广西壮族自治区城市居民精神疾病流行病学调查

Epidemiological survey of mental disorders in urban areas in Guangxi Zhuang autonomous region,China

目的了解广西壮族自治区≥15岁城市居民各类精神疾病的患病率和分布特征。方法 2007年7～12月采用多阶段分层整群抽样方法随机抽取6个地级市7380名≥15岁的城市居民为调查对象进行入户调查。以复合性国际诊断问卷(CIDI3.0)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7028人,调查完成率为95.23%。广西城市居民精神疾病总时点患病率和总终生患病率分别为1.86%和2.31%.按终生患病率高低排列,广西城市居民前三位特定精神疾病是精神分裂症(1.07%)、抑郁障碍(0.54%)和酒依赖(0.19%)。总终生患病率女性(1.72%)低于男性(2.95%),差异有统计学意义(RR=0.56,95%CI:0.41～0.77,P<0.01)。抑郁障碍患病率在离婚人群患病率较高(P<0.01);不同的年龄段、文化程度、婚姻状况和职业等亚组的精神分裂症患病率差异均有统计学意义(P<0.05),25～44岁、初中与小学及以下文化、未婚与离婚、无业等人群的患病率较高;初中文化程度者和离婚人群的酒依赖患病率较高(P<0.05)。结论精神分裂症、抑郁障碍和酒依赖是广西城市居民主要精神疾病,应针对其患病高发人群开展防控干预工作。

Objective To investigate the current prevalence and distribution of mental disorders among people aged more than 15 in urban areas in Guangxi Zhuang Autonomous Region.Methods From July,2007 to December,2007,7380 subjects aged 15 and over were randomly selected for 6 prefecture-level cities by stratified multi-stage cluster sampling method.All subjects were investigated by face to face interview.The Chinese version of Composite International Diagnostic Interview（CIDI 3.0） provided by the Chinese center for disease control and prevention was used as the screening tool and the diagnoses were made according to the 10th edition of international classification of disease criteria（ICD-10）.Results 7028 subjects were screened and the completion rate was 95.23%.The general point prevalence and the general lifetime prevalence were 1.86% and 2.31%,respectively.In descending order by general lifetime prevalence,the top 3 common specific disorders were schizophrenia（1.07%）,depressive disorder（0.54%） and alcohol dependence disorder（0.19%）.The general lifetime prevalence was significantly lower in female than in male（2.65% vs 2.29% RR=0.56,95%CI=0.41～0.77,P0.01）.The highest prevalence of depressive disorders was found in divorce group（P0.01）.There was significant difference in prevalence of schizophrenia among age,educational level,marital status and occupation type（P0.05）.Schizophrenia were more prevalent in 25～34 age,low education（below junior middle school）,unmarried and divorced and unemployed groups.Alcohol dependence disorders were much more prevalent in low education and divorced groups.Conclusions Schizophrenia,depressive disorder and alcohol-dependence disorder are the most common mental disorders.It would be necessary to carry out the study on mental disorder prevention and rehabilitation for specific patient population.