Brian A. Primack, MD, PhD, ariel Shensa, PhD, Jaime E. Sidani, PhD, César G. Escobar-Viera, MD, PhD, Michael J. Fine, MD, MSc
E phatlalalitsoe: December 10, 2020
DOI: https://doi.org/10.1016/j.amepre.2020.09.014
Selelekela
Boithuto ba pejana bo bonts'itse mekhatlo e arohaneng pakeng tsa ts'ebeliso ea media ea sechaba le khatello ea maikutlo, empa mekhatlo ea bona ea nakoana le ea tataiso ha e so tlaleoe.
mekhoa
Ho 2018, bankakarolo ba lilemo li 18-30 ba ile ba hiroa ho latela litšobotsi tsa Census ea US, ho kenyeletsoa lilemo, bong, morabe, thuto, lekeno la lelapa le sebaka sa libaka. Barupeluoa ba itlaleha ba sebelisa mecha ea litaba ea sechaba motheong oa lethathamo la marang-rang a holimo a 10 a litaba tsa sechaba, a emelang> 95% ea ts'ebeliso ea media ea sechaba. Ho tepella maikutlo ho ile ha hlahlojoa ho sebelisoa lipotso tsa 9-Item Patient Health Questionnaire. Kakaretso ea li-covariate tse 9 tse amanang le maemo a bophelo li ile tsa hlahlojoa. Mehato eohle e ile ea hlahlojoa ho latela lintlha tsa mantlha tsa bobeli le likhoeli tse 6.
Results
Har'a barupeluoa ba 990 ba neng ba sa tepella maikutlong qalong, 95 (9.6%) e ile ea ba le khatello ea maikutlo ka ho latela. Liphuputsong tse ngata tse ileng tsa etsoa ka 2020 tse laoloang bakeng sa li-covariate tsohle le ho kenyelletsa litekanyo tsa lipatlisiso, ho ne ho e-na le mokhatlo oa bohlokoa o fapaneng (p<0.001) lipakeng tsa ts'ebeliso ea mantlha ea litaba tsa sechaba le nts'etsopele ea khatello ea maikutlo molemong o mong le o mong oa ts'ebeliso ea media ea sechaba. Ha li bapisoa le tsa quartile e tlase ka ho fetesisa, bankakarolo ba li-quartile tse phahameng ka ho fetesisa tsa ts'ebeliso ea media ea sechaba ba ne ba eketsehile haholo mathata a ho holofala (AOR = 2.77, 95% CI = 1.38, 5.56). Leha ho le joalo, ho ne ho se na kamano lipakeng tsa boteng ba khatello ea maikutlo ea mantlha le ts'ebeliso e ntseng e eketseha ea litaba tsa sechaba ho latela (OR = 1.04, 95% CI = 0.78, 1.38). Liphetho li ne li le matla ho litlhahlobo tsohle tsa kutloisiso.
Nahanisisa
Mohlala oa naha oa bacha ba baholo, ts'ebeliso ea mantlha ea litaba tsa sechaba e ne e amahanngoa le nts'etsopele ea khatello ea maikutlo ka ho latela, empa khatello ea maikutlo ea mantlha e ne e sa amane le keketseho ea ts'ebeliso ea media ea sechaba kamora ho e latela. Moetso ona o fana ka maikutlo a likamano tsa nakoana lipakeng tsa ts'ebeliso ea media ea sechaba le khatello ea maikutlo, e leng moelelo oa bohlokoa oa se bakang.
Phuputso ena e fana ka lintlha tsa pele tse kholo tse batlisisang tataiso ea SMU le khatello ea maikutlo. E fumana likamano tse matla lipakeng tsa SMU ea mantlha le kholo e latelang ea khatello ea maikutlo empa ha ho keketseho ea SMU kamora ho tepella maikutlong. Moetso ona o fana ka maikutlo a mekhatlo ea nakoana lipakeng tsa SMU le khatello ea maikutlo, e leng moelelo oa bohlokoa oa ho ba teng. Liphetho tsena li fana ka maikutlo a hore litsebi tse sebetsang le bakuli ba tepelletseng maikutlo li lokela ho amohela SMU e le kotsi e ka hlahang e ka hlahang bakeng sa nts'etsopele le ho mpefala ha khatello ea maikutlo.
;