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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Associations between psychological distress and health-related behaviors among adults with chronic kidney disease
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Associations between psychological distress and health-related behaviors among adults with chronic kidney disease

机译：慢性肾病的成人心理困扰与健康相关行为的协会

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Chronic kidney disease (CKD) affects 15% of the US general population, and this rate is projected to increase. A healthy lifestyle is important for individuals with CKD to reduce risk for CKD progression and adverse heath events. Adults with CKD also have high rates of psychological distress, which may be associated with unhealthy behaviors. Using the 2013-2017 public use data files of the US National Health Interview Survey, we compared health behaviors (smoking, alcohol use, and physical activity [PA]) and psychological distress (assessed with the Kessler-6 scale) between adults with a CKD diagnosis in the preceding year and a matched sample of adults without a CKD diagnosis. We then examined the association between psychological distress and health behaviors among adults with CKD (n = 3923) using multinomial logistic regression models. Compared to those without CKD, those with CKD had lower rates of smoking, heavy alcohol use, and engagement in any type of PA 3 + times a week and higher rates of psychological distress. In addition to the health concerns posed by the high smoking rate (17%) and low physical activity rate (34%) among those with CKD, smoking and lack of PA were associated with greater risk of mild-moderate and/or serious psychological distress. Compared to no unhealthy behaviors, 2-3 unhealthy behaviors were associated with 4.72 (95% CI = 2.97-7.48) times greater risk of serious psychological distress. Adults with CKD and unhealthy behaviors need help with lifestyle modifications and assessment and treatment of psychological distress to reduce CKD progression and prevent other health complications.
机译：慢性肾病（CKD）影响美国一般人群的15％，这个速度预计将增加。健康的生活方式对于CKD的个人来说很重要，以降低CKD进展和不利黑石事件的风险。具有CKD的成年人也具有高的心理困扰率，这可能与不健康的行为有关。使用2013-2017公共使用美国国家健康面试调查的数据文件，我们比较了健康行为（吸烟，酒精使用和体育活动[PA]）和心理窘迫（用Kessler-6规模评估）成年人在前一年中的CKD诊断和没有CKD诊断的成年人匹配样本。然后，我们使用多项式物流回归模型检查了CKD（n = 3923）的成年人之间的心理困扰和健康行为之间的关联。与没有CKD的人相比，CKD的人率较低的吸烟，重饮酒和每周任何类型的PA 3 +时间的接合以及更高的心理困扰率。除了高吸烟率（17％）和低体育率（34％）患有CKD的健康问题外，吸烟和缺乏PA与轻度温和和/或严重的心理困扰的风险有关。与没有不健康的行为相比，2-3个不健康的行为与4.72（95％CI = 2.97-7.48）有关严重心理困扰的风险更大。具有CKD和不健康行为的成年人需要帮助生活方式修改和评估和治疗心理困扰，以减少CKD进展，防止其他健康并发症。

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