A community-based study of chronic fatigue syndrome
A community-based study of chronic fatigue syndrome
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DOI：
10.1001/archinte.159.18.2129
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发表时间：
1999-10-11
影响因子：
--
通讯作者：
Plioplys, S
中科院分区：
文献类型：
--
作者：
Jason, LA;Richman, JA;Plioplys, S
背景资料：大多数以前的估计慢性疲劳综合征（CFS）的患病率主要来自治疗的人群，并已偏见的差异获得与海，种族识别，和socioeconomic status.Objective：评估点患病率CFS在一个种族多样的随机社区样本。设计和参与者：样本28 673成年人在芝加哥，生病，通过电话筛选，和CFS样症状的医学evaluated.Main结果测量和分析：自我报告问卷，精神评估，并完成医学检查与实验室检测被用来诊断CFS患者。单变量和多变量的统计技术来描绘CFS在这一人群的整体率，其相对患病率被细分为性别，种族识别，年龄和社会经济地位。结果：有一个65.1%的完成率在第一阶段的研究电话采访。研究结果显示，CFS发生在约0.42%（95%置信区间，0.29%-0.56%）的这个随机社区为基础的样本。CFS的最高水平一直被发现在妇女，少数民族群体，和教育水平较低的人和职业status.Conclusions：慢性疲劳综合征是一种常见的慢性健康状况，特别是妇女，发生在不同种族群体。早期的研究结果表明CFS是一种主要影响白色、中产阶级患者的综合征，但我们的研究结果并不支持这一点。
Background: Most previous estimates of the prevalence of chronic fatigue syndrome (CFS) have derived largely from treated populations, and have been biased by differential access to health care treatment linked with sea, ethnic identification, and socioeconomic status.Objective: To assess the point prevalence of CFS in an ethnically diverse random community sample.Design and Participants: A sample of 28 673 adults in Chicago, ill, was screened by telephone, and those with CFS-like symptoms were medically evaluated.Main Outcome Measures and Analyses: Self-report questionnaires, psychiatric evaluations, and complete medical examinations with laboratory testing were used to diagnose patients with CFS. Univariate and multivariate statistical techniques were used to delineate the overall rate of CFS in this population, and its relative prevalence was subcategorized by sex, ethnic identification, age, and socioeconomic status.Results: There was a 65.1% completion rate for the telephone interviews during the first phase of the study. Findings indicated that CFS occurs in about 0.42% (95% confidence interval, 0.29%-0.56%) of this random community-based sample. The highest levels of CFS were consistently found among women, minority groups, and persons with lower levels of education and occupational status.Conclusions: Chronic fatigue syndrome is a common chronic health condition, especially for women, occurring across ethnic groups. Earlier findings suggesting that CFS is a syndrome primarily affecting white, middle-class patients were not supported by our findings.