宁夏回族自治区社区成人焦虑障碍现况调查

Prevalence of anxiety disorder in adults in Ningxia Hui Autonomous Region

目的:调查宁夏社区成人焦虑障碍患病率及其分布和影响因素,为该地区焦虑障碍的防治提供参考。方法:采用中国精神卫生调查的现况调查方法,以复合性国际诊断交谈表为调查工具,根据美国精神障碍诊断统计手册第四版诊断标准对焦虑障碍进行诊断,计算12月和终生患病率并描述其分布特征,分析影响因素。结果:共4085名受访者完成全部调查纳入分析,焦虑障碍12月患病率为4.2%,终生患病率为5.6%。社交恐怖症、特殊恐怖症及广泛性焦虑障碍的12月患病率女性高于男性(P<0.05),特殊恐怖症及任何一类别焦虑障碍12月患病率农村居民高于城市。多因素分析提示女性(OR=1.86,95%CI:1.32~2.64)焦虑障碍患病风险高于男性,伴有躯体疼痛者焦虑障碍患病风险高于无躯体疼痛者(P<0.05)。结论:宁夏地区焦虑障碍值得重视,需持续加强对高危人群的社区精神卫生工作。

Objective:To investigate the prevalence of anxiety disorder and its distribution,and related factors in adults in Ningxia community.Methods:Using the method of China Mental Health Survey,anxiety disorder was investigated with the Composite International Diagnostic Interview,and related factors were analyzed.Twelve-month prevalence and life-time prevalence and their distributions were calculated according to DSM-IV criteria.Results:A total of 4085 respondents were interviewed in the survey.The 12-month prevalence rate of any anxiety disorder was 4.2%,and the lifetime prevalence rate was 5.6%.The 12-month prevalence rates of social phobia,special phobia and generalized anxiety disorder were higher in women than in men(P<0.05).The prevalence of special phobia and any anxiety disorder in rural area was higher than that in urban area.Logistic regression model revealed that fe-male(OR=1.86,95%CI:1.32-2.64)had higher prevalence risk of anxiety disorder,and individuals with somat-ic pain had higher risk of anxiety disorder than those without(P<0.05).Conclusion:Anxiety disorder is prevalent in Ningxia.It suggests that strengthening somatic pain community mental health service is necessary to develop tar-geted intervention programs among the high-risk population.