2002年江西省精神疾病患病率调查

Epidemiological investigation on mental disorders in Jiangxi Province

目的 了解江西省各类精神疾病患病率。方法 按初级单位含量比例分层、整群、随机在全省11个地市抽样,共调查样本5506户,其中≥15岁者15939人。以国际疾病分类第10版精神与行为障碍分类和复合性国际诊断交谈检查为主要筛查和诊断工具。结果 (1)在11个地市样本人口中,各类精神疾病(不含神经症、药物依赖和人格障碍)的时点患病率为29.80‰,总患病率为36.08‰。(2)时点患病率中的情感障碍(9.91‰)、酒依赖(6.78‰)和精神分裂症(5.77‰),总患病率中的情感障碍(11.98‰)、精神分裂症(7.78‰)和酒依赖(6.78‰)分别排在前三位。(3)男性(37.09‰,P>0.05)和城市(43,23‰,P<0.01)的总患病率高,文盲、婚姻状况差(离婚、丧偶)及经济状况为下等者的时点患病率(分别为49.40‰、84.51‰、44.60‰和68.14‰)和总患病率(分别为68.08‰、225.35％、69.25‰和81.69‰)均高,差异均有非常显著性(均P<0.01)。结论 情感障碍、酒依赖及老年期痴呆患病率远高于以往国内同类调查结果,精神分裂症、精神发育迟滞也高于以往调查结果。

Objective To investigate prevalence of mental disorders in Jiangxi Province. Methods The diagnoses of mental disorders were made according to the 10th edition of International Classification of Disease criteria. Composite international diagnostic interview was as the screening and diagnosis tool. Results In 5 506 families sampled out, 15 939 persons aged 15 years or over were investigated. The time-point prevalence rate of mental disorders (excluding neurosis, drug dependence and personality disorders) was 29. 80‰, and the lifetime prevalence was 36. 08‰. There was higher prevalence in urban area than in rural area. The prevalence in population with lower education and worse marital status was higher, and so did in population with lower social living condition. The time-point prevalence and lifetime prevalence rate of affective disorders were 9. 91‰ and 11.98‰, of schizophrenia were 5.77‰ and 7. 78‰. The point prevalence rate of alcohol dependence, mental retardation, and senile dementia were 6. 78‰, 3. 89‰, and 2. 20‰ respectively. Conclusions The prevalence of affective disorders, alcohol dependence and senile dementia is higher than in the previous investigation in our country and prevalences of schizophrenia and mental retardation are similar.