Abstract：
OBJECTIVE: To examine the psychiatric and physical health burden of obstructive respiratory disease in a nationally representative sample of U.S. Veterans.
METHODS: Secondary data analyses were conducted using data from the 2019-2020 National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of U.S. Veterans. Participants self-reported health professional-diagnosed obstructive respiratory disease (i.e., asthma, chronic bronchitis or chronic obstructive pulmonary disease). Veterans who reported obstructive respiratory disease (n = 502) were compared to veterans without this disease but with at least one or more other medical conditions-controls (n = 3169) on measures of sociodemographic, trauma, psychiatric, and physical health characteristics. Multivariable regression analyses examined independent associations between obstructive respiratory disease and psychiatric conditions and physical characteristics.
RESULTS: A total 12.5% of the sample reported a diagnosis of obstructive respiratory disease. Compared to controls, veterans with obstructive respiratory disease were more likely to be female, unmarried/partnered, lower income, residing in the Midwest, receiving VA healthcare, and had greater lifetime and childhood trauma burden. In adjusted analyses, veterans with respiratory disease had 47-91% greater odds of screening positive for current posttraumatic stress, major depressive, and generalized anxiety disorders, and had 48% greater odds of current suicide ideation. They were also more likely to have lifetime nicotine use disorder and had more medical comorbidities and more severe somatic symptoms.
CONCLUSIONS: Obstructive respiratory disease is prevalent among U.S. veterans and associated with significant mental and physical health burden. Results highlight the need for timely screening and treatment for psychiatric and medical conditions that are highly comorbid with obstructive respiratory disease in this population.
METHODS: Secondary data analyses were conducted using data from the 2019-2020 National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of U.S. Veterans. Participants self-reported health professional-diagnosed obstructive respiratory disease (i.e., asthma, chronic bronchitis or chronic obstructive pulmonary disease). Veterans who reported obstructive respiratory disease (n = 502) were compared to veterans without this disease but with at least one or more other medical conditions-controls (n = 3169) on measures of sociodemographic, trauma, psychiatric, and physical health characteristics. Multivariable regression analyses examined independent associations between obstructive respiratory disease and psychiatric conditions and physical characteristics.
RESULTS: A total 12.5% of the sample reported a diagnosis of obstructive respiratory disease. Compared to controls, veterans with obstructive respiratory disease were more likely to be female, unmarried/partnered, lower income, residing in the Midwest, receiving VA healthcare, and had greater lifetime and childhood trauma burden. In adjusted analyses, veterans with respiratory disease had 47-91% greater odds of screening positive for current posttraumatic stress, major depressive, and generalized anxiety disorders, and had 48% greater odds of current suicide ideation. They were also more likely to have lifetime nicotine use disorder and had more medical comorbidities and more severe somatic symptoms.
CONCLUSIONS: Obstructive respiratory disease is prevalent among U.S. veterans and associated with significant mental and physical health burden. Results highlight the need for timely screening and treatment for psychiatric and medical conditions that are highly comorbid with obstructive respiratory disease in this population.
摘要：
目的：在美国退伍军人的全国代表性样本中，研究阻塞性呼吸系统疾病的精神和身体健康负担。
方法：次要数据分析使用2019-2020年国家退伍军人健康和复原力研究的数据进行。调查了美国退伍军人的全国代表性样本。参与者自我报告健康专业诊断的阻塞性呼吸系统疾病(即，哮喘,慢性支气管炎或慢性阻塞性肺疾病）。将报告阻塞性呼吸系统疾病的退伍军人（n=502）与没有这种疾病但至少有一种或多种其他医疗条件的退伍军人进行比较（n=3169）在社会人口统计学指标上，创伤,精神病学,和身体健康的特点。多变量回归分析检查了阻塞性呼吸系统疾病与精神疾病和身体特征之间的独立关联。
结果：总共12.5%的样本报告诊断为阻塞性呼吸系统疾病。与对照组相比，患有阻塞性呼吸系统疾病的退伍军人更有可能是女性，未婚/伴侣,收入较低,居住在中西部，接受VA医疗保健，一生和童年的创伤负担更大。在调整后的分析中，患有呼吸系统疾病的退伍军人对当前的创伤后压力筛查呈阳性的可能性增加了47-91％，重度抑郁,和广泛性焦虑症，目前自杀想法的几率要高出48%。他们也更可能患有终生尼古丁使用障碍，并且有更多的医学合并症和更严重的躯体症状。
结论：阻塞性呼吸系统疾病在美国退伍军人中普遍存在，并与重大的身心健康负担有关。结果突出表明，需要及时筛查和治疗该人群中与阻塞性呼吸系统疾病高度合并症的精神病和医疗状况。
方法：次要数据分析使用2019-2020年国家退伍军人健康和复原力研究的数据进行。调查了美国退伍军人的全国代表性样本。参与者自我报告健康专业诊断的阻塞性呼吸系统疾病(即，哮喘,慢性支气管炎或慢性阻塞性肺疾病）。将报告阻塞性呼吸系统疾病的退伍军人（n=502）与没有这种疾病但至少有一种或多种其他医疗条件的退伍军人进行比较（n=3169）在社会人口统计学指标上，创伤,精神病学,和身体健康的特点。多变量回归分析检查了阻塞性呼吸系统疾病与精神疾病和身体特征之间的独立关联。
结果：总共12.5%的样本报告诊断为阻塞性呼吸系统疾病。与对照组相比，患有阻塞性呼吸系统疾病的退伍军人更有可能是女性，未婚/伴侣,收入较低,居住在中西部，接受VA医疗保健，一生和童年的创伤负担更大。在调整后的分析中，患有呼吸系统疾病的退伍军人对当前的创伤后压力筛查呈阳性的可能性增加了47-91％，重度抑郁,和广泛性焦虑症，目前自杀想法的几率要高出48%。他们也更可能患有终生尼古丁使用障碍，并且有更多的医学合并症和更严重的躯体症状。
结论：阻塞性呼吸系统疾病在美国退伍军人中普遍存在，并与重大的身心健康负担有关。结果突出表明，需要及时筛查和治疗该人群中与阻塞性呼吸系统疾病高度合并症的精神病和医疗状况。
