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Associations between distinct dimensions of early life adversity and accelerated reproductive strategy among middle-aged women in China

医学 初潮 社会经济地位 后代 人口学 生殖健康 老年学 心理学 怀孕 人口 生物 遗传学 社会学
作者
Jingyi Yuan,Yue Yu,Deyun Liu,Ying Sun
出处
期刊:American Journal of Obstetrics and Gynecology [Elsevier BV]
卷期号:226 (1): 104.e1-104.e14 被引量:16
标识
DOI:10.1016/j.ajog.2021.07.033
摘要

Background Life history theory argues that unpredictable and harsh conditions such as early life adversity tends to produce a fast life history strategy, characterized by early sexual maturation and less parenting of offspring. It remains unclear whether all forms of early life adversity are associated with accelerated reproductive strategy, and most previous studies predominantly focused on single form of reproductive strategy indicators. Objective To examine the associations between 2 distinct dimensions of early life adversity (ie, threat and deprivation) and reproductive strategies across global metrics. Study Design We used data from 9674 middle-aged women of the China Health and Retirement Longitudinal Study. The experiences of threat and deprivation were assessed using the Life History Survey Questionnaire in 2014. Reproductive strategy information was assessed via self-report from the follow-up of 2013, 2015 and 2018, including age at menarche, age at natural menopause, age at first birth, total number of children, and number of abortions. Multivariate linear regression analyses were performed to assess the associations between distinct dimensions of early life adversity and multiple reproductive strategy indicators, adjusting for age, Hukou location, family socioeconomic status in adulthood and body mass index. Results Of the 9674 women (mean [standard deviation] age at baseline, 55.89 [10.23] years), 4084 (42.20%) reported exposure to threat-related early life adversity and 7332 (75.79%) reported exposure to deprivation-related early life adversity. Early life adversity characterized by threat was associated with accelerated reproductive strategy. Compared with women who have no experiences of threat-related early life adversity, ≥3 threat-related early life adversity was associated with 3.7-month earlier age at menarche (β=−0.31, 95% confidence interval, −0.53 to −0.08; P=.007), 8.6-month earlier age at natural menopause (β=−0.72, 95% confidence interval, −1.29 to −0.15; P=.013), >1-year earlier age at first birth (β=−1.14, 95% confidence interval, −1.58 to −0.71; P Conclusion This study suggests that early life adversity characterized by threat was associated with accelerated reproductive strategy, whereas deprivation was associated with slower reproduction strategy. Future research should clarify the biological pathways between different dimensions of early life adversity and reproductive strategies and further determine whether accelerated reproduction is an adaptive response to early life adversity in humans.
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