E. Fuller-Thomson, Jessica P.M. Liddycoat, M. Stefanyk
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引用次数: 4
摘要
目标在控制年龄、性别、种族和四类危险因素的情况下,研究父母成瘾史与关节炎累积终生发病率之间的关系:(1)其他不良童年经历,(2)成人健康行为(即吸烟、肥胖、缺乏运动和饮酒),(3)成人社会经济地位和(4)心理健康。材料与方法。对2005年以人口为基础的加拿大社区健康调查的13,036名曼尼托巴和萨斯喀彻温受访者的二次分析。进行序贯逻辑回归分析。发现。在控制了人口统计学特征(包括年龄、性别和种族)后,报告有父母成瘾史的受访者患关节炎的几率明显高于没有(;95% ci 1.38-1.80)。社会经济地位、成人健康行为和心理健康状况的调整对父母成瘾与关节炎的关系影响不大。当不良的童年经历(;95% CI 1.15-1.53)和所有四组危险因素(;95% CI = 1.12-1.51)纳入分析;然而,这种关系在统计上仍然显著。结论。在父母成瘾和关节炎的累积终生发病率之间发现了强有力的联系。即使在控制了四组潜在风险因素后,这种联系仍然存在。
The Association between a History of Parental Addictions and Arthritis in Adulthood: Findings from a Representative Community Survey
Aims. To examine the relationship between a history of parental addictions and the cumulative lifetime incidence of arthritis while controlling for age, sex, race, and four clusters of risk factors: (1) other adverse childhood experiences, (2) adult health behaviors (i.e., smoking, obesity, inactivity, and alcohol consumption), (3) adult socioeconomic status and (4) mental health. Materials and Methods. Secondary analysis of 13,036 Manitoba and Saskatchewan respondents of the population-based 2005 Canadian Community Health Survey. Sequential logistic regression analyses were conducted. Findings. After controlling for demographic characteristics, including age, gender, and race, respondents who reported a history of parental addictions had significantly higher odds of arthritis in comparison to individuals without (; 95% CI 1.38–1.80). Adjustment for socioeconomic status, adult health behaviors, and mental health conditions had little impact on the parental addictions and arthritis relationship. The association between parental addictions and arthritis was substantially reduced when adverse childhood experiences (; 95% CI 1.15–1.53) and all four groups of risk factors collectively (; 95% CI = 1.12–1.51) were included in the analyses; however, the relationship remained statistically significant. Conclusions. A robust association was found between parental addictions and cumulative lifetime incidence of arthritis. This link remained even when controlling for four groups of potential risk factors.