绍兴市1991年与2001年精神疾病患病率调查

Study on the prevalence of mental diseases in Shaoxing city between 1991 and 2001

目的 了解 1 991年与 2 0 0 1年绍兴市人群中精神疾病的患病率及社区精神卫生服务状况。方法 采用线索调查与逐户调查相结合 ,对市区、农村共 339651人口进行调查 ,并与 1 991年的相关资料进行对照。结果 1 991年与 2 0 0 1年精神疾病终生患病率分别为 1 0 .1 7‰和 1 3 .85‰ ,时点患病率分别为 9.51‰和 1 2 .77‰ ,≥ 1 5岁人口的时点患病率为 1 1 .70‰和 1 4 .60‰ ,神经症、酒依赖、药物依赖的患病率上升明显 (χ2 分别为 1 2 5 .72、1 0 1 .0 7、8.97,P <0 .0 1 )。各类疾病中神经症、精神分裂症、精神发育迟滞居前三位。城市精神疾病患者的劳动能力、经济状况、就医条件、监护情况均好于农村。结论 绍兴市 1 0年间精神疾病患病率呈上升趋势 ,与经济、社会、文化发展相关的精神疾病患病率升高明显。城、乡精神卫生社区服务发展不平衡 。

Objective This study aimed to compare the prevalence of mental disorders and services for people with mental health problems in Shaoxing city between 1991 and 2001 in order to provide scientific bases for prevention and treatment. Methods A population size of 339 651 were investigated in the urban and rural areas with “Psychosis Index Investigate Schedule” plus visit to their homes. Results The overall prevalence rates of mental disorders were 10.17 ‰ and 13.85 ‰ and the point prevalence rates of mental disorder were 9.15 ‰ and 12.77 ‰, respectively in 1991 and 2001. The point prevalence rates in the population aged 15 years and above were 11.70 ‰ and 14.60 ‰. Prevalence rates of neurosis and alcohol dependence and drug dependence increased significantly from 1991 and 2001.The anterior three mental disorders were neurosis,schizophrenia and dementia in all mental disorders. Situation was better in the city than in the rural areas in terms of receiving care for mental disorder,their work ability, economy condition and gardianship. Conclusion There was an increase of prevalence on mental disorder in Shaoxing city during the ten year period. The increase in the prevalence of mental disorder was related to local economy, socialization and culture.