Annals of Epidemiology最新文献

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Contextualizing the Conclusion Generator: From the ASA statement to PhD curriculum. 结论生成器的语境化：从 ASA 声明到博士课程。

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-10-03 DOI: 10.1016/j.annepidem.2024.09.006

Morten Schmidt, Erik Parner

引用次数: 0

Acute gastrointestinal symptoms associated with oil spill exposures among U.S. coast guard responders to the Deepwater Horizon oil spill 深水地平线 "号漏油事件中美国海岸警卫队救灾人员接触漏油后出现的急性胃肠道症状

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-24 DOI: 10.1016/j.annepidem.2024.09.004

Craig Anderson , Jayasree Krishnamurthy , Jordan McAdam , Hristina Denic-Roberts , Ellie Priest , Dana Thomas , Lawrence S. Engel , Jennifer Rusiecki

Purpose

Research investigating gastrointestinal (GI) symptoms from oil spill-related exposures is sparse. We evaluated prevalent GI symptoms among U.S. Coast Guard responders deployed to the Deepwater Horizon oil spill cleanup.

Methods

Crude oil (via skin contact, inhalation, or ingestion routes), combined crude oil/oil dispersant exposures, other deployment exposures, deployment characteristics, demographics, and acute GI symptoms during deployment (i.e., nausea/vomiting, diarrhea, stomach pain, and constipation) were ascertained cross-sectionally via a post-deployment survey (median time between deployment end and survey completion 185 days) (N = 4885). Log-binomial regression analyses were employed to calculate prevalence ratios (PRs) and 95 % confidence intervals (CI). Effect modification was evaluated.

Results

In adjusted models, responders in the highest (versus lowest) tertile of self-reported degree of skin contact to crude oil were more than twice as likely to report nausea/vomiting (PR=2.45; 95 %CI, 1.85–3.23), diarrhea (PR=2.40; 95 %CI, 2.00–2.88), stomach pain (PR=2.51; 95 %CI, 2.01–3.12), and constipation (PR=2.21; 95 %CI, 1.70–2.89). Tests for trend were statistically significant (p < 0.05). Results were similar for crude oil exposure via inhalation and ingestion. Higher PRs for all symptoms were found with combined crude oil/dispersant exposure than with crude oil exposure alone.

Conclusions

These results indicate positive associations between self-reported crude oil and combined crude oil/oil dispersant exposures and acute GI symptoms.

目的对石油泄漏相关暴露引起的胃肠道 (GI) 症状的研究很少。我们评估了部署到 "深水地平线 "溢油清理工作中的美国海岸警卫队救灾人员中普遍存在的胃肠道症状。方法调查了原油（通过皮肤接触、吸入或摄入途径）、原油/石油分散剂综合暴露、其他部署暴露、部署特征、人口统计学以及部署期间的急性胃肠道症状（即恶心/呕吐、腹泻、胃痛和便秘）、恶心/呕吐、腹泻、胃痛和便秘）通过部署后调查（部署结束与调查完成之间的中位时间为 185 天）横向确定（N = 4885）。采用对数二项式回归分析计算流行率 (PR) 和 95 % 置信区间 (CI)。结果在调整后的模型中，自我报告皮肤接触原油程度最高（相对于最低）三等分组中的应答者报告恶心/呕吐的可能性是其他应答者的两倍多（PR=2.45；95 %CI，1.85-3.23）、腹泻（PR=2.40；95 %CI，2.00-2.88）、胃痛（PR=2.51；95 %CI，2.01-3.12）和便秘（PR=2.21；95 %CI，1.70-2.89）的可能性高出一倍。趋势检验具有统计学意义（P < 0.05）。通过吸入和摄入接触原油的结果类似。结论这些结果表明，自我报告的原油和原油/石油消散剂联合暴露与急性消化道症状之间存在正相关。

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引用次数: 0

Gestational diabetes mellitus, body mass index, and cardiometabolic multimorbidity: A prospective cohort study 妊娠糖尿病、体重指数和心脏代谢多病症：前瞻性队列研究

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-23 DOI: 10.1016/j.annepidem.2024.09.002

Yue Zhang , Qingqing Tao , Yangyang Cheng , Muhammad Fawad , Zhaoxia Liang , Xiaolin Xu

Purpose

Gestational diabetes mellitus (GDM) could increase the risks of type 2 diabetes mellitus (T2DM) and cardiovascular disease. However, evidence on its association with cardiometabolic multimorbidity (CMM) was limited. This study aimed to evaluate the association between GDM and the prevalence, incidence, patterns, and progression of CMM; and the role of body mass index (BMI) in such association.

Methods

This study included 203,372 women who have given birth in UK Biobank. The diagnoses of GDM and cardiometabolic diseases (including stroke, coronary heart disease [CHD], and T2DM) were reported by participants or obtained through linkage to inpatient hospital data until 31st December 2020. BMI was assessed at the baseline assessment. CMM was defined as having two or more of included cardiometabolic diseases. Logistic regression models and Cox proportional hazard models were used to assess the association between GDM and CMM, and the modifications on both additive and multiplicative scales were assessed to evaluate the effect of BMI on such association.

Results

A total of 1217 women had a history of GDM, 2351 participants had CMM at the end of follow-up and 1601 was newly diagnosed during follow-up. GDM was associated with higher prevalence (odds ratio [OR]=4.64, 95 % confidence interval [95 % CI]=3.54–6.08) and incidence (hazard ratio [HR]=3.62, 95 % CI=2.62–5.00) of CMM. In particular, GDM was associated with higher odds of T2DM, coexisting T2DM and vascular disease, and T2DM followed by vascular disease. Formal testing for effect modification suggested multiplicative modification by BMI for the association between GDM and incident CMM.

Conclusions

GDM was associated with CMM in women’s late life, with multiplicative modification effects of BMI. Our results suggest that maternal and lifestyle interventions (e.g., weight management) are warranted for the primary and secondary prevention of CMM, particularly in women with a history of GDM.

目的妊娠期糖尿病（GDM）会增加罹患 2 型糖尿病（T2DM）和心血管疾病的风险。然而，有关妊娠糖尿病与心脏代谢多病症（CMM）之间关系的证据却很有限。本研究旨在评估 GDM 与 CMM 的患病率、发病率、模式和进展之间的关系，以及体重指数（BMI）在这种关系中的作用。截至 2020 年 12 月 31 日，GDM 和心血管代谢疾病（包括中风、冠心病 [CHD] 和 T2DM）的诊断由参与者报告，或通过与住院患者数据的连接获得。体重指数在基线评估时进行评估。CMM定义为患有两种或两种以上所包含的心脏代谢疾病。采用逻辑回归模型和Cox比例危险模型评估GDM与CMM之间的关联，并评估BMI对这种关联的影响。GDM与较高的CMM患病率（几率比[OR]=4.64，95 % 置信区间[95 % CI]=3.54-6.08）和发病率（危险比[HR]=3.62，95 % CI=2.62-5.00）相关。特别是，GDM 与 T2DM、T2DM 与血管疾病并存以及 T2DM 后患血管疾病的几率较高相关。对效应修正的正式测试表明，BMI 对 GDM 与 CMM 事件之间的关联有乘法修正作用。我们的研究结果表明，孕产妇干预和生活方式干预（如体重管理）可用于 CMM 的一级和二级预防，尤其适用于有 GDM 病史的妇女。

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引用次数: 0

Alignment of parent-proxy report and teen self-report of adverse childhood experiences among U.S. teens 美国青少年童年不良经历的父母代理报告与青少年自我报告的一致性。

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-23 DOI: 10.1016/j.annepidem.2024.09.001

Laima Licitis , Nicolas Suarez , Kayla N. Anderson , Marci F. Hertz , Jorge V. Verlenden , Melissa Heim Viox , Sanjana Pampati

Purpose

Data on adverse childhood experiences (ACEs) among teens is collected using a single informant, a parent-proxy, or teen self-report. Little is known about alignment between these approaches.

Methods

Surveys were administered online to teens ages 15–17 and their parents (n = 522 dyads) using the AmeriSpeak panel. We present descriptive statistics on the prevalence and measures agreement for 18 ACEs based on teen self-report and parent-proxy report. We fit multivariable models examining associations between teen and household demographic characteristics and discordance in ACE report.

Results

Based on teen-self report and parent-proxy report, cumulative and individual ACE prevalence was overall similar. However, discordance was found in individual ACE reports within teen-parent dyads (discordance ranged: 2.9–21.2 %). Lowest agreement was among ACEs related to abuse, neglect, and violence victimization and highest among household challenges. Furthermore, parent-teen dyads with LGB+ youth (vs. heterosexual) and Black, Hispanic, and multiracial or another race (vs. White) youth were more likely to have discordant responses among several ACEs.

Conclusions

Surveillance and programmatic efforts should consider the type of ACE and the reporter when using data to inform prevention strategies. Teen self-report for abuse, neglect, and violence victimization and community challenges ACEs are particularly important to capture.

目的：有关青少年童年不良经历（ACEs）的数据是通过单一信息提供者、父母代理或青少年自我报告收集的。目前对这些方法之间的一致性还知之甚少：我们使用 AmeriSpeak 小组对 15-17 岁的青少年及其父母（522 对）进行了在线调查。我们根据青少年自我报告和父母代理报告，对 18 种 ACE 的流行率和测量一致性进行了描述性统计。我们拟合了多变量模型，研究青少年和家庭人口特征与 ACE 报告不一致之间的关联：结果：根据青少年自我报告和家长代理报告，累积和个别 ACE 发生率总体上相似。然而，在青少年-家长二人组中，个别 ACE 报告存在不一致的情况（不一致程度在 2.9% - 21.2% 之间）。与虐待、忽视和暴力侵害相关的 ACE 的一致性最低，而与家庭挑战相关的 ACE 的一致性最高。此外，有女同性恋、男同性恋、双性恋和变性青少年（与异性恋青少年相比）以及黑人、西班牙裔和多种族或其他种族青少年（与白人青少年相比）的父母-青少年组合更有可能在几项ACE中出现不一致的反应：结论：在使用数据为预防策略提供信息时，监测和计划工作应考虑到 ACE 的类型和报告者。青少年自我报告的虐待、忽视和暴力伤害以及社区挑战 ACE 尤为重要。

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引用次数: 0

COMPARISON OF SUPPORT VECTOR REGRESSION AND BOX-COX POWER EXPONENTIAL-GENERALIZED ADDITIVE MODEL FOR LOCATION, SCALE, AND SHAPE (BCPE-GAMLSS) IN PREDICTION OF BODY MASS INDEX 支持向量回归与用于位置、尺度和形状的箱-柯克斯功率指数-广义加性模型（BCPE-GAMLSS）在预测体重指数方面的比较

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.067

D.R. Fernando, S. Samita, P. De Silva, N.P. Somasundaram, U. Senarath, P. Katulanda

引用次数: 0

Pilot study: Using data mining to develop a machine learning pipeline to identify characteristics of products claiming health benefits for women 试点研究：利用数据挖掘开发机器学习管道，识别声称对妇女健康有益的产品的特征

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.088

C. Trice , G. Dubrow , C.L. Taylor , M. Nali , T.K. Mackey , Z. Li , M.Z. Larsen , B.J. Wolpert

引用次数: 0

The probable role of barberries and herbal medicine in congenital anomalies and disorders in Darmian city, South Khorasan Province, Iran 伊朗南呼罗珊省达尔米安市的芭乐和草药对先天性畸形和疾病的可能作用

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.071

Mohammad Ismail Masinainejad , Narges Khanjani , Maryam Khodadadi , Ismail Najafi

引用次数: 0

Examining word patterns and trends in self-harm emergency department narratives 研究自我伤害急诊科叙述中的用词模式和趋势

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.062

L.E. Beagle, A.L. Cammack, G.F. Miller, N. Idaikkadar

引用次数: 0

Diagnosing irritable bowel syndrome with artificial intelligence: A systematic review and Meta-analysis 用人工智能诊断肠易激综合征：系统回顾与元分析

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.005

Nishad Badree BSc, Prakash Ramdass MD, MPH

引用次数: 0

Investigating telehealth for Medicaid SUD and MH Services 为医疗补助计划的药物滥用、精神失常和心理健康服务开展远程保健调查

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology

Pub Date : 2024-09-01 DOI: 10.1016/j.annepidem.2024.07.089

Akshaya Srikanth Bhagavathula

引用次数: 0

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