Poor Physical Health in Caregivers of Children with ADHD or ASD and its Association with Health Risk Behaviours: NHIS 2016-2018.

IF 1.7 3区心理学 Q3 PSYCHOLOGY, CLINICAL

International Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2024-01-03 DOI:10.1007/s12529-023-10253-3

Byungmo Ku, Seungbeen Ghim

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引用次数: 0

Abstract

Background: There is a dearth of evidence regarding physical health problems and health risk behaviours (e.g., drinking, physical inactivity, smoking, and suboptimal sleep behaviour) in caregivers of children with attention deficit hyperactivity disorder or autism spectrum disorder (CCAA). The purposes of the current study were to examine differences in physical health problems between CCAA and caregivers of children without attention deficit hyperactivity disorder and autism spectrum disorder (CCWAA) and to explore health risk behaviours associated with those problems.

Method: Data from the 2016-2018 National Health Interview Survey were used in the current study. 10 common physical health problems were compared between CCAA and CCWAA by using multivariable logistic regressions. In addition, in order to detect associated health risk behaviours, decision tree analysis was performed for physical health problems in CCAA.

Results: Of the 10 physical health problems, caregivers of children with ADHD showed significantly higher likelihood of experiencing nine (arthritis, asthma, back pain, high cholesterol, diabetes, heart problems, hypertension, neck pain, obesity), compared to CCWAA. Caregivers of children with autism spectrum disorder (ASD) showed significantly higher likelihoods of experiencing two physical health problems compared to CCWAA. The decision tree analysis revealed that age (> 42 years), and suboptimal sleep behaviour (not 7-8 hours), and smoking (current smoker) were the frequent predictors for physical health problems in CCAA.

Conclusion: The results of the current study represent an important milestone in further investigating physical health problems in CCAA.

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多动症或自闭症儿童照顾者身体健康状况差及其与健康风险行为的关联：Nhis 2016-2018。

背景：关于注意力缺陷多动障碍或自闭症谱系障碍儿童（CCAA）的照顾者的身体健康问题和健康风险行为（如饮酒、缺乏运动、吸烟和睡眠不足），目前还缺乏相关证据。本研究的目的是考察CCAA与无注意缺陷多动障碍和自闭症谱系障碍儿童的照顾者（CCWAA）在身体健康问题上的差异，并探讨与这些问题相关的健康风险行为：本研究采用了2016-2018年全国健康访谈调查的数据。通过多变量逻辑回归，比较了CCAA和CCWAA的10种常见身体健康问题。此外，为了检测相关的健康风险行为，还对CCAA的身体健康问题进行了决策树分析：在 10 个身体健康问题中，多动症儿童照护者遇到 9 个问题（关节炎、哮喘、背痛、高胆固醇、糖尿病、心脏问题、高血压、颈部疼痛、肥胖）的可能性明显高于 CCAWAA。自闭症谱系障碍（ASD）患儿的照顾者出现两种身体健康问题的可能性明显高于 CCWAA。决策树分析表明，年龄（大于 42 岁）、睡眠不足（睡眠时间不足 7-8 小时）和吸烟（目前是吸烟者）是自闭症谱系障碍儿童的身体健康问题的常见预测因素：本研究的结果是进一步调查慢性阻塞性肺病患者身体健康问题的一个重要里程碑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.