Table 2. Associations of Childhood Adversity With Phenotypic Age Acceleration and Mediation Proportion of Childhood Adversity in Phenotypic Age Acceleration Attributed to Unhealthy Lifestyle.
Childhood adversity | β (95% CI) | Mediation proportion, % (95% CI)d | P value | ||
---|---|---|---|---|---|
Model 1a | Model 2b | Model 3c | |||
Physical neglect | 0.415 (0.340 to 0.490) | 0.233 (0.157 to 0.308) | 0.221 (0.146 to 0.296) | 11.8 (8.8 to 16.0) | <.001 |
Emotional neglect | 0.206 (0.139 to 0.273) | 0.086 (0.020 to 0.153) | 0.012 (−0.054 to 0.077) | 52.1 (39.3 to 77.0) | <.001 |
Sexual abuse | 0.377 (0.278 to 0.475) | 0.278 (0.180 to 0.376) | 0.174 (0.077 to 0.271) | 34.8 (27.5 to 47.0) | <.001 |
Physical abuse | 0.418 (0.347 to 0.489) | 0.302 (0.231 to 0.373) | 0.199 (0.128 to 0.269) | 32.2 (27.1 to 39.0) | <.001 |
Emotional abuse | 0.349 (0.272 to 0.426) | 0.222 (0.145 to 0.299) | 0.124 (0.048 to 0.201) | 36.9 (30.3 to 48.0) | <.001 |
Cumulative childhood adversity score (0-5) | 0.186 (0.161 to 0.211) | 0.117 (0.092 to 0.142) | 0.076 (0.051 to 0.100) | NA | NA |
0 | 1 [Reference] | 1 [Reference] | 1 [Reference] | NA | NA |
1 | 0.164 (0.098 to 0.231) | 0.100 (0.034 to 0.166) | 0.065 (−0.001 to 0.130) | 31.4 (21.1 to 53.0) | <.001 |
2 | 0.272 (0.182 to 0.362) | 0.147 (0.057 to 0.237) | 0.064 (−0.025 to 0.153) | 42.1 (31.5 to 65.0) | <.001 |
3 | 0.523 (0.402 to 0.645) | 0.331 (0.209 to 0.452) | 0.200 (0.080 to 0.321) | 34.1 (26.9 to 45.0) | <.001 |
4 | 0.726 (0.558 to 0.894) | 0.457 (0.289 to 0.624) | 0.296 (0.130 to 0.462) | 30.7 (24.1 to 40.0) | <.001 |
5 | 1.488 (1.189 to 1.788) | 1.050 (0.751 to 1.349) | 0.833 (0.537 to 1.129) | 20.9 (16.5 to 27.0) | <.001 |
Abbreviation: NA, not applicable.
Model 1 was adjusted for sex.
Model 2 was further adjusted for race and ethnicity, educational level, occupation, Townsend Deprivation Index, maternal smoking around birth, and history of cardiovascular disease and cancer based on model 1.
Model 3 was further adjusted for unhealthy lifestyle score based on model 2.
The model included sex and unhealthy lifestyle score.