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王楚, 伍业光, 潘竞志, 黄月明, 张超, 郑岚. 流浪精神病患者传染性疾病流行病学特征及行为方式[J]. 中国公共卫生, 2017, 33(6): 975-977. DOI: 10.11847/zgggws2017-33-06-28
引用本文: 王楚, 伍业光, 潘竞志, 黄月明, 张超, 郑岚. 流浪精神病患者传染性疾病流行病学特征及行为方式[J]. 中国公共卫生, 2017, 33(6): 975-977. DOI: 10.11847/zgggws2017-33-06-28
WANG Chu, WU Ye-guang, PAN Jing-zhi.et al, . Prevalence of infectious diseases and its behavioral influencing factors among homeless psychiatric patients[J]. Chinese Journal of Public Health, 2017, 33(6): 975-977. DOI: 10.11847/zgggws2017-33-06-28
Citation: WANG Chu, WU Ye-guang, PAN Jing-zhi.et al, . Prevalence of infectious diseases and its behavioral influencing factors among homeless psychiatric patients[J]. Chinese Journal of Public Health, 2017, 33(6): 975-977. DOI: 10.11847/zgggws2017-33-06-28

流浪精神病患者传染性疾病流行病学特征及行为方式

Prevalence of infectious diseases and its behavioral influencing factors among homeless psychiatric patients

  • 摘要: 目的 了解流浪精神病患者群体中传染性疾病的流行病学特征,探讨其行为方式对传染病患病情况的影响。方法 以2008—2014年广西南宁市社会福利医院救助的流浪精神病患者为研究对象,分析流浪精神病患者群体中传染病发病率等流行病学指标,并利用SPSS 20.0软件进行卡方拟合优度检验和多因素分析。结果 2 332 例流浪精神病患者中,传染病患者为361例(15.5%),以男性(60.9%)、15~29岁(30.5%)、30~45岁(52.6%)患者为主(P<0.01);传染性疾病分类中,病毒性肝炎、梅毒、肺结核和艾滋病患者依次为10.2%(239例)、3.3%(77例)、1.5%(36例)、0.4%(9例),男性病毒性肝炎(64.9%)和肺结核患者(69.4%)明显多于女性(P<0.01),女性艾滋病患者(66.7%)明显多于男性(P<0.01),梅毒人数无性别差异;职业是传染病患病的保护因素(OR=0.639,95.0%CI=0.456~0.896),常见精神病是传染病患病的危险因素(OR=1.662,95.0%CI=1.223~2.260)。结论 流浪精神病患者群体是传染性疾病高发人群,传染病发病率明显高于正常人群,流浪行为方式在传染性疾病中具有较高的易感性,建议将流浪精神病人群体纳入传染病公共卫生管理范畴。

     

    Abstract: Objective To explore the prevalence of infectious diseases and the impact of behavioral style on the prevalence among homeless psychiatric patients.Methods General information and medical records of 2 332 homeless psychiatric patients rescued by Nanning Municipal Social Welfare Hospital from 2008 through 2014 were collected and morbidity and epidemiological features of infectious disease among the patients were analyzed.Chi-square goodness of fit test and multivariate analysis were performed in analyses using SPSS 20.0.Results Among all the patients,a total of 361 cases of infectious disease were identified and the overall prevalence rate of infectious disease was 15.5%;the prevalence rates were 10.2%(239 cases),3.3%(77),1.5%(36),and 0.4%(9) for viral hepatitis,syphilis,pulmonary tuberculosis,and acquired immunodeficiency syndrome (AIDS),respectively.Of the infectious disease cases,60.9% (220) were male;37.2% and 30.2% were aged 20-29 and 30-39 years.Significantly higher proportions of males than females were observed among the cases with viral hepatitis (64.9%) and pulmonary tuberculosis (69.4%);whereas an obviously higher proportion of females than males was observed among the AIDS cases (66.7%)(P<0.01 for all).Employment was a protective factor of infectious disease (odds ratioOR=0.639,95% confidence interval95.0%CI:0.456-0.896) and having common psychosis was a risk factor of infectious disease (OR=1.665,95.0%CI:1.223-2.267).Conclusion Homeless psychiatric patients are at high risk of infectious disease because of their wandering behavior and the prevalence of infectious disease is higher among the population than among the general population.The results suggest that homeless psychiatric patients should be covered by health management on infectious disease.

     

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