Fan Amy Z, Strine Tara W, Jiles Ruth, Mokdad Ali H
Behavioral Surveillance Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
Prev Med. 2008 May;46(5):445-50. doi: 10.1016/j.ypmed.2008.02.016. Epub 2008 Feb 20.
To highlight the close association of cardiovascular disease (CVD) with depression and anxiety in US non-institutionalized adults and examine the sociodemographic correlates of depression and anxiety among CVD survivors.
The data were obtained from 38 states which administered an Anxiety and Depression Module as part of the 2006 Behavioral Risk Factor Surveillance System. CVD was assessed with three questions on coronary heart disease and stroke. Adjusted prevalence ratios (APRs) were obtained after adjustment for demographic characteristics using SUDAAN 9.0.
The prevalence of a CVD history was 15.3% among studied population (sample size n=129,499). Persons with a CVD history were more likely than those without to experience current depression (15.8% versus 7.1%, APR [95% CI]=1.69 [1.54-1.85]), to have a lifetime diagnosis of depressive disorders (22.3% versus 15.1%, APR [95% CI]=1.56 [1.45-1.67]) or anxiety disorders (16.6% versus 10.0%, APR [95% CI]=1.46 [1.37-1.54]). CVD survivors with low education attainment or minority background were less likely to receive a diagnosis of depression though their experience of depression was comparable with or higher than their counterparts.
CVD is associated significantly with depression and anxiety. Disparities exist among CVD survivors on the diagnosis of depression and anxiety.
强调在美国非机构化成年人中，心血管疾病（CVD）与抑郁和焦虑之间的紧密关联，并研究CVD幸存者中抑郁和焦虑的社会人口学相关因素。
数据来自38个州，这些州将焦虑和抑郁模块作为2006年行为危险因素监测系统的一部分进行管理。通过关于冠心病和中风的三个问题评估CVD。使用SUDAAN 9.0对人口统计学特征进行调整后获得调整患病率比（APR）。
在研究人群中（样本量n = 129,499），有CVD病史的患病率为15.3%。有CVD病史的人比没有的人更有可能经历当前的抑郁（15.8%对7.1%，APR[95%CI]=1.69[1.54 - 1.85]），有终生抑郁障碍诊断的可能性更高（22.3%对15.1%，APR[95%CI]=1.56[1.45 - 1.67]）或焦虑障碍（16.6%对10.0%，APR[95%CI]=1.46[1.37 - 1.54]）。教育程度低或少数族裔背景的CVD幸存者虽然抑郁经历与同龄人相当或更高，但被诊断为抑郁的可能性较小。
CVD与抑郁和焦虑显著相关。CVD幸存者在抑郁和焦虑诊断方面存在差异。
