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抑郁症与侵袭性和现场子宫瘤之间的关联:基于大量人口的队列研究
Ravit Bassal1, Varda Shalev2, Vered H Eisenberg3
1Israel Center for Disease Control, Ministry of Health, Sheba Medical Center, Tel Hashomer, Israel, Department of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
患有抑郁症的女性面临着显著更高的宫瘤 (CTs) 风险. 这种风险随着多种并发性疾病的存在而升级,这强调了在这个人群中增加妇科监测的需要.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 抑郁症是众所周知的各种癌症的风险因素.
- 以前的研究表明抑郁症和宫瘤 (CTs) 之间存在联系,但缺乏时间清晰度.
研究的目的:
- 为了调查抑郁症和CTs之间的联系.
- 评估共患病症对大型队列中这种关联的影响.
主要方法:
- 对357,450名女性进行了回顾性队列研究.
- 基于国际疾病分类 (ICD) 代码的抑郁症诊断.
- 用于计算CTs的相对风险 (RR) 的零膨胀负二项式回归.
主要成果:
- 患有抑郁症的女性的CT发病率显著更高 (10.0%对1.2%).
- 在抑郁女性中,CT调整后的RR为9.2 (95% CI 8.7-9.9).
- 抑郁症和CT之间的关联加剧,并增加了伴随疾病的负担.
结论:
- 被诊断为抑郁症的女性患CTs的风险较高.
- 这种风险在患有多种同时存在的健康状况的妇女中尤为明显.
- 建议对抑郁症的妇女进行加强的妇科监测,特别是那些患有并发症的妇女.
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