Nicholson Brooke, Morse Shawn, Lundgren Terra, Vadiei Nina, Bhattacharjee Sandipan
Pharmacist, Banner University Medical Center South, Tucson, Arizona.
Pharmacist, Walmart, Sierra Vista, Arizona.
Ment Health Clin. 2020 Jul 2;10(4):222-231. doi: 10.9740/mhc.2020.07.222. eCollection 2020 Jul.
The purpose of this study was to evaluate the effect of depression on health behavior among myocardial infarction (MI) survivors.
This retrospective, cross-sectional study used publicly available 2015 Behavioral Risk Factor Surveillance System (BRFSS) data. Our study sample includes adults aged 50 years or older who completed the 2015 BRFSS survey and reported having MI. The BRFSS participants with a response to the question, were identified as MI survivors. The presence or absence of depression among MI survivors was identified using a similar question. Health behaviors, the dependent variable of this study, included physical activity, smoking status, alcohol use, body mass index, last flu immunization, last physical checkup, last blood cholesterol check, heavy drinking, and vegetable and fruit consumption. Univariate (χ tests) and multivariable (binomial logistic regression) analyses were used to assess the differences in health behaviors between MI survivors with or without depression.
Our final study sample consists of 20 483 older adults with MI among whom 5343 (26.19%) reported having depression. Multivariable analyses reveal MI survivors with depression are more overweight, have less physical activity, and have higher likelihood of smoking but less odds of consuming alcohol compared to MI survivors without depression.
In this nationally representative sample of adults aged over 50 years in the United States, MI survivors with depression exhibited poorer health behaviors compared to those without depression.
本研究旨在评估抑郁症对心肌梗死（MI）幸存者健康行为的影响。
这项回顾性横断面研究使用了公开可得的2015年行为风险因素监测系统（BRFSS）数据。我们的研究样本包括年龄在50岁及以上、完成了2015年BRFSS调查并报告患有心肌梗死的成年人。对该问题有回应的BRFSS参与者被确定为心肌梗死幸存者。通过类似问题确定心肌梗死幸存者中是否存在抑郁症。健康行为作为本研究的因变量，包括身体活动、吸烟状况、饮酒情况、体重指数、最近一次流感疫苗接种、最近一次体检、最近一次血液胆固醇检查、酗酒以及蔬菜和水果摄入量。采用单变量（χ检验）和多变量（二项逻辑回归）分析来评估有或无抑郁症的心肌梗死幸存者在健康行为方面的差异。
我们的最终研究样本包括20483名患有心肌梗死的老年人，其中5343人（26.19%）报告患有抑郁症。多变量分析显示，与没有抑郁症的心肌梗死幸存者相比，患有抑郁症的心肌梗死幸存者超重情况更严重，身体活动更少，吸烟可能性更高，但饮酒几率更低。
在美国这个具有全国代表性的50岁以上成年人样本中，患有抑郁症的心肌梗死幸存者与没有抑郁症的幸存者相比，健康行为更差。
