Evidence map›Paper›PMID 40866855›Full record

ArticleBMC public health2025

The association between adverse childhood experiences and chronic respiratory diseases in the Chinese middle-aged and elderly population.

Chao Cheng, Xiaoyu Wang, Min Huang, Jiafu He, Yan Li, Yunhua Cui

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chao ChengDepartment of Emergency medicine, Department of Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, No.136, Jingzhou Street, Xiangcheng District, Xiangyang, 441021, Hubei, China.
Xiaoyu WangDepartment of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, No.136, Jingzhou Street, Xiangcheng District, Xiangyang, 441021, Hubei, China.
Min HuangDepartment of Emergency medicine, Department of Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, No.136, Jingzhou Street, Xiangcheng District, Xiangyang, 441021, Hubei, China.
Jiafu HeDepartment of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, No.136, Jingzhou Street, Xiangcheng District, Xiangyang, 441021, Hubei, China.
Yan LiDepartment of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, No.136, Jingzhou Street, Xiangcheng District, Xiangyang, 441021, Hubei, China.
Yunhua CuiDepartment of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, No.136, Jingzhou Street, Xiangcheng District, Xiangyang, 441021, Hubei, China. 519293148@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between adverse childhood experiences (ACEs) and respiratory diseases in the Chinese middle-aged and elderly population remains under explored. Furthermore, the potential moderating effects of social demographics factors and health-related behaviors on these associations have not been thoroughly investigated.

methodsThe association between ACEs and chronic respiratory diseases was evaluated using the validated China Health and Retirement Longitudinal Study(CHARLS)baseline questionnaire2, with data analyzed through a logistic regression model. Stratification analysis and interaction tests were used to assess the influence of social demographics and health behavior factors on these associations.

resultsIndividuals exposed to four or more ACEs had a 48% higher likelihood of developing chronic respiratory diseases compared to those without ACEs exposure (aOR = 1.48, 95% CI: 1.10-1.99). Notably, a synergistic effect was observed where long sleep duration (LS,≥ 9 h/day) combined with ACEs exposure further increased the risk of these diseases. LIMITATIONS: As a cross-sectional study, causal relationships between the variables cannot be inferred. The study is also limited by potential recall bias in retrospective data and the possibility of measurement errors due to self-reported asthma or chronic obstructive pulmonary disease(COPD)diagnoses.

conclusionsIn the middle-aged and elderly population of China, a significant positive correlation exists between ACEs exposure and the prevalence of chronic respiratory diseases. These findings suggest that integrating ACEs assessment into the prevention and control strategies for chronic respiratory diseases could help identify high-risk subgroups. In alignment with China's public health service initiatives, a multi-stage health management framework incorporating ACEs screening is recommended to address the disease burden associated with population aging.

Indexed as

Adverse Childhood ExperiencesRespiratory Tract DiseasesAgedChinaChronic DiseaseCross-Sectional StudiesEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMiddle AgedPulmonary Disease, Chronic ObstructiveRisk FactorsSurveys and QuestionnairesAdverse childhood experiencesChinaChronic respiratory diseases

Identifiers

PMID40866855
PMCPMC12382298

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.