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Do Puerto Rican youth with asthma and obesity have higher odds for mental health disorders?

机译:波多黎各患有哮喘和肥胖症的青年人精神健康障碍的几率更高吗?

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Island Puerto Rican (PR) youth experience disproportionately high asthma and obesity rates compared with other racial/ethnic groups on the U.S. mainland. Previous research has demonstrated associations of chronic disease with psychiatric disorders.We examined the relationship among anxiety/depressive disorders, asthma, and obesity in an epidemiologic community sample of youth.The sample (n = 656) was derived from the second wave of an island-wide probabilistic representative household sample of PR youth stratified and based on whether or not they had a diagnosis of asthma and/or depressive/anxiety disorder. For this study, we used the subpopulation ages 10-19 years.Asthma and obesity were significantly related to higher odds of depressive/anxiety disorders in youth. Obesity moderated the relationship between asthma attacks and depressive/anxiety disorders. The relationship between asthma attack and higher odds for depressive/anxiety disorders was only present in the non-obese group. Among the obese, females show a significant increase from 11% to 36% in the prevalence of anxiety/depressive disorders. Asthma and obesity were highly prevalent and a significant association was found between asthma attack and depressive/anxiety disorders. The effects of asthma and obesity were not additive; the prevalence for psychiatric disorder for those having both conditions did not increase above the prevalence associated having only one of the conditions.Future studies should consider including longitudinal designs and examine the extent to which important variables not included in this study, such as body image dissatisfaction (particularly among females), teasing, and discrimination may moderate the relationship among obesity and depressive and anxiety disorders in youth.
机译:与美国大陆上的其他种族/族裔群体相比,波多黎各岛(PR)的年轻人患哮喘和肥胖症的比例高得多。以前的研究表明慢性病与精神疾病之间的关联,我们在青年流行病学社区样本中检查了焦虑/抑郁症,哮喘和肥胖之间的关系,样本(n = 656)来自岛屿的第二次浪潮。 PR青少年的整个概率代表家庭样本分层,并基于他们是否患有哮喘和/或抑郁/焦虑症的诊断。在本研究中,我们使用了10-19岁的亚人群。哮喘和肥胖与年轻人抑郁/焦虑症的较高机率显着相关。肥胖减轻了哮喘发作与抑郁/焦虑症之间的关系。哮喘发作与抑郁/焦虑症高发几率之间的关系仅在非肥胖组中存在。在肥胖者中,女性焦虑症/抑郁症的患病率从11%显着增加到36%。哮喘和肥胖症非常普遍,哮喘发作与抑郁/焦虑症之间存在显着相关性。哮喘和肥胖的影响不加和。两种情况下的精神疾病患病率均不会高于仅一种情况下的患病率。未来的研究应考虑包括纵向设计,并检查本研究中未包括的重要变量的程度,例如身体影像不满意(尤其是在女性中),戏弄和歧视可能会减轻肥胖与青年抑郁症和焦虑症之间的关系。

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