抑郁症和焦虑的种族差异在成年人与亚托皮性湿疹:以人口为基础的匹配队列研究在英国初级保健
Elizabeth I Adesanya1, Alasdair Henderson1, Joseph F Hayes2
1Department of Non-Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Clinical and translational allergy
|March 25, 2024
概括
与白人相比,来自少数民族的成年人患湿疹面临更高的抑郁和焦虑风险. 针对性心理健康支持对于这些处于风险的人群至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 亚托皮性湿疹 (湿疹) 与抑郁和焦虑率的增加有关.
- 种族对这些关联的影响仍未得到充分研究.
- 这项研究调查了湿疹对心理健康影响的种族差异.
研究的目的:
- 为了检查湿疹与抑郁或焦虑之间的关联是否在英国的白人和少数民族之间有所不同.
- 为量身定制的心理健康干预提供证据.
主要方法:
- 匹配了使用英国初级保健电子健康记录的队列研究 (2006年4月至2020年1月).
- 包括已记录种族的成年人 (≥18岁) 在内.
- 分层考克斯回归与疹和种族的相互作用术语来估计危险比率 (HRs).
主要成果:
- 对抑郁症 (n=215,073患有湿疹) 和焦虑症 (n=242,598患有湿疹) 的大量队列进行了分析.
- 与白人群体相比,患有湿疹的少数民族群体的抑郁症 (HR=1.33) 和焦虑症 (HR=1.41) 风险明显更高.
- 患有湿疹的白人族群的风险也较高 (抑郁 HR=1.15,焦虑 HR=1.17),但低于少数群体.
结论:
- 来自少数民族背景的成年人患有湿疹有不成比例地更高的抑郁和焦虑风险.
- 对于患有湿疹的少数民族个人,建议采取文化敏感的心理健康促进和预防策略.
- 解决湿疹患者心理健康结果的种族差异至关重要.
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