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潘国伟, 姜潮, 杨晓丽, 那军, 富增国, 于泉福, 于传友, 刘美娟, 刘辉, 王萍, 李宁, 颜廷梅, 张淑娟. 辽宁省城乡居民精神疾病流行病学调查[J]. 中国公共卫生, 2006, 22(12): 1505-1507. DOI: 10.11847/zgggws2006-22-12-56
引用本文: 潘国伟, 姜潮, 杨晓丽, 那军, 富增国, 于泉福, 于传友, 刘美娟, 刘辉, 王萍, 李宁, 颜廷梅, 张淑娟. 辽宁省城乡居民精神疾病流行病学调查[J]. 中国公共卫生, 2006, 22(12): 1505-1507. DOI: 10.11847/zgggws2006-22-12-56
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PAN Guowei, JIANG Chao, YANG Xiaoli, . Epidemiological survey of mental disorders in urban and rural areas of Liaoning province[J]. Chinese Journal of Public Health, 2006, 22(12): 1505-1507. DOI: 10.11847/zgggws2006-22-12-56
Citation: PAN Guowei, JIANG Chao, YANG Xiaoli, . Epidemiological survey of mental disorders in urban and rural areas of Liaoning province[J]. Chinese Journal of Public Health, 2006, 22(12): 1505-1507. DOI: 10.11847/zgggws2006-22-12-56
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辽宁省城乡居民精神疾病流行病学调查

Epidemiological survey of mental disorders in urban and rural areas of Liaoning province

    摘要
  • 摘要:
      目的   了解辽宁省18岁以上人群各类精神疾病患病率和分布特点。
      方法   采用多阶段分层整群随机抽样方法, 以复合性国际诊断交谈检查量表(CIDI 1.0)对全省6个市/县13 358名18~65岁城乡居民进行了入户调查。
      结果   调查的应答率为86.1%。各类精神疾病的2周、12个月和终生患病率分别为5.03%, 8.09%和11.26%。情感障碍、焦虑障碍和酒精使用障碍的12月患病率分别为2.01%、3.97%和3.27%。男性情感障碍(OR=0.59, 95%CI=0.48~0.72)和焦虑障碍(OR=0.46, 95%CI=0.39~0.53)患病率明显低于女性, 酒精使用障碍显著高于女性(OR=23.67, 95%CI=15.71~35.67)。离婚者3类障碍的患病率均明显增高。城市居民的情感障碍患病率显著高于农村(OR=1.54, 95%CI=1.21~1.95)。14.60%和1.40%患者一生中曾患有2类或3类疾病, 情感障碍与焦虑及酒精使用障碍的终生共病率分别为41.96%和10.87%。
      结论   辽宁省每11个居民中约有1人患有精神疾病, 精神疾病已经成为常见病和迫切需要解决的重大公共卫生问题。

     

    Abstract:
      Objective   To describe the prevalence and distribution of mental disorders among people aged 18~65 in Liaoning province.
      Methods   13 358 subjects aged 18~65 were randomly selected from 6 cities and counties by stratified multi-stage cluster sampling method.They were assessed for DSMⅢ-R diagnoses by face to face interview with Composite International Diagnostic Interview(CIDI-1.0).
      Results   The response rate was 86.1%.The adjusted 2-week, 12-month and lifetime prevalence of overall DSMⅢ-R disorders were 5.03%, 8.09%and 11.26%.12-month prevalence of mood, anxiety and alcohol use disorders were 2.01%, 3.97%and 3.27% respectively.Compared with the females, the males have significantly lower lifetime prevalence of mood(OR=0.59, 95%CI=0.48~0.72)and anxiety(OR=0.46, 95%CI=0.39~0.53)disorders, and higher alcohol use disorder(OR=23.67, 95%CI=15.71~35.67).The divorced has significantly eLevated prevalence for all the disorders.Mood disorder was higher among people in urban areas than rural areas(OR=1.54, 95%CI=1.21~1.95).14.60% and 1.40% patients have two or three disorders in their life, the lifetime comorbidity of mood disorders with anxiety and alcohol use disorders were 38.90% and 6.20% respectively.
      Conclusion   Approximately1 in 11 adults have mental disorders, psychiatric diseases have become a serious public health problem in Liaoning province.

     

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