The Association of Mental Health, Asthma Control and Acute Care Visits Among Rural Adolescents with Poorly Controlled Asthma.
The Association of Mental Health, Asthma Control and Acute Care Visits Among Rural Adolescents with Poorly Controlled Asthma.
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DOI：
10.1177/10598405221085675
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发表时间：
2022-03-18
影响因子：
1.7
通讯作者：
Bruzzese, Jean-Marie
中科院分区：
文献类型：
--
作者：
Castiblanco, Maya R.;Kingston, Sharon;Zhao, Yihong;Cespedes, Amarilis;Powell, Jennifer Smith;Bruzzese, Jean-Marie
关键词：
焦虑和抑郁症状与哮喘相关的急性护理利用有关。很少有研究包括农村青少年。哮喘控制可能是心理健康影响急性护理的机制。本研究探讨了广泛性焦虑、哮喘相关焦虑、抑郁症状和急症护理就诊之间的关联，并测试了 197 名患有哮喘的农村青少年中哮喘控制是否介导这些关联。数据分析包括描述性统计和回归。控制年龄、性别和种族/民族后，哮喘相关焦虑与较高的急诊就诊几率相关（OR = 2.09，95% CI [1.42，3.07]）。哮喘控制调节了这种关系：焦虑程度平均增加一个单位，接受急症护理的几率就会增加 5%。广泛性焦虑和抑郁症状与急性护理就诊无关。帮助青少年减少对哮喘的担忧，同时提高他们的自我管理技能，可能会减少农村青少年的急症护理。
Anxiety and depressive symptoms are associated with asthma-related acute care utilization. Few studies include rural adolescents. Asthma control may be the mechanism by which mental health affects acute care. This study explored associations between generalized anxiety, asthma-related anxiety, depressive symptoms, and acute care visits, and tested if asthma control mediates these associations among 197 rural adolescents with asthma. Data analysis included descriptive statistics and regression. Controlling for age, sex and race/ethnicity, asthma-related anxiety was associated with higher odds of acute care visits (OR = 2.09, 95% CI [1.42, 3.07]). Asthma control mediated this relationship: one unit increase in anxiety, on average, increased the odds of having any acute care visit by 5%. Generalized anxiety and depressive symptoms were not associated with acute care visits. Helping adolescents reduce their concerns regarding asthma while improving their self-management skill may potentially to reduce acute care among rural adolescents.
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