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绝经后女性耳鸣与自杀意念之间的关联:一项观察性研究。

Association Between Tinnitus and Suicidal Ideation in Postmenopausal Women: An Observational Study.

作者信息

Wang Kexin, Cui Ying, Wu Tong

机构信息

Department of Gynecology (KW), People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China.

Department of Public Health Science (YC), Graduate School and Transdisciplinary Major in Learning Health Systems, Graduate School, Korea University, Seoul, South Korea.

出版信息

Am J Geriatr Psychiatry. 2025 Apr;33(4):405-412. doi: 10.1016/j.jagp.2024.10.012. Epub 2024 Nov 8.

Abstract

OBJECTIVE

Tinnitus has been linked to mental health concerns, including suicidal ideation. This study, using data from the National Health and Nutrition Examination Survey (NHANES), investigates the association between tinnitus and suicidal ideation in postmenopausal women, aiming to identify tinnitus as a potential risk factor for suicidal thoughts in this population.

METHOD

A total of 1,792 postmenopausal women were included after excluding males, premenopausal women, and participants with missing data on tinnitus, suicidal ideation, or key covariates. Multivariable logistic regression models were used to examine the relationship between tinnitus and suicidal ideation, with adjustments for relevant confounders. Data were drawn from the NHANES database, specifically from the 2011 to 2012, 2015 to 2016, and 2017 to 2018 survey cycles.

RESULTS

Of the 1,792 postmenopausal women, 4.41% reported suicidal ideation. Tinnitus prevalence was significantly higher in women with suicidal ideation (P = 0.007). Weighted multivariable logistic regression revealed that women with tinnitus had 2.43 times higher odds of reporting suicidal ideation compared to those without tinnitus (OR: 2.43, 95% CI: 1.07-5.52, P = 0.035).

CONCLUSION

Tinnitus appears to be a significant factor associated with suicidal ideation in postmenopausal women. These findings underscore the importance of considering tinnitus in mental health assessments, especially among individuals at risk for suicidal thoughts.

摘要

目的

耳鸣已与包括自杀意念在内的心理健康问题相关联。本研究利用美国国家健康与营养检查调查(NHANES)的数据,调查绝经后女性耳鸣与自杀意念之间的关联,旨在确定耳鸣是该人群自杀想法的潜在危险因素。

方法

排除男性、绝经前女性以及耳鸣、自杀意念或关键协变量数据缺失的参与者后,共纳入1792名绝经后女性。使用多变量逻辑回归模型来检验耳鸣与自杀意念之间的关系,并对相关混杂因素进行调整。数据取自NHANES数据库,具体来自2011年至2012年、2015年至2016年以及2017年至2018年的调查周期。

结果

在1792名绝经后女性中,4.41%报告有自杀意念。有自杀意念的女性耳鸣患病率显著更高(P = 0.007)。加权多变量逻辑回归显示,与无耳鸣的女性相比,有耳鸣的女性报告自杀意念的几率高2.43倍(比值比:2.43,95%置信区间:1.07 - 5.52,P = 0.035)。

结论

耳鸣似乎是绝经后女性自杀意念的一个重要相关因素。这些发现强调了在心理健康评估中考虑耳鸣的重要性,尤其是在有自杀想法风险的个体中。

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