年轻和中年人的焦虑和高血压:一项纵向队列研究
Leah Jones1, Jamie L Romeiser1
1Department of Public Health and Preventive Medicine, SUNY Upstate Medical University, 766 Irving Ave, Syracuse, NY, 13210, USA.
Journal of public health (Oxford, England)
|April 10, 2025
概括
焦虑可能与年轻成年人患高血压的发展相反相关. 以前的焦虑诊断与发生高血压的几率较低有关,特别是当包括自我报告的诊断时.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 高血压在年轻和中年成人中普遍存在.
- 焦虑是高血压的潜在心理社会风险因素.
- 关于焦虑与年轻人高血压相关的证据是混合的.
研究的目的:
- 调查焦虑和事件高血压在年轻到中年成人之间的关系.
- 分析纵向数据以了解这种关联.
主要方法:
- 利用了来自全国青少年至成人健康长度研究 (第4和第5波) 的数据.
- 包括9283名参与者,评估焦虑和事件高血压 (客观测量和自我报告).
- 采用多变量逻辑回归和考克斯比例危险模型.
主要成果:
- 在先前的焦虑和客观测量的高血压之间没有发现显著的关联.
- 当包括自我报告的诊断时,先前的焦虑诊断与发生性高血压的几率较低有关 (aOR = 0.76).
- 时间到事件分析支持一个反向关系.
结论:
- 表明在年轻到中年成人中,焦虑和事件高血压之间存在潜在的反向关系.
- 强调需要对心理和心血管健康相互作用进行进一步的纵向研究.
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