宁夏地区社区居民糖尿病与精神障碍共病的现况分析

The Prevalence of Comorbidity in Mental Disorders and Diabetes Mellitus at Communities in Ningxia

目的了解宁夏社区居民精神障碍与糖尿病的共病现况及其影响因素,为社区糖尿病和精神障碍的综合防治、管理提供参考。方法用多阶段系统抽样的方法,对宁夏社区居民进行复合型国际诊断交谈表计算机辅助(composite international diagnostic interview-computer assisted personal interview,CIDI-CAPI)中文版面对面访谈,筛选出符合国际疾病分类标准第十版(ICD-10)诊断标准的任一精神障碍患者及既往诊断的糖尿病患者,并对结果进行分析。结果共有5811人有效完成访谈,其中既往诊断糖尿病患者187人,既往诊断糖尿病患病率为3.22%。187例糖尿病患者中任一精神障碍患者终生患病率为22.99%(95%CI=17.54%~29.53%),其中焦虑障碍的共病率最高为18.18%;Logistic回归分析高血压、民族、躯体疼痛,35~49岁年龄组是糖尿病合并精神障碍的影响因素(OR=4.513、0.435、4.009、15.823,P均≤0.05)。结论宁夏社区居民既往诊断糖尿病患者与精神障碍的共病率较高,建议关注糖尿病患者的心理健康状况。

Objective To investigate the comorbidity and influence factors of mental disorders and diabetes mellitus at communities in Ningxia and to provide references for prevention and management of diabetes and mental disorders in community. Methods By using multistage system sampling method,communities＇ residents were interviewed face to face by Chinese version of the WHO Composite International Diagnostic Interview-Computer Assisted Personal Interview（CIDI-CAPI）. The residents were screened who met Tenth Edition（ICD-10）diagnostic criteria for mental disorders or previously diagnosed diabetes and the results were analyzed. Results Among the 5811 subjects,187 adults with diabetes,the prevalences of previously diagnosed diabetes was 3.22%. The life time prevalence of any mental disorder was 22.99%（95%CI=17.54%~29.53%）among 187 patients with diabetes. The anxiety disorder comorbidity was 18.18% whose prevalence was the highest. Logistic analysis showed that hypertension,ethnicity,physical pain and age group 35~49 years were the influence factors of diabetes mellitus combined with mental disorders（OR=4.513,0.435,4.009,15.823,respectively,P all≤0.05）. Conclusion The prevalence of previously diagnosed diabetes combined with mental disorders is high among community residents in Ningxia. It is essential to pay attention to mental health status in patients with diabetes.