Fuller-Thomson Esme, Mehta Rukshan, Sulman Joanne
Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON, Canada M5S 1A1 ; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada M5G 1V7.
Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON, Canada M5S 1A1.
ISRN Family Med. 2013 Jan 27;2013:978250. doi: 10.5402/2013/978250. eCollection 2013.
Objective. The association between long-term parental unemployment in childhood and chronic fatigue syndrome was examined in a population-based sample of women. Methods. A secondary analysis of data from a regionally representative sample of women (n = 7, 288) from the Canadian Community Health Survey (2005) was conducted using logistic regression. Age and race as well as the following clusters of factors were controlled for: (1) other childhood adversities, (2) adult health behaviors and hypertension, (3) adult stressors and socioeconomic status, and (4) adult mental health. Results. When adjusting for age and race only, the odds ratio of chronic fatigue syndrome among those reporting parental unemployment was 4.12 (95% CI: 2.60, 6.52) compared to those not reporting parental unemployment. When controlling for age and race plus all four clusters of factors the odds ratio for chronic fatigue syndrome dropped slightly to 3.05 (95% CI: 1.81, 5.14), but remained statistically significant. Conclusions. This study provides evidence for a significant association between long-term parental unemployment in childhood and chronic fatigue syndrome even after controlling for a wide range of potential risk factors.
目的。在一项基于人群的女性样本中，研究儿童期父母长期失业与慢性疲劳综合征之间的关联。方法。使用逻辑回归对来自加拿大社区健康调查（2005年）的具有区域代表性的女性样本（n = 7288）的数据进行二次分析。控制了年龄、种族以及以下几组因素：（1）其他儿童期逆境，（2）成人健康行为和高血压，（3）成人应激源和社会经济地位，以及（4）成人心理健康。结果。仅对年龄和种族进行调整时，报告父母失业者患慢性疲劳综合征的比值比为4.12（95%置信区间：2.60，6.52），而未报告父母失业者为参照。在控制年龄、种族以及所有四组因素后，慢性疲劳综合征的比值比略有下降，降至3.05（95%置信区间：1.81，5.14），但仍具有统计学意义。结论。本研究提供了证据，表明即使在控制了广泛的潜在风险因素后，儿童期父母长期失业与慢性疲劳综合征之间仍存在显著关联。
