Race and restless legs syndrome symptoms in an adult community sample in east Baltimore.
Race and restless legs syndrome symptoms in an adult community sample in east Baltimore.
复制标题
巴尔的摩东部成人社区样本中的种族和不宁腿综合症症状。
DOI：
10.1016/j.sleep.2006.03.015
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发表时间：
2006
期刊：
影响因子：
4.8
通讯作者：
Lyketsos,ConstantineG
中科院分区：
文献类型：
--
作者：
Lee,HochangB;Hening,WayneA;Allen,RichardP;Earley,ChristopherJ;Eaton,WilliamW;Lyketsos,ConstantineG
背景与目的由于在专科诊所寻求治疗不宁腿综合征(RLS)的非裔美国人相对较少，因此非裔美国人的RLS患病率低于高加索人。作为巴尔的摩健康和心理健康研究第四波的一部分，我们在一个混血社区样本中比较了非裔美国人和高加索人中RLS的患病率。方法研究对象包括1071名成年人[358名非裔美国人(35.0%)，633名高加索人(61.8%)，以及其他33人]。RLS的诊断是基于在一次家庭访谈中对RLS症状的认可，该问卷由七个项目组成。调整后的优势比和95%的可信区间是基于Logistic回归模型，以RLS的诊断为主要结果变量，以非裔美国人为主要预测因素，同时调整其他相关的社会人口学和/或健康相关变量。非洲裔美国人(4.7%)和高加索人(3.8%)的比例相似。在调整了年龄、性别、医学并存和社会经济地位后，非裔美国人和高加索人之间RLS的患病率没有差异。结论RLS在普通人群中的发病率与非裔美国人和高加索人相当。今后应调查影响非裔美国人RLS患者获得护理环境的障碍。
BACKGROUND & PURPOSEDue to the relative absence of African–Americans seeking treatment for restless legs syndrome (RLS) in specialty clinics, a lower prevalence of RLS among African–Americans than Caucasians has been suggested. We compared the prevalence of RLS in African–Americans and Caucasians in a biracial community sample as part of Wave IV of the Baltimore Health and Mental Health Study.METHODSSubjects included 1071 adults [358 African–Americans (35.0%), and 633 Caucasians (61.8%), and 33 others]. Diagnosis of RLS was based on endorsement of RLS symptoms on a seven-item RLS questionnaire during a household interview. Adjusted odds and 95% confidence intervals were calculated based on logistic regression models with diagnosis of RLS as the main outcome variables and African–American race as the main predictor while adjusting for other relevant sociodemographic and/or health-related variables.RESULTSThe prevalence of RLS in this population was 4.1%. The rates were similar for African–Americans (4.7%) and Caucasians (3.8%). After adjustment for age, gender, medical comorbidities, and socioeconomic status, no difference in the prevalence of RLS was found between African–Americans and Caucasians.CONCLUSIONRLS is comparably prevalent among African–American and Caucasian adults in the general population. Barriers affecting access to care settings for African–American RLS patients should be investigated in the future.