{"id":"https://openalex.org/W7222106471","doi":"https://doi.org/10.62641/aep.2199","title":"Associations and Additive Interaction of Childhood Trauma and Psychological Resilience With Depression Among Vocational College Students","display_name":"Associations and Additive Interaction of Childhood Trauma and Psychological Resilience With Depression Among Vocational College Students","publication_year":2026,"publication_date":"2026-10-15","ids":{"openalex":"https://openalex.org/W7222106471","doi":"https://doi.org/10.62641/aep.2199","pmid":"https://pubmed.ncbi.nlm.nih.gov/42928692","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13714462"},"language":"en","primary_location":{"id":"doi:10.62641/aep.2199","doi":"https://doi.org/10.62641/aep.2199","is_oa":true,"landing_page_url":"https://doi.org/10.62641/aep.2199","pdf_url":"https://actaspsiquiatria.es/index.php/actas/article/download/2199/3015","source":{"id":"https://openalex.org/S167709542","display_name":"Actas Espa\u00f1olas de Psiquiatr\u00eda","issn_l":"1139-9287","issn":["1139-9287","1578-2735"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4365328534","host_organization_name":"Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor","host_organization_lineage":["https://openalex.org/P4365328534"],"host_organization_lineage_names":["Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas Espa\u00f1olas de Psiquiatr\u00eda","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://actaspsiquiatria.es/index.php/actas/article/download/2199/3015","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5158817307","display_name":"Jiacun Tian","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405279577","display_name":"Shaoxing Vocational & Technical College","ror":"https://ror.org/01pp9nc05","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405279577"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jiacun Tian","raw_affiliation_strings":["Student Affairs Office, Yangming School of Shaoxing Vocational & Technical College, 312000 Shaoxing, Zhejiang, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Student Affairs Office, Yangming School of Shaoxing Vocational & Technical College, 312000 Shaoxing, Zhejiang, China","institution_ids":["https://openalex.org/I4405279577"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158850059","display_name":"Xiaoping Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405279577","display_name":"Shaoxing Vocational & Technical College","ror":"https://ror.org/01pp9nc05","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405279577"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiaoping Chen","raw_affiliation_strings":["Academic Affairs Office, Medical School Shaoxing Vocational & Technical College, 321000 Shaoxing, Zhejiang, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Academic Affairs Office, Medical School Shaoxing Vocational & Technical College, 321000 Shaoxing, Zhejiang, China","institution_ids":["https://openalex.org/I4405279577"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158799395","display_name":"Danwen Huang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405279577","display_name":"Shaoxing Vocational & Technical College","ror":"https://ror.org/01pp9nc05","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405279577"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Danwen Huang","raw_affiliation_strings":["Academic Affairs Office, Medical School Shaoxing Vocational & Technical College, 321000 Shaoxing, Zhejiang, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Academic Affairs Office, Medical School Shaoxing Vocational & Technical College, 321000 Shaoxing, Zhejiang, China","institution_ids":["https://openalex.org/I4405279577"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5158837113","display_name":"Xiaoyan Qiu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405281674","display_name":"Zhejiang Post and Telecommunication College","ror":"https://ror.org/04q8tqw38","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405281674"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiaoyan Qiu","raw_affiliation_strings":["Mental Health Education Guidance Center, Zhejiang Post and Telecommunications College, 321000 Shaoxing, Zhejiang, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mental Health Education Guidance Center, Zhejiang Post and Telecommunications College, 321000 Shaoxing, Zhejiang, China","institution_ids":["https://openalex.org/I4405281674"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5158817307"],"corresponding_institution_ids":["https://openalex.org/I4405279577"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.81236124,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"54","issue":"5","first_page":"1618","last_page":"1626"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10426","display_name":"Child Abuse and Trauma","score":0.4867999851703644,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10426","display_name":"Child Abuse and Trauma","score":0.4867999851703644,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11761","display_name":"Resilience and Mental Health","score":0.32589998841285706,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14085","display_name":"Student Stress and Coping","score":0.10329999774694443,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/childhood-trauma","display_name":"childhood trauma","score":0.9980000257492065},{"id":"https://openalex.org/keywords/psychological-resilience","display_name":"psychological resilience","score":0.996999979019165},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.8379999995231628},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.8629999756813049},{"id":"https://openalex.org/keywords/vocational-college-students","display_name":"vocational college students","score":0.9990000128746033},{"id":"https://openalex.org/keywords/additive-interaction","display_name":"additive interaction","score":0.6779999732971191},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.4819999933242798},{"id":"https://openalex.org/keywords/peer-relationships","display_name":"peer relationships","score":0.5320000052452087},{"id":"https://openalex.org/keywords/parental-divorce","display_name":"parental divorce","score":0.6850000023841858},{"id":"https://openalex.org/keywords/cost-of-living","display_name":"cost of living","score":0.6710000038146973},{"id":"https://openalex.org/keywords/sexual-orientation","display_name":"sexual orientation","score":0.5360000133514404},{"id":"https://openalex.org/keywords/gender-differences","display_name":"gender differences","score":0.4320000112056732},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.35199999809265137},{"id":"https://openalex.org/keywords/mental-health","display_name":"mental health","score":0.3109999895095825}],"concepts":[{"id":"https://openalex.org/C2778564845","wikidata":"https://www.wikidata.org/wiki/Q18207666","display_name":"Center for Epidemiologic Studies Depression Scale","level":4,"score":0.652899980545044},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.6380000114440918},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6269999742507935},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.6226000189781189},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5918999910354614},{"id":"https://openalex.org/C668760","wikidata":"https://www.wikidata.org/wiki/Q6869278","display_name":"Vocational education","level":2,"score":0.5849999785423279},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.5490999817848206},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5303999781608582},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.43459999561309814},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.38530001044273376},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3571999967098236},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.35429999232292175},{"id":"https://openalex.org/C2778319590","wikidata":"https://www.wikidata.org/wiki/Q10981881","display_name":"Self-esteem","level":2,"score":0.3043999969959259},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.2888000011444092},{"id":"https://openalex.org/C164866538","wikidata":"https://www.wikidata.org/wiki/Q367351","display_name":"Cluster (spacecraft)","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.2736999988555908},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.27160000801086426}],"mesh":[{"descriptor_ui":"D000076783","descriptor_name":"Adverse Childhood Experiences","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013334","descriptor_name":"Students","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D014495","descriptor_name":"Universities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055500","descriptor_name":"Resilience, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.62641/aep.2199","doi":"https://doi.org/10.62641/aep.2199","is_oa":true,"landing_page_url":"https://doi.org/10.62641/aep.2199","pdf_url":"https://actaspsiquiatria.es/index.php/actas/article/download/2199/3015","source":{"id":"https://openalex.org/S167709542","display_name":"Actas Espa\u00f1olas de Psiquiatr\u00eda","issn_l":"1139-9287","issn":["1139-9287","1578-2735"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4365328534","host_organization_name":"Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor","host_organization_lineage":["https://openalex.org/P4365328534"],"host_organization_lineage_names":["Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas Espa\u00f1olas de Psiquiatr\u00eda","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13714462","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714462/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714462/pdf/ActEsp-54-5-1618-1626.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas Esp Psiquiatr","raw_type":"Text"},{"id":"pmh:oai:actaspsiquiatria.es:article/2199","doi":null,"is_oa":true,"landing_page_url":"https://actaspsiquiatria.es/index.php/actas/article/view/2199","pdf_url":null,"source":{"id":"https://openalex.org/S167709542","display_name":"Actas Espa\u00f1olas de Psiquiatr\u00eda","issn_l":"1139-9287","issn":["1139-9287","1578-2735"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4365328534","host_organization_name":"Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor","host_organization_lineage":["https://openalex.org/P4365328534"],"host_organization_lineage_names":["Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"1139-9287","raw_type":"info:eu-repo/semantics/article"},{"id":"pmid:42928692","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42928692","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas espanolas de psiquiatria","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.62641/aep.2199","doi":"https://doi.org/10.62641/aep.2199","is_oa":true,"landing_page_url":"https://doi.org/10.62641/aep.2199","pdf_url":"https://actaspsiquiatria.es/index.php/actas/article/download/2199/3015","source":{"id":"https://openalex.org/S167709542","display_name":"Actas Espa\u00f1olas de Psiquiatr\u00eda","issn_l":"1139-9287","issn":["1139-9287","1578-2735"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4365328534","host_organization_name":"Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor","host_organization_lineage":["https://openalex.org/P4365328534"],"host_organization_lineage_names":["Fundaci\u00f3n Juan Jos\u00e9 L\u00f3pez-Ibor"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas Espa\u00f1olas de Psiquiatr\u00eda","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.979200005531311,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222106471.pdf","grobid_xml":"https://content.openalex.org/works/W7222106471.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W1976073163","https://openalex.org/W2811365051","https://openalex.org/W2889588615","https://openalex.org/W2913095891","https://openalex.org/W2914821622","https://openalex.org/W3196666107","https://openalex.org/W4220969884","https://openalex.org/W4281662269","https://openalex.org/W4290704490","https://openalex.org/W4293216118","https://openalex.org/W4315619289","https://openalex.org/W4408131718","https://openalex.org/W4414127775","https://openalex.org/W7136193725"],"related_works":["https://openalex.org/W3044113429","https://openalex.org/W4412080533","https://openalex.org/W4401627103","https://openalex.org/W6884751492","https://openalex.org/W2567942486","https://openalex.org/W2739159308","https://openalex.org/W7155070257","https://openalex.org/W3196666107","https://openalex.org/W2836596367","https://openalex.org/W4402375118"],"abstract_inverted_index":{"Background:":[0],"To":[1],"observe":[2],"the":[3,55,63,70,78,85,110,143,148,162,168,175,181,187,199],"effects":[4],"of":[5,82,106,150,207],"childhood":[6],"trauma":[7],"and":[8,22,39,69,94,103,130,174,203,221,257,299,341,353,367],"psychological":[9],"resilience":[10],"on":[11],"depression":[12,312],"in":[13,42,133,161,167,180,186,356,374],"vocational":[14,38,122,145,276,315,362,380],"college":[15,33,41,123,146,277,316,363,381],"students,":[16,147],"as":[17,19],"well":[18],"their":[20],"additive":[21,126,322,349,372],"interactive":[23],"effects.":[24],"Methods:":[25],"From":[26],"November":[27,30],"2023":[28],"to":[29,77,113,135,330,337,358,376],"2024,":[31],"992":[32,144],"students":[34,86,208,278,317],"from":[35],"a":[36,90,95],"higher":[37,121,160,205],"technical":[40],"Shaoxing":[43],"were":[44,87,107,269,308],"selected":[45],"using":[46,54],"cluster":[47],"sampling.":[48],"An":[49],"online":[50],"survey":[51],"was":[52,138,153,159,178,196],"conducted":[53],"Center":[56],"for":[57,272,311],"Epidemiologic":[58],"Studies":[59],"Depression":[60],"Scale":[61,67],"(CES-D),":[62],"10-item":[64],"Connor-Davidson":[65],"Resilience":[66],"(CD-RISC-10),":[68],"Childhood":[71],"Trauma":[72],"Questionnaire-Short":[73],"Form":[74],"(CTQ-SF).":[75],"According":[76],"presence":[79],"or":[80,216,223,247,260],"absence":[81],"depressive":[83,91,118,136,151,163,182,193,273,359,377],"symptoms,":[84],"divided":[88],"into":[89],"symptom":[92,164,183,194,201],"group":[93,165,170,184,189,195,202],"non-depressive":[96,169,188,200],"group.":[97],"CTQ-SF":[98,129,157,352,366],"scores,":[99,102],"CD":[100],"RISC-10":[101],"general":[104],"characteristics":[105],"compared":[108],"between":[109,128,351],"two":[111],"groups":[112],"analyse":[114],"factors":[115,271,310],"associated":[116],"with":[117,209,219,250],"symptoms":[119,137,152,274,313,360,378],"among":[120,275,314,361,379],"students.":[124,364,382],"The":[125,156,192,321],"interaction":[127,323,331,338,350,373],"CD-RISC-10":[131,176,300,354,368],"scores":[132,355,369],"relation":[134,357,375],"also":[139],"analysed.":[140],"Results:":[141],"Among":[142],"incidence":[149],"19.86%":[154],"(197/992).":[155],"score":[158,177,301],"than":[166,185,198],"(p":[171,226,279,318],"<":[172,227,280,319],"0.05),":[173],"lower":[179],"(p<":[190],"0.05).":[191,228,281,320],"older":[197],"had":[204],"proportions":[206],"monthly":[210],"living":[211,283],"expenses":[212,284],"<1000":[213],"yuan,":[214],"average":[215,246],"poor":[217,248],"relationships":[218,249],"classmates,":[220],"divorced":[222,259],"widowed":[224,261],"parents":[225,262],"Multivariable":[229],"logistic":[230],"regression":[231],"analysis":[232,324],"showed":[233,370],"that":[234],"age":[235],"(odds":[236],"ratio":[237],"(OR)":[238],"=":[239,264,286,294,303,345],"1.179,":[240],"95%":[241,254,266,288,296,305],"confidence":[242],"interval":[243],"(CI):":[244],"1.072\u20131.295),":[245],"classmates":[251],"(OR":[252,263,285,293,302],"=3.197,":[253],"CI:":[255,267,289,297,306],"2.038\u20135.015),":[256],"having":[258],"3.208,":[265],"1.788\u20135.756)":[268],"risk":[270,328],"Monthly":[282],"0.264,":[287],"0.168\u20130.416),":[290],"sexual":[291],"orientation":[292],"0.740,":[295],"0.551\u20130.993),":[298],"0.306,":[304],"0.187\u20130.502)":[307],"protective":[309],"yielded":[325],"relative":[326],"excess":[327],"due":[329,336],"(RERI)":[332],"=\u20130.001,":[333],"attributable":[334],"proportion":[335],"(AP)":[339],"=\u20130.002,":[340],"synergy":[342],"index":[343],"(S)":[344],"1.003,":[346],"indicating":[347],"no":[348,371],"Conclusions:":[365]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-16T00:00:00"}
