大连市居民焦虑抑郁共病现况及影响因素分析
发布时间：2018-04-19 05:38
本文选题：焦虑抑郁共病 + 患病率 ； 参考：《大连医科大学》2013年硕士论文
【摘要】：目的：通过对大连市居民精神卫生现状的调查，了解大连市18岁以上人群焦虑抑郁共病的患病率和人群分布特点，为开展有针对性的人群干预提供依据。 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3.0（CIDI3.0）对大连市5062名≥18岁城乡居民进行了调查。计算总的共病患病率，不同因素间患病率差异的统计学检验采用2检验，，将单因素分析有意义的因素（P0.01）作为自变量，共病患病作为因变量进行非条件Logistic回归分析，所有结果均采用SPSS17.0进行统计分析。 结果：（1）焦虑抑郁共病在普通人群中的总患病率为1.24%，抑郁障碍患者中伴有共病焦虑障碍的占29.17%，其中男性焦虑抑郁共病的患病率为1.34%，女性的患病率为1.16%，在不同性别间焦虑抑郁共病患病率的差异无统计学意义（P㧐0.05）；年龄≤30岁人群的焦虑抑郁共病患病率为1.38%，31-45岁人群的患病率为1.47%，46-60岁人群的患病率为1.19%，年龄60岁以上人群的焦虑抑郁共病患病率为0.73%，经比较未发现不同年龄段人群的焦虑抑郁共病患病率之间差异有统计学意义（P㧐0.05）；焦虑抑郁共病的城市患病率为1.22%，农村患病率为1.29%，城乡间焦虑抑郁共病的患病率差异经统计学检验未达到显著性水平（P㧐0.05）；不同婚姻状况及职业、收入状况的焦虑抑郁共病患病率差异经检验也无统计学差异；人群中焦虑抑郁共病的患病率的高低表现为随教育水平提高而降低（P0.05）；酒精依赖因素与焦虑抑郁共病的患病率有统计学差异，酒精依赖者患焦虑抑郁共病的危险度升高（P0.05）。（2）经多因素非条件logistic回归分析，提示职业及酒精依赖是焦虑抑郁共病障碍的可能危险因素。 结论：（1）焦虑抑郁共病在普通人群中的总体患病率为1.24%，抑郁障碍患者中伴有共病焦虑障碍的占29.17%。（2）低教育水平、酒精依赖可增加患焦虑抑郁共病的危险性。（3）失业、无业、残疾及酒精依赖者是焦虑抑郁共病的高危人群。
[Abstract]:Objective: to investigate the prevalence and distribution of anxiety and depression syndromes among people over 18 years old in Dalian.Methods: 5062 urban and rural residents aged more than 18 years old in Dalian were investigated by using multi-stage stratified cluster random sampling and CIDI 3.0).To calculate the total prevalence rate of co-disease, the statistical test of the difference of prevalence among different factors was carried out by 2 tests. Univariate analysis of significant factors (P0.01) was used as independent variable, and the prevalence of coexisting disease as dependent variable was analyzed by non-conditional Logistic regression analysis.All the results were analyzed by SPSS17.0.Results the total prevalence of anxiety and depression coexisting in the general population was 1.24 and 29.17 in the patients with depression disorder. The prevalence rate of male anxiety and depression coexisting disorder was 1.34 and that of female was 1.16.There was no significant difference in the prevalence of anxiety and depression, and the prevalence rate of anxiety and depression was 1.38 and 1.47 in the age 鈮
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