目的:在全国范围内对癌症患者抑郁症状的影响因素进行研究,包含一组全面的变量是有限的。这项研究旨在通过全国性的横断面分析来确定与癌症患者抑郁症状相关的因素,从而解决这一差距。
方法:各种因素,包括人口统计,社会经济,行为模式,一般和自我评估的健康状况,慢性疾病,饮食习惯,和癌症相关因素,进行了检查。数据来自国家健康和营养检查调查。进行单变量和多变量逻辑回归分析以确定相关因素。受试者工作特征(ROC)曲线用于评估逻辑模型的性能。
结果:研究结果表明,五个社会人口统计学因素,两种行为方式,自我评估的健康状况,同时患有关节炎,两种饮食因素和两种癌症相关因素与抑郁症状密切相关.与20-39岁的人相比,40~59岁(OR=0.48,P<0.05)和60岁及以上(OR=0.18,P<0.05)的癌症患者抑郁发生率较低.积极因素包括未结婚(OR=1.98,P<0.05)。寡妇,离婚或分居(OR=1.75,P<0.05),失业率(OR=1.87,P<0.05),当前吸烟(OR=1.84,P<0.05),睡眠不足(OR=1.96,P<0.05),关节炎合并症(OR=1.79,P<0.05),自评健康状况较差(OR=3.53,P<0.05)。2015年健康饮食指数和饮食炎症指数与抑郁症之间没有显着关联(P>0.05)。较短的癌症诊断时间与抑郁几率降低相关(P<0.05)。Logistic模型的曲线下面积为0.870(95%CI:0.846-0.894,P<0.05)。
结论:癌症患者在培养健康的生活方式和饮食的同时,应该得到更多的家庭和社会支持。结合了大量的水果,绿色,豆子是高度推荐的,建立全面的健康管理框架。
OBJECTIVE: Research on factors contributing to depressive symptoms in cancer patients at a national level, encompassing a comprehensive set of variables was limited. This study aimed to address this gap by identifying the factors associated with depressive symptoms among cancer patients through a nationwide cross-sectional analysis.
METHODS: Various factors, including demographic, socioeconomic, behavioral patterns, general and self-rated health status, chronic conditions, dietary habits, and cancer-related factors, were examined. Data was from the National Health and Nutrition Examination Survey. Univariate and multivariate logistic regression analyses were performed to identify associated factors. The receiver-operating characteristic (ROC) curve was used to evaluate the performance of the logistic model.
RESULTS: The findings showed that five sociodemographic factors, two behavioral styles, self-rated health status, comorbid arthritis, two dietary factors and two cancer-related factors were strongly associated with depressive symptoms. Compared with those aged 20-39 years, cancer individuals aged 40-59 years (OR = 0.48, P < 0.05) and those 60 years or older (OR = 0.18, P < 0.05) had lower odds of depression. Positive factors included being never married (OR = 1.98, P < 0.05), widowed, divorced or separated (OR = 1.75, P < 0.05), unemployment (OR = 1.87, P < 0.05), current smoking (OR = 1.84, P < 0.05), inadequate sleep (OR = 1.96, P < 0.05), comorbid arthritis (OR = 1.79, P < 0.05), and poor self-rated health status (OR = 3.53, P < 0.05). No significant association was identified between the Healthy Eating Index 2015 and the Dietary Inflammatory Index with depression (P > 0.05). Shorter cancer diagnosis duration was associated with reduced odds of depression (P < 0.05). The logistic model had an area under the curve of 0.870 (95% CI: 0.846-0.894, P < 0.05).
CONCLUSIONS: Cancer patients should receive enhanced family and social support while cultivating a healthy lifestyle and diet. Incorporating plenty of fruits, greens, and beans is highly recommended, along with establishing a comprehensive health management framework.