喘增加了长期的自杀死亡风险:一项全国性基于人口的队列研究
Sang Hyuk Kim1, Hyun Lee2, Jin-Hyung Jung3
1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Korea; Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
The journal of allergy and clinical immunology. In practice
|November 28, 2024
概括
患有喘的人面临更高的自杀风险. 这种风险在特定的喘表型中显著增加,并且在与其他健康状况 (如精神疾病或癌症) 相结合时显著增加.
科学领域:
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 之前的研究表明,在被诊断患有喘的人中,自杀行为风险增加.
- 了解患有喘的成年人长期自杀风险对于公共卫生倡议至关重要.
研究的目的:
- 评估患有喘的成年人群的长期自杀风险.
- 确定与喘患者自杀风险增加相关的特定因素.
主要方法:
- 利用韩国国家医疗保险服务数据进行大规模研究.
- 研究了3,914,041名成年人 (≥20岁) 的自杀风险,比较了患有喘和没有喘的人.
- 分析了潜在的风险因素,包括喘表型,体重不足,心理健康障碍和癌症.
主要成果:
- 患有喘的成年人表现出自杀风险增加 (调整后危险比率[aHR],1.26).
- 在易入院 (aHR,1.61),非肥胖 (aHR,1.37) 和喘-COPD重叠表型 (aHR,1.47) 中观察到自杀风险增加.
- 同时发生的体重不足状态 (aHR,2.54),精神健康障碍 (精神分裂症,抑郁症,焦虑症) 和癌症显著放大了自杀风险.
结论:
- 喘与自杀风险增加有关,特别是在特定的表型中,如易入院,非肥胖和喘-COPD重叠.
- 低体重状况,精神健康障碍或癌症以及喘的存在进一步增加了自杀的风险.
相关概念视频
Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
Asthma-I: Introduction
2.6K
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.6K
Asthma: Pathogenesis and Management
351
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
351
Asthma-II: Pathophysiology and Classification
2.6K
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
2.6K
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Longitudinal Research
11.9K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.9K


