哮喘联盟

   摘要
   目的：本研究旨在评估美国退伍军人中曾患有哮喘和现患有哮喘两种状态与心理疾病的关系。
   方法：本研究数据来源于2005-2013年以全国人群为基础的《全美药物使用与健康调查》。心理疾病的定义为过去一年有严重抑郁发作史，以及经医生诊断确诊为抑郁症。数据统计则运用单变量和多变量回归分析。共有20,581名退伍军人纳入本研究。
   结果：退伍军人中现患有哮喘的比例为4.00%，曾患有哮喘的比例为7.50%。现患有哮喘的退伍军人中严重抑郁发作的患病率显著高于现无哮喘的退伍军人，二者分别为8.23%和4.68%；类似地，曾患有哮喘的退伍军人中严重抑郁发作的患病率，显著高于从未患有哮喘的退伍军人，分别为7.84%和4.58%。现患有哮喘的退伍军人抑郁症发生率，高于现无哮喘的退伍军人，分别为11.83%和5.86%；类似地，曾患有哮喘的退伍军人抑郁症发生率，高于从未患有哮喘的退伍军人，分别为10.32%和5.76%。经校正混杂因素，现患有哮喘与过去一年严重抑郁发作、抑郁症显著相关，校正OR值分别为1.65和1.88。同样，曾患有哮喘的退伍军人过去一年严重抑郁发作和抑郁症的发生率，高于从未患有哮喘的退伍军人，校正OR值分别为1.56和1.66。
   结论：美国退伍军人中，哮喘与心理健康的关系不容忽视。因此，有必要进一步整合医疗以解决退伍军人中哮喘者的心理健康负担。

（杨冬 审校）
J Asthma. 2015 Nov 7:1-6. [Epub ahead of print]
 

A nationwide assessment of asthma-mental health nexus among veterans.
 

Becerra MB1, Becerra BJ2, Safdar N3.
 

Abstract
OBJECTIVE:In this study, we evaluated the association between both current and lifetime asthma to that of mental illness among veterans in the USA.
METHODS:We utilized the 2005-2013 National Survey on Drug Use and Health data, a national population-based survey in the USA. Mental illness was defined as past year major depressive episode and doctor diagnosis of depression. Survey-weighted univariate and multivariable regression analyses were utilized. A total of 20 581 veterans were included in the study.
RESULTS:A 4.00% and 7.50% prevalence of current and lifetime asthma were noted among veterans, respectively. A significantly higher prevalence of major depressive episode was noted among veterans with current asthma (8.23%), as compared to those without (4.68%), with a similar trend noted among those with lifetime asthma versus those without (7.84% vs. 4.58%). Doctor diagnosis of depression among veterans was higher among those with current asthma (11.83% vs. 5.86%) and lifetime asthma (10.32% vs. 5.76%), as compared to those without asthma. Upon adjusting for confounders, current asthma was significantly associated with past year major depressive episode [adjusted odds ratio (aOR) = 1.65) and depression diagnosis (aOR = 1.88). Similarly, veterans with lifetime asthma, as compared to those without, had higher odds of past year major depressive episode (aOR = 1.56) and depression diagnosis (aOR = 1.66).
CONCLUSION:The asthma/mental health nexus is significant among the US veterans. Such results warrant the need for integrated care to address mental health burden among veterans with asthma.
 

J Asthma. 2015 Nov 7:1-6. [Epub ahead of print]