Factors associated with psychological distress in a community-dwelling Japanese population: the Ohsaki Cohort 2006 Study.

Factors associated with psychological distress in a community-dwelling Japanese population: the Ohsaki Cohort 2006 Study.
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DOI:
10.2188/jea.je20080076
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发表时间:
2009
影响因子:
4.7
通讯作者:
Tsuji I
Tsuji I
中科院分区:
医学3区
文献类型:
--
作者:
Kuriyama S;Nakaya N;Ohmori-Matsuda K;Shimazu T;Kikuchi N;Kakizaki M;Sone T;Sato F;Nagai M;Sugawara Y;Akhter M;Higashiguchi M;Fukuchi N;Takahashi H;Hozawa A;Tsuji I

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在亚洲,还没有使用K6进行基于人群的流行病学研究,K6是一种评估非特异性心理困扰的6项工具。使用2006年的横断面数据,我们研究了43 716名(20 168名男性和23 548名女性)居住在日本的40岁或以上的社区居民。我们通过使用K6来检验心理困扰与人口统计学、医学、生活方式和社会因素之间的关系,在总分24分中,心理困扰被定义为13分或更多。以下变量与人群的心理困扰显著相关:女性、年轻和老年、严重疾病史(高血压、糖尿病、中风、心肌梗死或癌症)、当前吸烟、曾经饮酒、低体重指数、每日步行时间较短、缺乏社会支持(5项构成中的4项)、缺乏社区活动(5项构成中的4项)。在40 - 64岁的男性中,只有“遇到麻烦时缺乏咨询的社会支持”和糖尿病史在多变量分析中仍然显著。在65岁及以上的男性中,年龄与心理困扰无显著相关性,与当前吸烟的显著相关性在多变量分析中消失。在40至64岁的女性中,中风史与心理困扰无关。在65岁及以上的女性中,多变量分析显示,与当前吸烟的显著关联消失。根据K6的评估,许多因素与心理困扰显著相关。这些因素在男性和女性之间、中年和老年人之间都有所不同。
In Asia, there has been no population-based epidemiological study using the K6, a 6-item instrument that assesses nonspecific psychological distress. Using cross-sectional data from 2006, we studied 43 716 (20 168 men and 23 548 women) community-dwelling people aged 40 years or older living in Japan. We examined the association between psychological distress and demographic, medical, lifestyle, and social factors by using the K6, with psychological distress defined as 13 or more points out of a total of 24 points. The following variables were significantly associated with psychological distress among the population: female sex, young and old age, a history of serious disease (hypertension, diabetes mellitus, stroke, myocardial infarction, or cancer), current smoking, former alcohol drinking, low body mass index, shorter daily walking time, lack of social support (4 of 5 components), and lack of participation in community activities (4 of 5 components). Among men aged 40 to 64 years, only “lack of social support for consultation when in trouble” and a history of diabetes mellitus remained significant on multivariate analysis. Among men aged 65 years or older, age was not significantly associated with psychological distress, and the significant association with current smoking disappeared on multivariate analysis. Among women aged 40 to 64 years, a history of stroke was not associated with psychological distress. Among women aged 65 years or older, the significant association with current smoking disappeared on multivariate analysis. A number of factors were significantly associated with psychological distress, as assessed by the K6. These factors differed between men and women, and also between middle-aged and elderly people.
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