创伤后应激障碍及其与退伍军人性传播感染的关联
Kartavya J Vyas, Vincent C Marconi, Brian K Agan
1From the Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta.
Sexually transmitted diseases
|June 2, 2025
概括
创伤后应激障碍 (PTSD) 与退伍军人的性传播感染 (STIs) 率较高有关. 这些关联随着时间的推移而持续存在,突出显示了对综合护理和预防策略的需求.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 退伍军人的健康 退伍军人的健康
背景情况:
- 创伤后应激障碍 (PTSD) 影响了911事件后部署在伊拉克和阿富汗的退伍军人的四分之一.
- 之前没有进行过纵向研究来研究PTSD和性传播感染 (STIs) 之间的关系.
研究的目的:
- 检查PTSD和性传播疾病发病率的趋势.
- 评估创伤后应激障碍和性传播疾病发病率之间的关联.
- 通过部署和战斗暴露来评估效果的修改,并探索随时间变化的关联.
主要方法:
- 展望对1,570,654名在伊拉克和阿富汗 (2001-2022) 部署的退伍军人的队列研究.
- 利用结合点回归,边缘结构波桑模型和共享脆弱模型.
- 调整为时间依赖和独立的混和信息审查.
主要成果:
- 创伤后应激障碍,型肝炎和HPV的发生率下降;克拉米迪亚,艾滋病毒,梅毒的发生率增加.
- 创伤后应激障碍与所有研究的性传播疾病的显著增加率有关,包括克拉米迪亚 (20%),淋病 (21%),C型肝炎 (69%).
- 创伤后应激障碍和性传播疾病之间的关联在统计学上仍然显著,并没有随着时间的推移而减少.
结论:
- 创伤后应激障碍与退伍军人中所有性传播感染率的增加有关.
- 这些PTSD-STI关联是持久的,并不会随着时间的推移而减少.
- 结果可以为患有PTSD的个人提供预防措施和临床决策的信息.
相关概念视频
Post-traumatic Stress Disorder
486
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
486
Sexually Transmitted Infections
941
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
941
Factors Affecting the Risk of Infection
13.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.3K
Psychoneuroimmunology: Cardiovascular Disease
407
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
407
Pulmonary Tuberculosis I
846
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
846
Stress and Mental Health
816
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
816


