2016年湖南地区重性精神障碍影响因素分析

An Analysis of Influencing Factors of Severe Mental Disorders in Hunan in 2016

目的:了解湖南地区重性精神障碍的发病率及分布特征。方法:采用多阶段系统整群抽样方法抽取≥15周岁的人群,以增补后的一般健康问卷(GHQ-12)及重性精神疾病异常行为线索作为筛选工具,以SCID-I/P作为诊断工具。结果:①全省重性精神疾病的时点患病率为9.35‰(95%CI为8.13-10.75‰),终身患病率为10.10‰(95%CI为8.78-11.62‰)。②二元Logistic回归模型分析结果显示,重性精神疾病与年龄、文化程度、职业类型、婚姻状况有关。30-44岁和45-59岁居民患病的可能性分别是15~29岁居民的3.68和2.34倍。文化程度较低居民患病可能性较高,其中文盲、小学、初中、高中、中专患病的可能性分别是大专及以上居民的4.71、2.85、1.66和1.62倍。农民、离退休、无业或失业居民患病可能性分别是管理技术类职业居民的2.65、3.27和5.91倍。未婚和离婚居民患病可能性分别是丧偶居民的4.79和4.13倍。结论:湖南省重性精神疾病的终身患病率较高;以未婚、文盲、无业、中年人群最高。

Objective: To investigate the prevalence and distribution of severe mental illness in Hunan Province. Methods: A multi-stage cluster sampling method was used for the population over 15 years old. The supplemented general health questionnaire(GHQ-12) and the clues of abnormal behavior of severe mental illness were used as screening tools,(SCID-I/P) as a tool for diagnosis. Results:①The time-point prevalence of severe mental illness was 9.350‰(95% CI:8.13-10.75 ‰) and the lifetime prevalence was 10.10‰(95% CI:8.78-11.62 ‰).②The results of two yuan Logistic regression analysis showed that severe mental illness was related to age、education level、occupation type and marital status. The probability of illness among residents aged 30-44 and 45-59 is 3.68 and 2.34 times that of residents aged 15-29. Among them, illiterate、primary school、junior high school and secondary school students were 4.71、2.85、1.66 and 1.62 times higher than those of college students and above. Farmers、retired、unemployed or unemployed residents were 2.65、3.27 and5.91 times higher than those of management and technology occupation residents respectively. Unmarried and divorced residents were 4.79 and 4.13 times higher than widowed residents. Conclusion:①The lifetime prevalence rate of severe mental illness in Hunan is higher.②Unmarried, illiterate, unemployed and middle-aged people were the highest.