Perceived neighborhood problems and quality of life, physical functioning, and depressive symptoms among adults with asthma.
Perceived neighborhood problems and quality of life, physical functioning, and depressive symptoms among adults with asthma.
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DOI：
10.2105/ajph.2004.059253
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发表时间：
2006-03
影响因子：
12.7
通讯作者：
I. Yen;E. Yelin;P. Katz;M. Eisner;P. Blanc
中科院分区：
文献类型：
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作者：
I. Yen;E. Yelin;P. Katz;M. Eisner;P. Blanc
目的 我们调查了成年哮喘患者感知到的邻里问题与生活质量 (QOL)、身体机能和抑郁症状之间的关联。方法 使用北加州哮喘成人 (n=435) 的横断面数据，我们检查了 5 种感知到的社区问题（交通、噪音、垃圾、气味和火灾）与哮喘特定的 QOL（Marks 工具）、身体机能（Short Form-12 身体成分总结）和抑郁症状（流行病学研究中心抑郁症）之间的关联。我们使用了多元回归分析。结果当考虑到哮喘严重程度和社会人口统计学时，报告其社区严重问题（严重性最高四分之一）得分为 8 或更高（严重性最高四分之一）的人的生活质量得分显着较差（平均差 = 5.91；标准误差 [SE] = 1.63），身体机能较差（平均差 = -3.04；SE = 1.27），并且抑郁症状几乎增加了五倍（比值）。比率=4.79；95%置信区间=2.41，9.52）。结论 当考虑到疾病严重程度和社会人口因素时，哮喘患者的高水平认知邻里问题与较差的生活质量、较差的身体机能和增加的抑郁症状相关。
OBJECTIVES We investigated associations between perceived neighborhood problems and quality of life (QOL), physical functioning, and depressive symptoms among adults with asthma. METHODS Using cross-sectional data from adults with asthma in northern California (n=435), we examined associations between 5 types of perceived neighborhood problems (traffic, noise, trash, smells, and fires) and asthma-specific QOL (Marks instrument), physical functioning (Short Form-12 physical component summary), and depressive symptoms (Center for Epidemiological Studies-Depression). We used multivariate regression analysis. RESULTS When asthma severity and sociodemographics were taken into account, people reporting a score of 8 or higher on a scale of 0 to 25 for serious problems (the top quartile of seriousness) in their neighborhoods had significantly poorer QOL scores (mean difference=5.91; standard error [SE]=1.63), poorer physical functioning (mean difference=-3.04; SE=1.27), and almost a fivefold increase in depressive symptoms (odds ratio=4.79; 95% confidence interval=2.41, 9.52). CONCLUSIONS A high level of perceived neighborhood problems was associated with poorer QOL, poorer physical functioning, and increased depressive symptoms among people with asthma when disease severity and sociodemographic factors were taken into account.