暴力和相关压力对喘的影响
Yueh-Ying Han1, Juan C Celedón1
1Division of Pulmonary Medicine, Department of Pediatrics, University of Pittsburgh Medical Center (UPMC) Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania.
概括
暴露于暴力 (ETV) 与一生中喘有关,特别是在城市和少数群体社区. 需要进一步的研究和政策来解决这一公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 在美国,贫困的城市地区和少数群体面临着更高的暴力暴露 (ETV) 和喘率.
- 流行病学研究表明,ETV与所有年龄段的喘之间存在一致的联系.
- 以前的研究强调了个人,家庭内和社区层面的ETV作为喘发展和恶化的因素.
研究的目的:
- 审查和综合关于暴力暴露与喘之间的因果关系的证据.
- 强调最近的发现 (过去五年) 关于ETV与喘的联系.
- 确定当前研究的局限性,并建议未来的方向.
主要方法:
- 对检查暴力暴露与喘之间的关联的流行病学研究进行系统审查.
- 重点是过去五年内发表的研究.
- 分析证据,考虑不同程度的暴力暴露和喘结果.
主要成果:
- 尽管数据质量和方法的局限性,总的证据表明ETV和喘之间存在因果关系.
- 生理上的痛苦和间接影响 (健康行为,并发症) 调解了ETV-喘关系.
- ETV影响喘患病率和喘结果.
结论:
- 接触暴力通过直接和间接途径显著影响喘和相关结果.
- 需要进一步进行大规模的前性研究,以完善对ETV-喘联系的理解,考虑特定的暴力类型,混因素和生物标志物.
- 临床查喘患者的虐待和心理健康状况,以及减少暴力政策,至关重要.
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