Occurrence of Comorbid Metabolic and Depressive Symptoms across Sociodemographic Categories in the United States.

IF 3.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ethnicity & Disease Pub Date : 2025-05-07 eCollection Date: 2025-05-01 DOI:10.18865/EthnDis-2024-29

Tyra Dark, George Rust

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引用次数: 0

Abstract

Objective: This study was conducted to quantify the prevalence of metabolic syndrome and depressive symptoms across racial/ethnic and socioeconomic strata in a nationally representative U.S. sample.

Methods: We used National Health and Nutrition Examination Survey 2017-March 2020 data for participants aged 18 years and older. Prevalence of depressive symptoms and metabolic syndrome alone and in combination was measured across racial/ethnic, sex, age, and income strata. Chi-square tests were used for between-group comparisons.

Results: Over 7% of sampled adults had comorbid depressive symptoms and metabolic syndrome, representing 18.3 million Americans. These conditions were not equally distributed across racial/ethnic groups (χ²=124.28, P<.0001). The non-Hispanic Asian group was least likely to have either condition. Differences by economic status were also significant (χ²=86.61, P<.0001). Those in the highest economic group were least likely to have either or both conditions.

Conclusions: Disparities in comorbid conditions exist across socioeconomic and demographic strata. Achieving optimal and equitable health outcomes for people with these comorbidities will require "whole-person-in-context" interventions. Integrated approaches to coexisting medical, psychological, and social complexities are needed.

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美国社会人口统计学类别中代谢和抑郁症状共病的发生率

目的：本研究旨在量化具有全国代表性的美国样本中不同种族/民族和社会经济阶层的代谢综合征和抑郁症状的患病率。方法：我们使用2017年3月至2020年3月的全国健康与营养调查数据，参与者年龄在18岁及以上。在种族/民族、性别、年龄和收入阶层中单独或联合测量抑郁症状和代谢综合征的患病率。组间比较采用卡方检验。结果：超过7%的样本成年人患有抑郁症状和代谢综合征共病，代表1830万美国人。这些疾病在不同种族/民族的分布并不均匀（χ2=124.28, P2=86.61, p）。结论：不同社会经济和人口阶层的共病情况存在差异。为患有这些合并症的人实现最佳和公平的健康结果将需要“整个人在环境中”的干预措施。需要对共存的医疗、心理和社会复杂性采取综合办法。

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

Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.