非白人男性成年人贫血与抑郁症状之间的关系:国家健康与营养调查(2005-2018 年)

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jinsong Mou, Haishan Zhou, Zhangui Feng
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引用次数: 0

摘要

背景:贫血与抑郁症之间的关系仍存在争议。本研究旨在调查血红蛋白(Hb)水平与抑郁症状之间的关系。研究设计:横断面研究。研究方法本研究使用 2005-2018 年国家健康与营养调查数据进行。Hb水平来自实验室档案,抑郁症状则使用患者健康问卷(PHQ-9)进行评估。通过多变量逻辑回归分析和平滑图来研究贫血与抑郁症之间的关系,包括潜在的非线性关联。研究结果研究对象包括 6008 名男性成年人。多变量分析显示,贫血与轻度(OR=1.49,95% CI:1.06, 2.10)和中度(OR=2.05,95% CI:1.14-3.70)贫血的几率增加有关。此外,血红蛋白每增加 1 克/分升与抑郁症的发生呈显著的反比关系(OR=0.91,95% CI:0.85,0.96)。血红蛋白与抑郁之间存在非线性关系,在 15 克/分升时出现拐点。在此临界值以下,血红蛋白与抑郁之间存在明显的负相关(OR=0.88,95% CI:0.79,0.98);在此临界值以上则无明显关系(OR=1.05,95% CI:0.84,1.31)。结论在非美国白人男性中,贫血与抑郁症呈正相关。研究发现,血红蛋白与抑郁之间存在非线性关系,且有饱和效应。当血红蛋白水平低于 15 克/分升时,抑郁与血红蛋白呈明显的负相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association Between Anemia and Depressive Symptoms in Non-White Male Adults: National Health and Nutrition Examination Survey (2005–2018)
Background: The relationship between anemia and depression remains controversial. This study aimed to investigate the association between hemoglobin (Hb) levels and depressive symptoms. Study Design: A cross-sectional study. Methods: This study was conducted using National Health and Nutrition Examination Survey data from 2005–2018. Hb levels were obtained from laboratory files, and depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9). Multivariable logistic regression analysis and smoothing plots were performed to examine the relationship between anemia and depression, including potential nonlinear associations. Results: The study included 6008 male adults. Multivariable analysis revealed that anemia was associated with an increased odds ratio for mild (OR=1.49, 95% CI: 1.06, 2.10) and moderate (OR=2.05, 95% CI: 1.14-3.70) anemia. Additionally, each additional g/dL of Hb was significantly inversely associated with developing depression (OR=0.91, 95% CI: 0.85, 0.96). A nonlinear relationship was detected between Hb and depression, with an inflection point at 15 g/dL. Below this threshold, there was a significantly negative association between Hb and depression (OR=0.88, 95% CI: 0.79, 0.98); no significant relationship was observed above it (OR=1.05, 95% CI: 0.84, 1.31). Conclusion: Anemia was positively associated with depression in non-White American men. A nonlinear relationship between Hb and depression was detected, and it had a saturation effect. A significant negative correlation with depression was observed when the Hb level was below 15 g/dL.
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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