哮喘差异和组内差异:一项全国性、成人同性伴侣抽样研究
2013/11/13
摘要
目的:本研究调查成人同性和异性伴侣中自我报告哮喘和最近哮喘终身诊断的患病率及其相关因素。
方法:数据来自2004年的行为危险因素监控系统,在核心调查问卷中同性伴侣是计划生育项目的一个选项。校正人口学特征和哮喘相关混杂因素后Logistic回归模型分析自我报告哮喘和最近哮喘的终身诊断,经过性别和同性伴侣地位进行分层。
结果:同性伴侣男性和女性受访者报告终身和最近哮喘的比例显著高于其同龄异性伴侣。校正分析中,同性伴侣地位与男人和女人哮喘结果仍然显著相关,比值比范围1.57~2.34。
结论:结果证实了过去研究中表明的哮喘严重影响性别少数的人群。联邦调查项目性别少数人群地位问题的增加是进一步探索该人群健康差异的关键。未来的研究需要调查该差异的病因。
(林江涛 审校)
Am J Public Health. 2013 Sep;103(9):e83-7. doi: 10.2105/AJPH.2013.301217. Epub 2013 Jul 18.
Asthma disparities and within-group differences in a national, probability sample of same-sex partnered adults.
Blosnich JR, Lee JG, Bossarte R, Silenzio VM.
ABSTRACT
OBJECTIVES:We examined the prevalence and correlates of self-reported lifetime diagnosis of asthma and current asthma among same-sex and opposite-sex partnered adults.
METHODS:Data were from the 2004 Behavioral Risk Factor Surveillance System, in which same-sex partnership was a response option to a family planning item in the core questionnaire. Self-reported lifetime diagnosis of asthma and current asthma were examined in logistic regression models adjusted for demographic characteristics and asthma-related confounding factors and stratified by both gender and same-sex partnership status.
RESULTS:Significantly higher proportions of same-sex partnered male and female respondents reported lifetime and current asthma compared with their opposite-sex partnered peers. In adjusted analyses, same-sex partnership status remained significantly associated with asthma outcomes among men and women, with odds ratios ranging from 1.57 to 2.34.
CONCLUSIONS:Results corroborated past studies that indicated asthma disproportionately affects sexual minority populations. The addition of sexual minority status questions to federal survey projects is key to further exploring health disparities in this population. Future studies are needed to investigate the etiology of this disparity.
Am J Public Health. 2013 Sep;103(9):e83-7. doi: 10.2105/AJPH.2013.301217. Epub 2013 Jul 18.
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急性发作的重症哮喘住院患者的年龄别特征
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