School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA.
Br J Haematol. 2022 Feb;196(4):1059-1068. doi: 10.1111/bjh.17962. Epub 2021 Dec 3.
Our aim was to determine differences in the prevalence of mental health disorders between Black Americans living with sickle cell disease (SCD) and Black Americans with other, non-heritable medical conditions, or no medical conditions. We examined the prevalence of mental health disorders among a non-institutionalized, community sample of Black adults in the US from the National Survey of American Life. We compared the odds of mental health disorders between Black American adults with SCD and those with other medical conditions, or no medical condition. Among the SCD group, 38·8% reported at least one mental health disorder: 17·6% endorsed a mood disorder, 24·7% an anxiety disorder, 2·4% an eating disorder, and 11·8% a childhood disorder. Compared to those with other medical conditions, Black Americans with SCD had greater poverty, more children in the household, and were less likely to be married/cohabitating (all P < 0·05). Yet, Black Americans with SCD were not at greater odds of having a mental health disorder compared to those with other medical conditions. When compared to the group with no conditions, however, individuals with SCD had 2·57 greater odds of mood disorder (95% confidence interval: 1·43-4·65; P = 0·002). The effect remained when controlling for socioeconomic status, marital status, and perceived physical health. In this study, almost 40% of Black American adults with SCD presented with a mental health disorder. Prevalence of mental health disorders was similar among those with non-heritable medical conditions, but those without a medical condition had a lower prevalence than in SCD. Among Black Americans, there appear to be unmeasured factors, common across medical conditions, that are linked to mental health disorders.
我们的目的是确定患有镰状细胞病 (SCD) 的美国黑人与患有其他非遗传性疾病或无任何疾病的美国黑人之间心理健康障碍的患病率差异。我们在美国全国生活调查中对非住院的美国黑人成年人社区样本进行了心理健康障碍患病率的调查。我们比较了 SCD 组和其他疾病组或无疾病组的美国黑人成年人患心理健康障碍的几率。在 SCD 组中，38.8%的人报告至少有一种心理健康障碍：17.6%的人患有情绪障碍，24.7%的人患有焦虑障碍，2.4%的人患有饮食障碍，11.8%的人患有儿童期障碍。与其他患有疾病的人相比，患有 SCD 的美国黑人更贫困，家中孩子更多，已婚/同居的可能性更小（均 P<0.05）。然而，与其他患有疾病的人相比，患有 SCD 的美国黑人患心理健康障碍的几率并没有更高。然而，与没有疾病的人相比，患有 SCD 的人患情绪障碍的几率高出 2.57 倍（95%置信区间：1.43-4.65；P=0.002）。在控制社会经济地位、婚姻状况和感知身体健康状况后，这种相关性仍然存在。在这项研究中，近 40%的患有 SCD 的美国黑人成年人患有心理健康障碍。在患有非遗传性疾病的人群中，心理健康障碍的患病率相似，但没有疾病的人群的患病率低于 SCD 组。在美国黑人中，似乎存在一些未被测量的因素，这些因素在所有疾病中都很常见，与心理健康障碍有关。
