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夜尿症与自杀意念之间的关系:一项基于美国国家健康与营养检查调查数据的研究。

The relationship between nocturia and suicidal ideation: A study on The National Health and Nutrition Survey data.

作者信息

Ma Ke, Chen Chen, Shen Liyang, Tang Peng, Guan Rijian

机构信息

Department of Urology, First People's Hospital of Linping District, Hangzhou, China.

Department of Urology, The Quzhou Affiliated Hospital of Wenzhou Medical University (Quzhou People's Hospital), Quzhou, China.

出版信息

Neurourol Urodyn. 2024 Nov;43(8):2195-2206. doi: 10.1002/nau.25537. Epub 2024 Jul 8.

Abstract

OBJECTIVES

The focus of this research was to explore any potential link between nocturia and the risk of suicidal ideation.

METHODS

Drawing from the National Health and Nutrition Survey, data relating to 25 241 participants was scrutinized. This included 13 421 individuals identifying as male and 11 820 individuals identifying as female. Participants provided information on nocturia and suicidal ideation via self-completed questionnaires. To determine if nocturia was independently related to suicidal ideation, a multivariable logistic regression analysis was employed. Analyses were also undertaken separately for adult males and females.

RESULTS

It was found that around 3.5% of participants had experienced suicidal ideation. The results indicated that nocturia increased the risk for suicidal ideation in all adult groups (odds ratio [OR] = 1.67, 95% confidence interval[CI]: 1.37-2.03, p < 0.0001), including both males (OR = 1.91, 95% CI: 1.38-2.65, p < 0.001) and females (OR = 1.48, 95% CI: 1.158-1.90, p = 0.002). The risk for suicidal ideation increased with the severity of nocturia, with significant trends observed in adult males (p for trend = 0.04) and adult females (p for trend = 0.01). Additionally, subgroup examination showed a significant interaction between nocturia and educational level in adult males (p for interaction = 0.03). Among adult females, a noteworthy interaction was observed between nocturia and body mass index (p for interaction = 0.02).

CONCLUSION

The research uncovered a connection between nocturia and an elevated risk of suicidal ideation.

摘要

目的

本研究的重点是探讨夜尿症与自杀意念风险之间的任何潜在联系。

方法

从国家健康与营养调查中提取数据,对25241名参与者的数据进行了仔细审查。其中包括13421名男性和11820名女性。参与者通过自行填写问卷提供了有关夜尿症和自杀意念的信息。为了确定夜尿症是否与自杀意念独立相关,采用了多变量逻辑回归分析。还分别对成年男性和女性进行了分析。

结果

发现约3.5%的参与者有过自杀意念。结果表明,夜尿症增加了所有成年组自杀意念的风险(优势比[OR]=1.67,95%置信区间[CI]:1.37 - 2.03,p<0.0001),包括男性(OR = 1.91,95% CI:1.38 - 2.65,p<0.001)和女性(OR = 1.48,95% CI:1.158 - 1.90,p = 0.002)。自杀意念的风险随着夜尿症严重程度的增加而增加,在成年男性(趋势p值 = 0.04)和成年女性(趋势p值 = 0.01)中观察到显著趋势。此外,亚组检查显示成年男性夜尿症与教育水平之间存在显著交互作用(交互作用p值 = 0.03)。在成年女性中,观察到夜尿症与体重指数之间存在显著交互作用(交互作用p值 = 0.02)。

结论

该研究揭示了夜尿症与自杀意念风险升高之间的联系。

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