身体多病症和抑郁症状之间的关联在人口内部和人口内部的差异
Haiyang Yu1, Yike Zhang1, Mengxiao Hu1
1Department of Biostatistics, School of Public Health, Shandong University, Jinan, Shandong, China; National Institute of Health Data Science of China, Shandong University, Jinan, China.
Journal of affective disorders
|March 20, 2024
概括
身体多病症增加了中国和美国的抑郁风险. 这种关联在美国人和具有较低多病症风险的人群中更为强烈,高风险人群之间存在显著的跨国差异.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 身体多病症,即多种慢性疾病的同时发生,在不同人群中与抑郁症有不同的关联.
- 之前的研究并没有直接比较这些人群内部和人群之间的关联,突出了了解全球健康差异的差距.
研究的目的:
- 估计在中国和美国的身体多病症和抑郁症之间的关联.
- 为了揭示这个协会中的人口间和人口内差异.
主要方法:
- 利用来自中国健康与退休长度研究和健康与退休研究的数据,包括中年和老年人.
- 被定义的物理多病症是两个或更多同时存在的慢性物理条件.
- 采用了统计分析的概括估计方程模型和分层多层分层方法.
主要成果:
- 身体多病症与中国 (RR=1.360) 和美国 (RR=1.613) 的抑郁症风险更高有关.
- 对于具有低多病症风险的人来说,抑郁症的可能性在中国增加了47.4%,在美国增加了71.1%.
- 关联的跨国差异在具有多种疾病风险高的个体中更为明显.
结论:
- 身体多病症在中国和美国成年人中都会增加抑郁症的风险,在美国观察到的影响更为显著.
- 这种关联的强度因多病症的个体风险水平而异.
- 显而易见的是,抑郁症与多种疾病之间的联系存在实质性的跨国差异,特别是在高风险群体中.
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