哮喘联盟

   摘要
   目的：明确曾服务于美国军队的男性与平民男性相比，哮喘和严重心理困扰之间的关联。
   方法：利用2009年和2011年加州健康访问调查进行二次分析，共包括9993例退伍男性军人和26999例平民。所有分析使用重复权重占复杂的调查设计。应用描述性统计和卡方分析描述分析人群。利用多因素Logistic回归模型分析哮喘和其他协变量对过去一年和过去的一个月严重的心理困扰的影响，由退伍军人级别进行分层分析。
   结果：经过模型调整，仅在退伍军人中当前哮喘的状况与过去一个月和一年的心理困扰紧密相关。另外，种族和吸烟和/或酗酒的危险习惯与平民的心理困扰紧密相关，但对于退伍军人其关联没有那么显著。
   结论：自作者所知，本项研究是第一项探讨哮喘和严重心理困扰之间相关性在退伍军人和平民间不同的研究。同时发现了一些退伍军人中独特的相关性。将来应当注意这些发现的区别开展预防性的措施，包括退伍军人中的哮喘共患病的预防措施。
 

（林江涛 审校）
Prev Med. 2014 Dec 5. pii: S0091-7435(14)00472-1. doi: 10.1016/j.ypmed.2014.11.029. [Epub ahead of print]


 

Association between asthma and serious psychological distress among male veterans compared to civilian counterparts.
 

Becerra BJ1, Becerra MB2.
 

Abstract
OBJECTIVE: Identify the association between current asthma status and serious psychological distress among males who served in the U.S. Armed Forces as compared to civilians.
METHODS: A secondary analysis was performed utilizing the 2009 and 2011 California Health Interview Survey, including 9993 veteran males and 26,999 civilian males. All analyses used replicate weights to account for complex survey design. Descriptive statistics and chi-square analyses were generated to describe the population. Multivariable logistic regression analyses were utilized to model the effect of asthma and other covariates on past year and past month serious psychological distress, stratified by veteran status.
RESULTS: After model adjustment, current asthma status was significantly associated with past month and year serious psychological distress among veterans only. In addition, while race/ethnicity and risk behaviors of smoking and/or binge drinking were significantly associated with distress among civilians, no such association was noted among veterans.
CONCLUSION: To the authors' knowledge, this was the first study to demonstrate that the relationship between asthma and serious psychological distress varies by veteran status. Several unique correlates among veterans were also noted. Future preventive strategies for mental health disorders should incorporate these reported differences, including that of asthma co-morbidity among veterans.
 

Prev Med. 2014 Dec 5. pii: S0091-7435(14)00472-1. doi: 10.1016/j.ypmed.2014.11.029. [Epub ahead of print]