Psychological distress, cardiometabolic diseases and musculoskeletal pain: A cross-sectional, population-based study of syndemic ill health in a Dutch fishing village.
Psychological distress, cardiometabolic diseases and musculoskeletal pain: A cross-sectional, population-based study of syndemic ill health in a Dutch fishing village.
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心理困扰、心脏代谢疾病和肌肉骨骼疼痛：荷兰一个渔村对综合疾病健康状况的横断面、基于人群的研究
DOI：
10.7189/jogh.11.04029
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发表时间：
2021-04-17
影响因子：
7.2
通讯作者：
Crone MR
中科院分区：
文献类型：
--
作者：
Slagboom MN;Reis R;Tsai AC;Büchner FL;van Dijk DJA;Crone MR
疾病聚集性是一个日益严重的公共卫生问题，并日益与不利的社会经济条件联系在一起。很少有以人群为基础的研究关注非传染性疾病之间的相互作用。在这项横断面研究中，我们研究了在荷兰前渔村Katwijk频繁发生的非传染性疾病的聚集性及其之间的协同作用。此外，我们的研究确定了与这些非传染性疾病集群相关的背景变量。在对居住在荷兰前渔村Katwijk的成年人(>；19岁)进行的一项调查中，他们被问及非传染性疾病、心理困扰、自我评估的健康得分和背景因素，如社会人口、心理社会和健康行为特征。交互作用是在加法和乘法尺度上测量的。我们使用广义有序Logistic回归分析来检验与背景变量的关联。在研究参与者中发现三种疾病群最常见(n = 1408)。每一组涉及该人群中常见疾病的组合：心理困扰(n = 2 61，19%)、心脏代谢性疾病(n = 4 49，32%)和肌肉骨骼疼痛(n = 4 6 2，33%)。这三种疾病在相加的范围内协同作用，增加了报告低自我评价健康的几率。没有一个疾病群在乘性规模上显示出统计上显著的正交互作用。多个背景因素与这些疾病聚集性有关，包括性别、孤独、经历经济压力和体重指数≥30。我们的发现表明，心理困扰、心脏新陈代谢疾病和肌肉骨骼疼痛是协同作用的，导致自我评估的健康程度比预期低得多。几个背景因素与这种相互作用有关，强调了多成分、生态方法的重要性。
Disease clustering is a growing public health concern and is increasingly linked to adverse socioeconomic conditions. Few population-based studies have focussed on interaction between non-communicable diseases. In this cross-sectional study, we examine clustering of, and synergistic interactions between, frequently occurring non-communicable diseases in Katwijk, a former fishing village in the Netherlands. Additionally, our study identifies contextual variables associated with these clusters of non-communicable diseases. In a survey among adults (>19 years) living in the former fishing village Katwijk, Netherlands, were asked about non-communicable diseases, psychological distress, self-rated health scores and contextual factors, eg, socio-demographic, psychosocial and health behavior characteristics. Interaction was measured on the additive and the multiplicative scale. We used generalized ordered logistic regression analysis to examine associations with contextual variables. Three disease clusters were found to be most prevalent among the study participants (n = 1408). Each cluster involved a combination of frequently occurring conditions in this population: psychological distress (n = 261, 19%), cardiometabolic diseases (n = 449, 32%) and musculoskeletal pain (n = 462, 33%). These three diseases interact synergistically on the additive scale to increase the odds of reporting a low self-rated health. None of the disease clusters showed a statistically significant positive interaction on a multiplicative scale. Multiple contextual factors were associated with these disease clusters, including gender, loneliness, experiencing financial stress, and a BMI≥30. Our findings imply that psychological distress, cardiometabolic diseases and musculoskeletal pain synergistically interact, leading to a much lower self-rated health than expected. Several contextual factors are related to this interaction emphasizing the importance of a multicomponent, ecological approach.
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影响因子：
11.3
作者：
Donker, Tara;Comijs, Hannie;Penninx, Brenda
通讯作者：
Penninx, Brenda
影响因子：
--
作者：
Kessler, RC;Barker, PR;Zaslavsky, AM
通讯作者：
Zaslavsky, AM
影响因子：
5
作者：
Idler, EL;Benyamini, Y
通讯作者：
Benyamini, Y
影响因子：
3.8
作者：
Gierveld, Jenny De Jong;Van Tilburg, Theo
通讯作者：
Van Tilburg, Theo
影响因子：
10.6
作者：
Joynt, KE;Whellan, DJ;O'Connor, CM
通讯作者：
O'Connor, CM