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自我报告的头晕或眩晕——合并症与药物使用。一项流行病学研究。

Self-reported faintness or dizziness -- comorbidity and use of medicines. An epidemiological study.

作者信息

Tamber Anne-Lise, Bruusgaard Dag

机构信息

Faculty of Health Sciences, Oslo University College and Faculty of Medicine, University of Oslo, Norway.

出版信息

Scand J Public Health. 2009 Aug;37(6):613-20. doi: 10.1177/1403494809105026. Epub 2009 Apr 16.

Abstract

AIM

The aim of this study was to explore the prevalence of dizziness in a general population and the association between dizziness and socio-demographic variables, self-reported diseases and medicines used. We hypothesize that dizziness was associated with different diseases and medicines as well as the number of diseases and the number of medicines used.

MATERIALS AND METHODS

We used data from a cross-sectional survey with 17,638 participants aged 30, 40, 45, 59/60 and 75/76 in the Oslo Health Study who had answered a self-administered questionnaire in 2000-2001. Associations were analyzed by descriptive statistics, chi-square tests, independent t-tests and logistic regression.

RESULTS

The prevalence of self-reported faintness or dizziness was 28.7%, reported more often by women than men and by age group 75/76. Participants with neck shoulder pain/stiffness, mental disorders, fibromyalgia/chronic pain syndrome, stroke/cerebral haemorrhage, angina pectoris and chronic bronchitis/emphysema, as well as use of tranquillizers, sedatives, and ''other medicines on prescription,'' had a significantly increased likelihood of being troubled by faintness or dizziness. An increasing number of reported diseases and an increasing number of medicines used gave an increasing likelihood of faintness or dizziness. In the multivariate analysis controlling for socio-demographic variables, diseases and use of medicines, the oldest did not have an increased likelihood of faintness or dizziness.

CONCLUSIONS

Self-reported diseases and medicines used could explain a modest rise in the prevalence of faintness or dizziness by age. Sum of diseases and sum of medicines used were associated with reporting dizziness to a greater extent than the different diseases and medicines used.

摘要

目的

本研究旨在探讨普通人群中头晕的患病率,以及头晕与社会人口统计学变量、自我报告的疾病和所用药物之间的关联。我们假设头晕与不同的疾病、药物以及疾病数量和所用药物数量有关。

材料与方法

我们使用了奥斯陆健康研究中17638名年龄分别为30岁、40岁、45岁、59/60岁和75/76岁参与者的横断面调查数据,这些参与者在2000 - 2001年回答了一份自填式问卷。通过描述性统计、卡方检验、独立t检验和逻辑回归分析关联。

结果

自我报告的头晕或眩晕患病率为28.7%,女性比男性更常报告,75/76岁年龄组报告率更高。患有颈肩疼痛/僵硬、精神障碍、纤维肌痛/慢性疼痛综合征、中风/脑出血、心绞痛和慢性支气管炎/肺气肿,以及使用镇静剂、安眠药和“其他处方药”的参与者,出现头晕或眩晕困扰的可能性显著增加。报告的疾病数量增加和所用药物数量增加会使头晕或眩晕的可能性增加。在控制社会人口统计学变量、疾病和药物使用的多变量分析中,年龄最大者出现头晕或眩晕的可能性并未增加。

结论

自我报告的疾病和所用药物可以部分解释头晕患病率随年龄的适度上升。疾病总和及所用药物总和与报告头晕的关联程度大于不同的疾病和所用药物。

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