Journal of Asthma and Allergy (May 2024)

Healthcare Utilization, Physical and Psychiatric Comorbidities Before Self-Injurious Behavior in Patients with Asthma: A Nested Case-Control Study

  • Huang YH,
  • Chiou HC,
  • Pan CH,
  • Wang IS,
  • Liao YT,
  • Su SS,
  • Chen CC,
  • Kuo CJ

Journal volume & issue
Vol. Volume 17
pp. 411 – 420

Abstract

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Yen-Hsun Huang,1 Hsien-Chih Chiou,1 Chun-Hung Pan,1,2 I-Shuan Wang,1 Ya-Tang Liao,3 Sheng-Siang Su,1 Chiao-Chicy Chen,4– 6 Chian-Jue Kuo1,4,5 1Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan; 2Department of Psychology, National Chengchi University, Taipei, Taiwan; 3Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; 4Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; 5Psychiatric Research Center, Taipei Medical University Hospital, Taipei, Taiwan; 6Department of Psychiatry, Mackay Memorial Hospital, Taipei, TaiwanCorrespondence: Chian-Jue Kuo, Department of General Psychiatry, Taipei City Psychiatric Center, 309 Sung-Te Road, Taipei, 110, Taiwan, Email [email protected]: Patients with asthma experience more physical, psychological, and financial burdens; a link between asthma and suicidality has been reported in research.Purpose: This study analyzed the medical utilization and comorbidity before their self-injurious behavior in patients with asthma.Methods: We enrolled 186,862 patients newly diagnosed with asthma between 1999 and 2013 from the National Health Insurance Research Database in Taiwan. A total of 500 case subjects had ever conducted self-injurious behaviors during the study period. Based on a nested case-control study, each case was matched with 10 controls derived from the asthma cohort to analyze differences between them and their medical use models.Results: The results indicated that, compared to the control group, the cases presented higher frequencies of outpatient visits and hospitalizations. Regarding comorbidity, the cases had more cardiovascular diseases (adjusted odds ratio [aOR]=1.58; p< 0.001), bipolar disorder (aOR=2.97; p< 0.001), depression (aOR=4.44; p< 0.001), and sleep disorder (aOR=1.83; p< 0.001) than the controls.Conclusion: The evidence-based information serves as a reference for medical staff to reduce the occurrence of self-injurious behavior in patients with asthma.Keywords: self-injurious behavior, asthma, medical utilization, psychiatric comorbidity, physical comorbidity

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