身体活动,吸烟和艾滋病毒感染者的抑郁症
Nicholas J SantaBarbara1,2, Melissa A St Hilaire3, Deborah J Konkle-Parker4
1Athletic Training and Exercise Science, Merrimack College, North Andover, MA, USA. santabarbarn@merrimack.edu.
AIDS and behavior
|April 29, 2025
概括
活力不足或经历抑郁症的艾滋病毒感染者更有可能吸烟. 身体不活动和抑郁症独立地影响了这一群体的吸烟行为.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 艾滋病毒研究 艾滋病毒研究
背景情况:
- 与一般人群相比,艾滋病毒感染者 (PWH) 的吸烟率和临床抑郁率更高.
- 众所周知,体力活动 (PA) 有助于戒烟,并减少一般人群的抑郁症,但其对PWH的作用尚未得到充分研究.
研究的目的:
- 为了检查吸烟,体力活动和艾滋病毒成年人的抑郁症之间的联系.
- 调查身体不活动和抑郁症状对PWH吸烟状况的独立和联合影响.
主要方法:
- 从多中心艾滋病队列研究 (MACS) /妇女机构间艾滋病毒研究 (WIHS) 联合队列研究 (MWCCS) (2021年10月至2022年9月) 的数据分析.
- 使用后勤回归和结构方程建模来评估吸烟,PA和抑郁之间的关系.
- 对人口因素,物质使用和病毒载量进行控制的调整模型.
主要成果:
- 身体活动不足与PWH当前吸烟的几率更高显著相关 (aOR=1.40).
- 较高水平的抑郁症状也与目前吸烟的几率增加有显著的关联 (aOR=1.57).
- 这些关联在女性中比男性更明显,结构方程建模表明PA和抑郁症对吸烟的独立影响.
结论:
- 身体不活动和抑郁症独立地与艾滋病毒感染者吸烟有关.
- 针对身体活动和抑郁症的干预措施可能对PWH中戒烟有益.
- 建议进行纵向研究,以确定因果关系并了解这些关系的方向性.
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