Annals of Epidemiology最新文献

Acute gastrointestinal symptoms associated with oil spill exposures among U.S. coast guard responders to the Deepwater Horizon oil spill 深水地平线 "号漏油事件中美国海岸警卫队救灾人员接触漏油后出现的急性胃肠道症状

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-24 DOI: 10.1016/j.annepidem.2024.09.004

{"title":"Acute gastrointestinal symptoms associated with oil spill exposures among U.S. coast guard responders to the Deepwater Horizon oil spill","authors":"","doi":"10.1016/j.annepidem.2024.09.004","DOIUrl":"10.1016/j.annepidem.2024.09.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Research investigating gastrointestinal (GI) symptoms from oil spill-related exposures is sparse. We evaluated prevalent GI symptoms among U.S. Coast Guard responders deployed to the <em>Deepwater Horizon</em> oil spill cleanup.</div></div><div><h3>Methods</h3><div>Crude oil (via skin contact, inhalation, or ingestion routes), combined crude oil/oil dispersant exposures, other deployment exposures, deployment characteristics, demographics, and acute GI symptoms during deployment (i.e., nausea/vomiting, diarrhea, stomach pain, and constipation) were ascertained cross-sectionally via a post-deployment survey (median time between deployment end and survey completion 185 days) (N = 4885). Log-binomial regression analyses were employed to calculate prevalence ratios (PRs) and 95 % confidence intervals (CI). Effect modification was evaluated.</div></div><div><h3>Results</h3><div>In adjusted models, responders in the highest (versus lowest) tertile of self-reported degree of skin contact to crude oil were more than twice as likely to report nausea/vomiting (PR=2.45; 95 %CI, 1.85–3.23), diarrhea (PR=2.40; 95 %CI, 2.00–2.88), stomach pain (PR=2.51; 95 %CI, 2.01–3.12), and constipation (PR=2.21; 95 %CI, 1.70–2.89). Tests for trend were statistically significant (p < 0.05). Results were similar for crude oil exposure via inhalation and ingestion. Higher PRs for all symptoms were found with combined crude oil/dispersant exposure than with crude oil exposure alone.</div></div><div><h3>Conclusions</h3><div>These results indicate positive associations between self-reported crude oil and combined crude oil/oil dispersant exposures and acute GI symptoms.</div></div>","PeriodicalId":50767,"journal":{"name":"Annals of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gestational diabetes mellitus, body mass index, and cardiometabolic multimorbidity: A prospective cohort study 妊娠糖尿病、体重指数和心脏代谢多病症：前瞻性队列研究

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-23 DOI: 10.1016/j.annepidem.2024.09.002

{"title":"Gestational diabetes mellitus, body mass index, and cardiometabolic multimorbidity: A prospective cohort study","authors":"","doi":"10.1016/j.annepidem.2024.09.002","DOIUrl":"10.1016/j.annepidem.2024.09.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Gestational diabetes mellitus (GDM) could increase the risks of type 2 diabetes mellitus (T2DM) and cardiovascular disease. However, evidence on its association with cardiometabolic multimorbidity (CMM) was limited. This study aimed to evaluate the association between GDM and the prevalence, incidence, patterns, and progression of CMM; and the role of body mass index (BMI) in such association.</div></div><div><h3>Methods</h3><div>This study included 203,372 women who have given birth in UK Biobank. The diagnoses of GDM and cardiometabolic diseases (including stroke, coronary heart disease [CHD], and T2DM) were reported by participants or obtained through linkage to inpatient hospital data until 31st December 2020. BMI was assessed at the baseline assessment. CMM was defined as having two or more of included cardiometabolic diseases. Logistic regression models and Cox proportional hazard models were used to assess the association between GDM and CMM, and the modifications on both additive and multiplicative scales were assessed to evaluate the effect of BMI on such association.</div></div><div><h3>Results</h3><div>A total of 1217 women had a history of GDM, 2351 participants had CMM at the end of follow-up and 1601 was newly diagnosed during follow-up. GDM was associated with higher prevalence (odds ratio [OR]=4.64, 95 % confidence interval [95 % CI]=3.54–6.08) and incidence (hazard ratio [HR]=3.62, 95 % CI=2.62–5.00) of CMM. In particular, GDM was associated with higher odds of T2DM, coexisting T2DM and vascular disease, and T2DM followed by vascular disease. Formal testing for effect modification suggested multiplicative modification by BMI for the association between GDM and incident CMM.</div></div><div><h3>Conclusions</h3><div>GDM was associated with CMM in women’s late life, with multiplicative modification effects of BMI. Our results suggest that maternal and lifestyle interventions (e.g., weight management) are warranted for the primary and secondary prevention of CMM, particularly in women with a history of GDM.</div></div>","PeriodicalId":50767,"journal":{"name":"Annals of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Pilot study: Using data mining to develop a machine learning pipeline to identify characteristics of products claiming health benefits for women 试点研究：利用数据挖掘开发机器学习管道，识别声称对妇女健康有益的产品的特征

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.088

引用次数: 0

Barriers and motivators to heart-health related research participation among women 妇女参与心脏健康相关研究的障碍和动力

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.023

引用次数: 0

Investigating telehealth for Medicaid SUD and MH Services 为医疗补助计划的药物滥用、精神失常和心理健康服务开展远程保健调查

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.089

引用次数: 0

The probable role of barberries and herbal medicine in congenital anomalies and disorders in Darmian city, South Khorasan Province, Iran 伊朗南呼罗珊省达尔米安市的芭乐和草药对先天性畸形和疾病的可能作用

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.071

引用次数: 0

Father involvement during pregnancy and maternal and neonatal health outcomes 孕期父亲参与与孕产妇和新生儿健康结果

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.084

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Role of transportation on overall health in Nebraska 交通对内布拉斯加州整体健康的影响

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.056

引用次数: 0

Neighborhood disadvantage, social vulnerability, and mental health 邻里劣势、社会脆弱性和心理健康

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.073

引用次数: 0

Diagnosing irritable bowel syndrome with artificial intelligence: A systematic review and Meta-analysis 用人工智能诊断肠易激综合征：系统回顾与元分析

IF 3.3 3区医学

Annals of Epidemiology Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.005

引用次数: 0