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基层医疗诊所患者中暴露因素与自杀行为之间的关联

Association between Exposure and Suicidal Behavior in Patients Attending Primary Health Care Clinics.

作者信息

Alvarado-Esquivel Cosme, Estrada-Martínez Sergio, Ramos-Nevárez Agar, Pérez-Álamos Alma Rosa, Beristain-García Isabel, Alvarado-Félix Ángel Osvaldo, Cerrillo-Soto Sandra Margarita, Sifuentes-Álvarez Antonio, Alvarado-Félix Gustavo Alexis, Guido-Arreola Carlos Alberto, Saenz-Soto Leandro

机构信息

Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State, Avenida Universidad S/N, Durango 34000, Mexico.

Institute for Scientific Research "Dr Roberto Rivera-Damm", Juárez University of Durango State, Avenida Universidad S/N, Durango 34000, Mexico.

出版信息

Pathogens. 2021 May 30;10(6):677. doi: 10.3390/pathogens10060677.

Abstract

This study aimed to determine the association between suicidal behavior and seroreactivity in 2045 patients attending primary care clinics. IgG antibodies against were found in 37 (12.1%) out of 306 individuals with a history of suicidal ideation and in 134 (7.7%) of 1739 individuals without this history (OR: 1.64; 95% CI: 1.11-2.42; = 0.01). Seropositivity to was associated with suicidal ideation in women (OR: 1.56; 95% CI: 1.01-2.42; = 0.03) and individuals aged ≤30 years (OR: 3.25; 95% CI: 1.53-6.88; = 0.001). No association between the rates of high (>150 IU/mL) levels of anti- IgG antibodies and suicidal ideation or suicide attempts was found. IgG antibodies against were found in 22 of 185 (11.9%) individuals with a history of suicide attempts and in 149 (8.0%) of 1860 individuals without this history (OR: 1.54; 95% CI: 0.96-2.49; = 0.06). The seroprevalence of infection was associated with suicide attempts in individuals aged 31-50 years (OR: 2.01; 95% CI: 1.09-3.71; = 0.02), and with more than three suicide attempts (OR: 4.02; 95% CI: 1.34-12.03; = 0.008). Our results indicate that exposure is associated with suicidal behavior among patients attending primary care clinics.

摘要

本研究旨在确定2045名到初级保健诊所就诊的患者中自杀行为与血清反应性之间的关联。在306名有自杀意念史的个体中,37名(12.1%)检测到针对[某种物质]的IgG抗体;在1739名无自杀意念史的个体中,134名(7.7%)检测到该抗体(比值比:1.64;95%置信区间:1.11 - 2.42;P = 0.01)。对[某种物质]的血清阳性与女性自杀意念相关(比值比:1.56;95%置信区间:1.01 - 2.42;P = 0.03),也与年龄≤30岁的个体自杀意念相关(比值比:3.25;95%置信区间:1.53 - 6.88;P = 0.001)。未发现抗[某种物质]IgG抗体高水平(>150 IU/mL)发生率与自杀意念或自杀未遂之间存在关联。在185名有自杀未遂史的个体中,22名(11.9%)检测到针对[某种物质]的IgG抗体;在1860名无自杀未遂史的个体中,149名(8.0%)检测到该抗体(比值比:1.54;95%置信区间:0.96 - 2.49;P = 0.06)。[某种物质]感染的血清阳性率与31 - 50岁个体的自杀未遂相关(比值比:2.01;95%置信区间:1.09 - 3.71;P = 0.02),也与三次以上自杀未遂相关(比值比:4.02;95%置信区间:1.34 - 12.03;P = 0.008)。我们的结果表明,在到初级保健诊所就诊的患者中,[某种物质]暴露与自杀行为相关。

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