宁夏回族自治区成人心境障碍患病率及卫生服务利用现况调查

Prevalence of mood disorder and utilization of health services in adults in Ningxia Hui Autonomous Region

目的:调查宁夏回族自治区成人心境障碍流行现状及卫生服务利用现况,为心境障碍的防控提供参考。方法:采用复合性国际诊断交谈量表,以精神障碍诊断与统计手册第4版(DSM-Ⅳ)为诊断分类标准,经多级抽样,开展首次宁夏心境障碍调查。计算各类心境障碍的患病率,采用Rao-Scottχ^(2)检验比较不同特征人群的患病率。结果:宁夏地区成人心境障碍12月患病率为4.0%,终生患病率为7.4%;其中女性12月患病率高于男性(4.9%vs.3.3%),农村患病率高于城市(5.0%vs.3.0%)(均P<0.05)。亚型中双相I型障碍的12月患病率随年龄增长呈下降趋势(P<0.001)。任何一类心境障碍和抑郁症的12月患病率随受教育程度的增高逐渐降低(均P<0.05)。符合任何一类心境障碍患者中92.6%从未寻求过帮助,45.8%的寻求帮助患者中没有得到有效帮助。结论:宁夏成人心境障碍患病率较高,但精神卫生服务利用率很低,女性、农村居民及低学历者为心境障碍防治的重点人群。

Objective:To explore the prevalence of mood disorders and utilization of health services inadults in the Ningxia Hui Autonomous Region,thus providing the scientific basis for disease prevention and control.Methods:Using Composite International Diagnostic Interview with the criteria of the Diagnostic and Statis-tical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ),the first survey on mood disorders was carried out by multiple stage sampling.The Rao-Scottχ^(2) test was used to compare the prevalence rate of mood disorders in popula-tions with different characteristics.Results:The 12-month prevalence rate of mood disorder was 4.0%,while life-time prevalence rate of mood disorder was 7.4%.The 12-month prevalence rate was higher in female than male(4.9 vs.3.3%),and the 12-month prevalence rate in rural area was higher than that in urban area(5.0%vs.3.0%)(Ps<0.05).The 12-month prevalence rate of bipolar I disorder decreased with age growth(P<0.001),and the 12-month prevalence rate of any mood disorder and major depressive disorder decreased with the increase of education level(Ps<0.05).Among those who met any mood disorder′s criteria,92.6%never sought help,45.8%of the help secekers didn′t receive any effective help.Conclusion:The prevalence of mood disorder in Ningxia adults is relatively high,but the utilization of mental health services is very low.Females,rural residents,and persons with low education level are the key groups for the prevention of mood disorder.