深圳市神经症流行病学调查

Epidemiological survey on neuroses in Shenzhen city

目的通过对深圳市神经症的流行状况分析,找出该病的分布特点,分析各种影响因素,为进一步探讨病因、制定防治对策提供科学依据。方法采用世界卫生组织-世界精神健康联盟(WHO WMH)提供的复合性国际诊断交谈检查表(CIDI)3.2,对深圳市2005年精神疾病流行状况进行调查。结果在7 108名年龄为18岁以上的深圳市受访人群中,神经症终生患病率为13.35%;其中,男性为12.90%,女性为13.85%;非户籍人口患病率明显高于户籍人口(χ2=6.79,P<0.01);城区人口患病率明显高于乡镇人口(χ2=49.22,P<0.01);45岁以下的人群患病率明显增高。神经症之间的共患病率为19.79%,女性明显高于男性(χ2=9.601,P<0.01)。患病率和严重性与年龄、性别、婚姻状况、经济状况及生活事件等因素有关。结论神经症的患病率呈上升趋势,已经成为常见病、多发病,且发病年龄呈年轻化趋势,应列为公共卫生防治的重点。

Objective To explore the distribution characteristics and risk factors of neuroses by an epidemiological survey on them in Shenzhen city. Methods The epidemiological survey on neuroses was carried out in Shenzhen in 2005 using The World Health Organizaion（WHO） World Mental Health（WMH） Survey Initiative version of the Composite International Diagnostic Interview CIDI 3.2. Results 7 108 residents aged over 18 years old in shenzhen City were investigated. The lifetime prevalence rate of neuroses was 13.35 % ;the rates for males and females were 12.09 % and 13.85 % respectively. The rate of neuroses of non-registered permanent residents was significantly higher than that of registered permanent residents （x^2 = 6.79, P 〈 0.01 ）. The residents living in downtowns had much higher prevalence rates than those living in small towns and rural villages（x^2= 49.22, P 〈 0.01 ）. The residents under age 45 years old had an increasingly prevalence rate. The rate of comorbidity among neuroses was 19.79 % ;the females were more with comorbidity than the males（x^2= 9.601, P 〈 0.01 ）, The prevalence rate and severity of neuroses were significantly associated with age, sex, marriage, economic condition and the life events and so on. Conclusion The prevalence rate of neuroses shows a tendency to increase, and has become common disease; the onset of age tends to be younger, so it should be listed as one of the major disorders for public prevention and treatment.