广西壮族自治区城乡居民精神疾病流行病学调查

EPIDEMIOLOGICAL SURVEY ON MENTAL DISORDERS IN URBAN AND RURAL IN GUANGXI ZHUANG AUTONOMOUS REGION,CHINA

目的:了解广西壮族自治区≥15岁城乡居民各类精神疾病的患病水平和分布特征。方法:2007年7~12月采用多阶段分层整群抽样方法随机抽取广西6个地级市和10个县21 290名≥15岁的居民为调查对象进行入户调查。以中国疾病预防控制中心精神卫生中心提供的中文版的复合性国际诊断问卷(CIDI 3.0)为筛查工具,以国际疾病及相关健康问题分类第10版(ICD-10)为诊断标准。结果:完成调查18 219人,调查完成率为85.58%。精神疾病总时点患病率和总终生患病率分别为2.16%和2.54%。按终生患病率高低排列,广西前3位特定精神疾病是精神分裂症(0.98%)、重性抑郁(0.53%)和酒精依赖(0.45%)。总终生患病率城市(2.31%)低于农村(2.68%),但差异无统计学意义(RR=0.86,95%CI=0.71~1.04,P=0.117);女性(1.96%)低于男性(3.10%),差异有统计学意义(RR=0.63,95%CI=0.52~0.76,P=0.000);壮族(3.12%)高于汉族(2.26%),差异有统计学意义(RR=1.40,95%CI=1.15~1.70,P=0.001)。结论:精神分裂症、重性抑郁和酒精依赖是广西最常见的精神疾病;农村、男性和壮族人群的精神疾病患病率较高。精神疾病已成为广西重大的公共卫生问题,应针对其开展防治与康复研究工作。

Objective:To investigate the prevalence and distribution of mental disorders among people aged 15 years and older in urban and rural in Guangxi Zhuang Autonomous Region.Methods:From July,2007 to December,2007,21 290 subjects aged 15 years and older were randomly selected for 6 prefecture-level cities and 10 counties by stratified multi-stage cluster sampling method.All subjects were investigated by face to face interview.The Chinese version of Composite International Diagnostic Interview(CIDI3.0) Provided by the Chinese Center for Disease Control And Prevention was used as the screening tool and the diagnoses were made with the 10th edition of international classfication of Disease Criternia.Results:A total of 18 219 subjects completed the screening,the completion rate was 85.58%.The general point prevalence was 2.16%,and the general lifetime prevalence was 2.54%.Ordered by lifetime prevalence rate,the most common specific disorders were major schizophrenia(0.98%),depression disorder(0.53%) and alcohol dependence disorder(0.45%).The general lifetime prevalence was higher in rural(2.68%) than in urban(2.31%),but the result showed no significant difference [RR=0.86,95%CI=0.71~1.04,P=0.117],higher in men(3.10%) than in women(1.96%) [RR=0.63,95%CI=0.52~0.76,P=0.000] and higher in Zhuang(3.12%) than in Han(2.26%) [RR=1.40,95%CI=1.15~1.70,P=0.001].Conclusion:Schizophrenia,depression disorder,alcohol dependence disorder are the most common mental disorders and have become the public health problem in Guangxi.Thus,it is necessary to carry out targeted research in prevention and rehabilitation.