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首页> 外文期刊>Journal of women’s health >Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women.
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Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women.

机译：低收入城市妇女与创伤后应激障碍相关的医学状况和症状。

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BACKGROUND: Epidemiological studies have consistently reported rates of posttraumatic stress disorder (PTSD) in women that are twice that of men. In men and women, PTSD has been associated with comorbid medical conditions, medical symptoms and lower self-rating of health. In low-income urban women, rates of PTSD are even more elevated than in suburban women and may be related to observed health disparities. METHODS: In this study, 250 women seeking healthcare at an urban clinic were interviewed for a PTSD diagnosis, major depressive disorder (MDD), the experience of traumatic events, the experience of current and past common medical conditions and symptoms, and subjective rating of health. A chart review was used to assess healthcare use in the past year. RESULTS: More current (5.2 vs. 3.8, p < 0.05) and past medical conditions (4.6 vs. 3.3, p < 0.05) were reported by women with a lifetime history of PTSD than by women without this history, after controlling for demographics and current depression. Women with lifetime PTSD also had more annual clinic appointments (5.9 vs. 3.8 p < 0.03) and were 2.4 times (p < 0.05) more likely to report lower appraisal of their physical health. CONCLUSIONS: These findings suggest that urban health-seeking women with PTSD experience health impairments that may cause increased morbidity and that healthcare providers should consider the health ramifications of PTSD when providing medical care to women.
机译：背景：流行病学研究一致报告女性创伤后应激障碍（PTSD）的发生率是男性的两倍。在男性和女性中，PTSD与合并症，医学症状和较低的健康自我评价有关。在低收入的城市妇女中，PTSD的发病率甚至比郊区妇女更高，这可能与观察到的健康差异有关。方法：在这项研究中，采访了250名在城市诊所寻求医疗保健的妇女，以进行PTSD诊断，重度抑郁症（MDD），创伤事件的经历，当前和过去的常见医疗状况和症状的经历以及对这些疾病的主观评价健康。通过图表审查来评估过去一年中的医疗保健使用情况。结果：在控制了人口统计特征和特征后，有PTSD一生病史的女性报告的当前（5.2 vs. 3.8，p <0.05）和过去的医疗状况（4.6 vs. 3.3，p <0.05）比没有该病史的女性更多。当前的沮丧。患有终生创伤后应激障碍的女性每年的门诊次数也更多（5.9 vs. 3.8 p <0.03），对身体健康的评价较低的可能性是其2.4倍（p <0.05）。结论：这些发现表明，患有PTSD的城市寻求健康的女性会遭受健康损害，这可能会导致发病率增加，并且医疗保健提供者在向女性提供医疗服务时应考虑PTSD的健康影响。

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