Abstract

Seasonal allergies have been associated with mental health problems, though the evidence is still emergent, particularly in the United States. We analyzed data from the National Comorbidity Survey Replication and the National Latino and Asian American Survey (years 2001–2003). Multivariable logistic regression models were used to examine the relations between lifetime allergies and lifetime psychiatric disorders (each disorder in a separate model), adjusting for socio-demographic variables (including region of residence) and tobacco use. Analyses were also stratified to test for effect modification by race and sex. A history of seasonal allergies was associated with greater odds of mood disorders, anxiety disorders, and eating disorders, but not alcohol or substance use disorders, after adjusting for socio-demographic characteristics and tobacco use. The associations between seasonal allergies and mood disorders, substance use disorders, and alcohol use disorders were particularly strong for Latino Americans. The association between seasonal allergies and eating disorders was stronger for men than women. Seasonal allergies are a risk factor for psychiatric disorders. Individuals complaining of seasonal allergies should be screened for early signs of mental health problems and referred to specialized services accordingly.

Highlights

  • Across the globe, evidence indicates that environments are transforming rapidly, spurring researchers to increasingly examine how changes in the ecosystem impact human health

  • This study shows that a history of seasonal allergies was associated with significantly higher odds of reporting lifetime mood disorders, anxiety disorders, and eating disorders

  • We found that for Latinos, seasonal allergies did increase the risk for alcohol and substance use disorders, and that the relations between seasonal allergies and mood disorders were stronger when compared with Whites, which to our knowledge, has not been seen in prior studies

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Summary

Introduction

Evidence indicates that environments are transforming rapidly, spurring researchers to increasingly examine how changes in the ecosystem impact human health. Warmer climates may be lengthening the ragweed pollen season in North America [1]; pollution created by humans may be increasing carbon dioxide levels in the atmosphere, contributing to higher pollen counts in Europe [2]; and higher levels of pollution may be exacerbating the effects of airborne allergens in Asia [3]. These conditions can have an impact on allergic and respiratory diseases [4], which some studies suggest have increased in the past decades in various parts of the world [5,6,7]. Public Health 2018, 15, 1965; doi:10.3390/ijerph15091965 www.mdpi.com/journal/ijerph

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