岁	319
10	Laplante(2018)	洪水，2008，美国爱荷华州	队列研究	2~3岁	132
11	Rosales-Rueda(2018)	洪水，1997-1998，厄瓜多尔	自然实验	6岁	7 989
12	Selten(1999)	洪水，1953，荷兰	横断面研究	成人	17 564
13	Laplante(2004)	冰暴，1998，加拿大魁北克	队列研究	2岁	58
14	King(2005)	冰暴，1998，加拿大魁北克	队列研究	2岁	150
15	Laplante(2008)	冰暴，1998，加拿大魁北克	队列研究	5.5岁	89
16	Walder(2014)	冰暴，1998，加拿大魁北克	队列研究	6.5岁	89
17	Kinney(2008)	飓风和热带风暴，1980-1995美国路易斯安那	时间序列	儿童	216 032

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表 2 生命早期暴露于饥荒对全生命周期精神健康的影响研究

Table 2. Effects of early-life exposure to famine on whole life-cycle mental health

编号	作者	研究时间地点	研究设计	研究对象	样本量(人)
1	Susser(1992)	1944-1945，荷兰	队列研究	成年人	-
2	Susser(1996)	1944-1945，荷兰	队列研究	24~48岁精神分裂症住院患者	-
3	St Clair D(2005)	1959-1961，中国	队列研究	精神分裂症患者	4 597
4	Xu(2009)	1960-1961，中国	队列研究	成年精神分裂症患者	4 974
5	Song(2009)	1959-1961，中国	队列研究	成年精神分裂症患者	494
6	Huang(2013)	1959-1961，中国	队列研究	成年人	4 972
7	Wang(2017)	1959-1961，中国	队列研究	成年人	351 995
8	He(2018)	1959-1961，中国	队列研究	成年人	387 093
9	Ampaabeng(2013)	1983，加纳	队列研究	9~55岁人口	557
10	王瑶(2015)	1959-1961，中国	队列研究	成年人	718
11	Xu(2017)	1959-1961，中国	队列研究	45岁及以上成年人	2 080
12	He(2018)	1959-1961，中国	队列研究	成年人	387 093
13	Brown(1995)	1944-1945，荷兰	队列研究	成年人	14 637
14	Neugebauer(1999)	1944-1945，荷兰	队列研究	成年男性	100 543
15	Dde Rooij SR(2012)	1944-1945，荷兰	队列研究	成年人	572
16	Franke(2018)	1944-1945，荷兰	队列研究	成年人	118

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