Master of Public Health Program, Morehouse School of Medicine, Atlanta, GA, USA.
Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA.
Psychooncology. 2018 Aug;27(8):2039-2044. doi: 10.1002/pon.4770. Epub 2018 Jun 8.
According to the American Cancer Society, 25% of cancer survivors in the United States develop depression. The objective of this study is to assess factors associated with self-reported history of depression diagnosis among cancer survivors aged ≥18 years in the United States.
Data were analyzed from the 2014 Behavioral Risk Factor Surveillance System (N = 6079). The Behavioral Risk Factor Surveillance System collects data about US residents regarding their health-related risk behaviors and events, chronic health conditions, and use of preventive services. Respondents were considered to have a history of depression diagnosis if they answered yes to the question "Has a doctor or other health care provider EVER told you that you have a depressive disorder, including depression, major depression, dysthymia, or minor depression?" Bivariate and multivariable logistic regression analyses were conducted to assess factors associated with depression in cancer survivors. Analyses were conducted using SAS 9.4.
After adjusting for demographic and socioeconomic factors, females (AOR: 1.70; 95% CI, 1.50-1.97); those with an annual household income of $24 999 or less (AOR: 2.48; 95% CI, 1.95-3.16); $25 000 to $49 999 (AOR: 1.62; 95% CI, 1.31-2.02), and $50 000 to $74 999 (AOR: 1.35; 95% CI, 1.10-1.71); those who were not married (AOR = 1.37; 95% CI, 1.17-1.60); and those who perceived their health as poor (AOR = 2.33; 95% CI, 2.01-2.70), were significantly more likely to report a diagnosis of depression.
The results indicate that gender, income, marital status, and perceived health status were associated with self-reported depression among cancer survivors aged ≥18 years in the United States.
根据美国癌症协会的数据，美国有 25%的癌症幸存者患有抑郁症。本研究的目的是评估美国≥18 岁癌症幸存者中自我报告的抑郁症诊断史相关因素。
对 2014 年行为风险因素监测系统（N=6079）的数据进行了分析。行为风险因素监测系统收集了美国居民有关其健康相关风险行为和事件、慢性健康状况以及使用预防服务的数据。如果受访者回答“医生或其他医疗保健提供者是否曾告诉过您患有抑郁障碍，包括抑郁症、重度抑郁症、心境恶劣或轻度抑郁症？”，则认为他们有抑郁症诊断史。采用双变量和多变量逻辑回归分析评估癌症幸存者中与抑郁相关的因素。使用 SAS 9.4 进行分析。
在调整了人口统计学和社会经济因素后，女性（AOR：1.70；95%CI，1.50-1.97）；家庭年收入在 24999 美元或以下（AOR：2.48；95%CI，1.95-3.16）；$25000 至$49999（AOR：1.62；95%CI，1.31-2.02）和$50000 至$74999（AOR：1.35；95%CI，1.10-1.71）；未婚者（AOR=1.37；95%CI，1.17-1.60）；以及自我评估健康状况较差者（AOR=2.33；95%CI，2.01-2.70），更有可能报告抑郁症诊断。
结果表明，性别、收入、婚姻状况和自我评估的健康状况与美国≥18 岁癌症幸存者自我报告的抑郁症相关。
