TY -的T1 -关联同伴侵害,性别多样性,心理健康,在青少年和复发性头痛:加拿大以人群为基础的神经学研究摩根富林明——乔-神经学做- 10.1212 / WNL。首页0000000000207738 SP - 10.1212 / WNL。0000000000207738 AU - Christelle停止盟珍妮弗吉尼亚州威廉斯盟-斯科特彭定康盟Tamara Pringsheim AU -塞雷娜·l·奥尔Y1 - 2023/08/02 UR - //www.ez-admanager.com/content/early/2023/08/02/W首页NL.0000000000207738.abstract N2 -背景和目标:未知的欺凌和性别多样性是否在青少年与头痛频率增加有关。我们的研究旨在评估之间的联系同伴侵害,性别多样性,在青少年和频繁的复发性头痛,在控制了年龄,性别,社会经济地位和潜在混杂因素(情绪和焦虑障碍、自杀倾向)。方法:这是一个横断面观察研究12 - 17岁的青少年使用来自加拿大基于人群健康调查的数据。头痛频率被一分为二成“≤一周/次”或“在一次/周”(即频繁复发性头痛)。使用逻辑回归量化之间的联系频繁的同伴侵害(公开或关系),性别多样性(女性出生时+男性性别,男性出生时+女性性别,或性别多样化),情绪/焦虑症,自杀倾向和频繁的复发性头痛的可能性。充分调整多变量逻辑回归模型包括所有风险和控制了年龄,性别和社会经济地位。引导复制权重被用来占调查设计效果。结果:估计有2268840名合格的参与者(加权样本大小)(平均年龄y = 14.4, 48.8%的女性,性别多样化的0.5%),11.2%的报道频繁复发性头痛。频繁复发性头痛与老年有关(或每岁= 1.26,95% ci = 1.20 - -1.31),女性性(或= 2.89,95% ci = 2.47 - -3.37),和性别多样化(或= 3.30,95% ci = 1.64 - -6.63,调整年龄/性别)。青年与经常性头痛有更高的几率出现明显的和关系欺负比同行(或= 2.69,95% ci = 2.31 - -3.14,或= 3.03,95% ci = 2.58 - -3.54,调整年龄/性别)。 In the fully adjusted model, frequent headaches were no longer associated with gender diversity (OR=1.53, 95%CI=0.63-3.69), but were still associated with frequent overt and relational peer victimization (OR=1.82, 95%CI=1.41-2.34, and OR=1.54, 95%CI=1.17-2.03, respectively), suicidality (OR=1.83, 95%CI=1.44-2.32), and having a mood or anxiety disorder (OR=1.50, 95%CI=1.01-2.21, and OR=1.74, 95%CI=1.24-2.45, respectively). In a model adjusted for age, sex, and mood/anxiety disorders, the risk of suicidality increased incrementally with headache frequency.Discussion: Peer victimization and suicidality may be associated with higher headache frequency in adolescents with headaches, independently of mood and anxiety symptoms. Gender diverse adolescents may have a higher risk of experiencing frequent headaches as compared to cisgender peers, and this may be explained by associated psychosocial factors (anxiety, depression, suicidality, peer victimization). ER -