Do Puerto Rican Youth with Asthma and Obesity Have Higher Odds for Mental Health Disorders?
Do Puerto Rican Youth with Asthma and Obesity Have Higher Odds for Mental Health Disorders?
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DOI：
10.1016/j.psym.2011.07.011
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发表时间：
2012-03-01
期刊：
影响因子：
3.4
通讯作者：
Ortega, Alexander N.
中科院分区：
文献类型：
--
作者：
Acosta-Perez, Edna;Canino, Glorisa;Ortega, Alexander N.
背景资料：与美国其他种族/民族相比，波多黎各岛（PR）青年的哮喘和肥胖率不成比例地高。大陆以前的研究已经证明了慢性疾病与精神疾病的联系。目的：我们在一个青年流行病学社区样本中研究了焦虑/抑郁障碍、哮喘和肥胖之间的关系。研究方法：样本（n = 656）来自第二波的全岛概率代表性家庭样本的PR青年分层，并根据他们是否有哮喘和/或抑郁/焦虑症的诊断。在这项研究中，我们使用了10-19岁的亚群。结果：哮喘和肥胖与青年抑郁/焦虑障碍的高风险显著相关。肥胖调节哮喘发作与抑郁/焦虑障碍之间的关系。哮喘发作与抑郁/焦虑障碍的高几率之间的关系仅存在于非肥胖组中。在肥胖者中，女性焦虑/抑郁症的患病率从11%显著增加到36%。哮喘和肥胖是高度流行的，哮喘发作和抑郁/焦虑障碍之间存在显著关联。哮喘和肥胖的影响不是累加的;患有这两种疾病的人的精神疾病患病率并没有增加到仅患有其中一种疾病的患病率以上。结论：未来的研究应考虑纳入纵向设计，并检查本研究未纳入的重要变量，如身体形象不满（特别是女性），戏弄和歧视可能会缓和青年肥胖与抑郁和焦虑障碍之间的关系。（Psychosomatics 2012; 53：162-171）
Background: Island Puerto Rican (PR) youth experience disproportionately high asthma and obesity rates compared with other racial/ethnic groups on the US. mainland. Previous research has demonstrated associations of chronic disease with psychiatric disorders. Objective: We examined the relationship among anxiety/depressive disorders, asthma, and obesity in an epidemiologic community sample of youth. Methods: The sample (n = 656) was derived from the second wave of an island-wide probabilistic representative household sample of PR youth stratified and based on whether or not they had a diagnosis of asthma and/or depressive/anxiety disorder. For this study, we used the subpopulation ages 10-19 years. Results: Asthma and obesity were significantly related to higher odds of depressive/anxiety disorders in youth. Obesity moderated the relationship between asthma attacks' and depressive/anxiety disorders. The relationship between asthma attack and higher odds for depressive/anxiety disorders was only present in the non-obese group. Among the obese, females show a significant increase from 11% to 36% in the prevalence of anxiety/depressive disorders. Asthma and obesity were highly prevalent and a significant association was found between asthma attack and depressive/anxiety disorders. The effects of asthma and obesity were not additive; the prevalence for psychiatric disorder for those having both conditions did not increase above the prevalence associated having only one of the conditions. Conclusions: Future studies should consider including longitudinal designs and examine the extent to which important variables not included in this study, such as body image dissatisfaction (particularly among females), teasing, and discrimination may moderate the relationship among obesity and depressive and anxiety disorders in youth. (Psychosomatics 2012; 53:162-171)