Gender differences in risk factors for attempted suicide among young adults: Findings from the Third National Health and Nutrition Examination Survey
Gender differences in risk factors for attempted suicide among young adults: Findings from the Third National Health and Nutrition Examination Survey
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DOI：
10.1016/j.annepidem.2004.07.095
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发表时间：
2005-02-01
影响因子：
5.6
通讯作者：
Woods, JR
中科院分区：
文献类型：
--
作者：
Zhang, J;Mckeown, RE;Woods, JR
目的：确定与男性和女性自杀未遂相关的显著因素，并确定社会经济地位（SES）和社会支持指标、健康危险因素、医学和精神疾病的终生史是否可以解释自杀未遂的性别差异。方法：我们使用了3357名男性和4004名女性的数据，年龄在17至39岁之间，他们完成了精神障碍诊断访谈，作为1988-1994年第三次全国健康和营养检查调查的一部分。计算了危险因素与自杀未遂之间的校正比值比（ORs）。结果：女性终生自杀未遂率为7.58% (SE, 0.66)，男性为3.69% （SE, 0.49）。在男性中，低收入和吸烟与自杀未遂有关，而在女性中，自杀未遂与自我评估健康状况不佳、受教育程度低和吸毒有关。男性和女性均有医学和精神病史与自杀未遂相关，癌症/肺部疾病男性OR = 2.89 (95% CI, 1.25-6.67)，女性OR = 1.94 (1.09-3.45)；对于重度抑郁症，男性OR = 9.86(5.08-19.14)，女性OR = 5.00（3.19-7.83）。对选择的危险因素进行调整后，自杀未遂率的性别差异仍然显著。结论：青壮年自杀未遂的危险因素存在显著的性别差异，终生自杀未遂发生率的性别差异不能用所选择的危险因素暴露程度的差异来解释。(C) 2004爱思唯尔公司版权所有。
PURPOSE: To identify the significant factors associated with attempted suicide among men and women, and determine whether socioeconomic status (SES) and social support indictors, health risk factors, and lifetime history of medical and psychiatric illnesses can explain gender differences in attempted suicide.METHODS: We used data from 3357 men and 4004 women aged 17 to 39 years, who completed a mental disorder diagnostic interview as a part of the Third National Health and Nutrition Examination Survey, 1988-1994. Adjusted odds ratios (ORs) were calculated for the association between risk factors and attempted suicide.RESULTS: The prevalence of lifetime attempted suicides was 7.58% (SE, 0.66) in women and 3.69% (SE, 0.49) in men. In men, low income and smoking were associated with attempted suicide, while attempted suicide in women was associated with poor self-evaluated health, low educational attainment, and drug Use. A history of medical and psychiatric illnesses was associated with attempted Suicide in both genders, for cancer/pulmonary disease, OR = 2.89 (95% CI, 1.25-6.67) in men and 1.94 (1.09-3.45) in women; for major depressive disorder, OR = 9.86 (5.08-19.14) in men and 5.00 (3.19-7.83) in women. The significant gender difference of attempted suicide prevalence remained after being adjusted for risk factors selected.CONCLUSION: There were significant gender differences in the risk factors for attempted suicide among young adults, and the gender difference in the prevalence of lifetime attempted suicides could not be explained by differential exposure to risk factors selected. (C) 2004 Elsevier Inc. All rights reserved.