College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
Spinal Cord. 2019 May;57(5):367-371. doi: 10.1038/s41393-018-0227-3. Epub 2018 Dec 20.
Cross-sectional study.
The purposes of this study were to assess (i) prevalence of self-reported multiple chronic conditions (MCC) in a population-based cohort of persons with traumatic spinal cord injury (TSCI) and (ii) the association between health-related behaviors and MCC.
Population-based TSCI cohort.
Participants included 716 adults with TSCI of at least 1-year duration who were identified through a population-based TSCI surveillance system. Standard questions from the Behavioral Risk Factor Surveillance System measured cigarette smoking, binge drinking, planned exercises, and 10 chronic health conditions (CHC), including diabetes, heart attack, angina (or coronary artery disease), stroke, cancer, asthma, kidney disease, arthritis, depressive disorder, chronic obstructive pulmonary disease. MCC was defined as having two or more CHCs in this study. Multivariate logistic regression models were used to assess the association between health-related behaviors and MCC.
Almost half (45%) of the study sample had MCC. After controlling for demographic and injury characteristics, participants with smoking history of at least 100 cigarettes were 59% more likely to develop MCC, and those who had planned exercises at least three times a week were 36% less likely to have MCC.
We found MCC prevalence was high among people with TSCI, and MCC was associated with cigarette smoking and planned exercise.
横断面研究。
本研究旨在评估（i）在创伤性脊髓损伤（TSCI）人群中基于人群的队列中自我报告的多种慢性疾病（MCC）的患病率，以及（ii）健康相关行为与 MCC 之间的关系。
基于人群的 TSCI 队列。
参与者包括通过基于人群的 TSCI 监测系统确定的至少 1 年病程的 716 名成年人。行为风险因素监测系统的标准问题衡量了吸烟、狂饮、计划运动以及 10 种慢性健康状况（CHC），包括糖尿病、心脏病发作、心绞痛（或冠状动脉疾病）、中风、癌症、哮喘、肾病、关节炎、抑郁障碍、慢性阻塞性肺疾病。本研究中将两种或多种 CHC 定义为 MCC。使用多变量逻辑回归模型评估健康相关行为与 MCC 之间的关联。
研究样本中几乎有一半（45%）的人患有 MCC。在控制人口统计学和损伤特征后，有至少 100 支香烟吸烟史的参与者发生 MCC 的可能性增加 59%，而每周至少计划运动 3 次的参与者发生 MCC 的可能性降低 36%。
我们发现 TSCI 患者的 MCC 患病率很高，并且 MCC 与吸烟和计划运动有关。
