Goodwin Renee D, Hottinger Kate, Pena Lillian, Chacko Anil, Feldman Jonathan, Wamboldt Marianne Z, Hoven Christina
Department of Psychology, Queens College, City University of New York (CUNY) , NY , USA .
J Asthma. 2014 Aug;51(6):639-44. doi: 10.3109/02770903.2014.897728. Epub 2014 Mar 18.
To investigate the prevalence of asthma and mental health problems among representative samples of youth in high-risk service settings and the community, and to examine the relationship between asthma and mental health in these groups.
Data were drawn from the Alternative Service Use Patterns of Youth with Serious Emotional Disturbance Study (SED) (n = 1181), a combined representative, cross-sectional sample of youth in various clinical settings and the community. Multiple logistic regression analyses were used to examine the association between asthma and mental disorders. Demographic characteristics were investigated as potential confounders.
Asthma was common among 15.2% of youth in service settings and 18.8% of youth in the community. The prevalence of mental disorders was extremely high among youth with and without asthma in all service settings, and asthma was associated with increased prevalence of mental disorders among youth in the community, but not among youth in service settings. The relationship between asthma and internalizing disorders among youth in the community does not appear entirely attributable to confounding by demographics.
Findings are consistent with and extend previous data by showing that both asthma and mental disorders are disproportionately common among youth in high-risk service settings. Almost half of youth with asthma in service settings meet diagnostic criteria for a mental disorder. Clinicians and policy makers who are responsible for the health care of youth in these high-risk groups should be aware that asthma is common, and that the prevalence of internalizing disorders are especially common among those with asthma.
调查高危服务机构及社区中具有代表性的青年样本中哮喘和心理健康问题的患病率，并研究这些群体中哮喘与心理健康之间的关系。
数据来自严重情绪障碍青年的替代服务使用模式研究（SED）（n = 1181），这是一个综合了各种临床环境和社区中具有代表性的青年横断面样本。采用多元逻辑回归分析来检验哮喘与精神障碍之间的关联。将人口统计学特征作为潜在混杂因素进行调查。
在服务机构中的青年中，15.2%患有哮喘，在社区青年中这一比例为18.8%。在所有服务环境中，无论有无哮喘，青年中精神障碍的患病率都极高，且哮喘与社区青年中精神障碍患病率的增加有关，但与服务机构中的青年无关。社区青年中哮喘与内化性障碍之间的关系似乎并非完全由人口统计学混杂因素导致。
研究结果与之前的数据一致并有所扩展，表明哮喘和精神障碍在高危服务机构中的青年中都极为常见。在服务机构中，几乎一半的哮喘青年符合精神障碍的诊断标准。负责这些高危群体中青年医疗保健的临床医生和政策制定者应意识到哮喘很常见，且内化性障碍在哮喘患者中尤为常见。
