辽宁省城乡居民精神疾病流行病学调查

Epidemiological survey of mental disorders in urban and rural areas of Liaoning province

目的了解辽宁省18岁以上人群各类精神疾病患病率和分布特点。方法采用多阶段分层整群随机抽样方法，以复合性国际诊断交谈检查量表（CIDI 1．0）对全省6个市／县13358名18～65岁城乡居民进行了入户调查。结果调查的应答率为86．1％。各类精神疾病的2周、12个月和终生患病率分别为5．03％，8．09％和11．26％。情感障碍、焦虑障碍和酒精使用障碍的12月患病率分别为2．01％、3．97％和3．27％。男性情感障碍（OR=0．59，95％0=0．48～0．72）和焦虑障碍（OR=0．46，95％CI=0．39～0．53）患病率明显低于女性，酒精使用障碍显著高于女性（OR=23．67，95％CI=15．71～35．67）。离婚者3类障碍的患病率均明显增高。城市居民的情感障碍患病率显著高于农村（OR=1．54，95％CI=1．21～1．95）。14．60％和1．40％患者一生中曾患有2类或3类疾病，情感障碍与焦虑及酒精使用障碍的终生共病率分别为41．96％和10．87％。结论辽宁省每11个居民中约有1人患有精神疾病，精神疾病已经成为常见病和迫切需要解决的重大公共卫生问题。

Objective To describe the prevalence and distribution of mental disorders among people aged 18- 65 in Liaoning province. Methods 13 358 subjects aged 18 - 65 were randomly selected from 6 cities and counties by stratified multi - stage cluster sampling method. They were assessed for DSM Ⅲ - R diagnoses by face to face interview with Composite International Diagnostic Interview（CIDI - 1.0）. Results The response rate was 86.1%, The adjusted 2 - week, 12 - month and lifetime prevalence of overall DSM Ⅲ - R disorders were 5.03 %, 8.09 % and 11.26 %. 12 month prevalence of mood.anxiety and alcohol use disorders were 21 01%, 3.97 % and 3.27 % respectively. Compared with the females, the males have significantly lower lifetime prevalence of mood （ OR - O. 59, 95 % CI = 0.48 - 0.72） and anxiety（ OR = 0.46, 95 % CI = 0.39 0.53） disorders, and higher alcohol use disorder（ OR = 23.67, 95 % CI = 15.71 - 35.67）. The divorced has significantly elevated prevalence for all the disorders. Mood disorder was higher among people in urban areas than rural areas （ OR = 1.54, 95 % CI = 1.21-1.95）. 14.60 % and 1.40 % patients have two or three disorders in their life, the lifetime comorbidity of mood disorders with anxiety and alcohol use disorders were 38.90 % and 6.20 % respectively. Conclusion Approximately 1 in 11 adults have mental disorders, psyehiatfic diseases have become a serious public health problem in Liaoning provinee.