Mental health associations with eczema, asthma and hay fever in children: a cross-sectional survey.

Mental health associations with eczema, asthma and hay fever in children: a cross-sectional survey.
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DOI:
10.1136/bmjopen-2016-012637
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发表时间:
2016-10-14
期刊:
影响因子:
2.9
通讯作者:
Glümer C
Glümer C
中科院分区:
医学3区
文献类型:
--
作者:
Hammer-Helmich L;Linneberg A;Obel C;Thomsen SF;Tang Møllehave L;Glümer C

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本研究旨在研究一般儿童人群中湿疹、哮喘和花粉热与心理健康的关系,并评估父母的社会经济地位对这些关系的影响。我们对丹麦哥本哈根的3岁、6岁、11岁和15岁的儿童进行了横断面健康调查。使用优点和困难问卷(SDQ)评估的关于湿疹、哮喘和花粉热以及精神健康问题的个人问卷数据与有关人口统计学和父母社会经济地位的登记数据相关联。9215名儿童(47.9%)进入分析。线性回归分析显示,有湿疹症状的儿童情绪问题(0.26,0.12~0.39)、品行问题(0.19,0.09~0.29)和多动问题(0.32,0.16~0.48)的SDQ得分较高,有哮喘症状的儿童情绪问题(0.45,0.32~0.58)、品行问题(0.28,0.18~0.38)和多动问题(0.52,0.35~0.69)的SDQ得分较高;有花粉症症状的儿童在情感问题(0.57,0.42~0.72)、品行问题(0.22,0.11~0.33)、多动问题(0.44,0.26~0.61)和同伴问题(0.14,0.01~0.26)上的SDQ得分高于无此症状儿童。对于大多数协会来说,父母的社会经济地位并没有改变这种影响。与没有患这些疾病的儿童相比,患有湿疹、哮喘或花粉热的儿童有更多的情绪、行为和多动问题,但没有同伴问题。特应性疾病同样增加了精神健康问题的负担,与社会经济地位无关。
This study aimed to examine the association of eczema, asthma and hay fever with mental health in a general child population and to assess the influence of parental socioeconomic position on these associations. We conducted a cross-sectional health survey of children aged 3, 6, 11 and 15 years in the City of Copenhagen, Denmark. Individual questionnaire data on eczema, asthma, and hay fever and mental health problems assessed using the Strengths and Difficulties Questionnaire (SDQ) was linked to register data on demographics and parental socioeconomic position. 9215 (47.9%) children were included in the analyses. Linear regression analyses showed that children with current eczema symptoms had higher SDQ scores (mean difference, 95% CI) of emotional problems (0.26, 0.12 to 0.39), conduct problems (0.19, 0.09 to 0.29) and hyperactivity problems (0.32, 0.16 to 0.48); children with current asthma symptoms had higher SDQ scores of emotional problems (0.45, 0.32 to 0.58), conduct problems (0.28, 0.18 to 0.38) and hyperactivity problems (0.52, 0.35 to 0.69); and children with current hay fever symptoms had higher SDQ scores of emotional problems (0.57, 0.42 to 0.72), conduct problems (0.22, 0.11 to 0.33), hyperactivity problems (0.44, 0.26 to 0.61) and peer problems (0.14, 0.01 to 0.26), compared with children without current symptoms of the relevant disease. For most associations, parental socioeconomic position did not modify the effect. Children with eczema, asthma or hay fever had more emotional, conduct and hyperactivity problems, but not peer problems, compared with children without these diseases. Atopic diseases added equally to the burden of mental health problems independent of socioeconomic position.
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