厦门市不同人群心境障碍、焦虑障碍和物质使用障碍现况调查

发布时间：2018-11-07 06:50

【摘要】：目的了解福建省厦门市不同人群心境障碍、焦虑障碍和物质使用障碍的患病率和流行特征。方法采用多阶段分层整群随机抽样法,以扩展的一般健康问卷对厦门市12 071名≥18岁的城乡居民进行现况调查,将调查对象分为精神障碍高危、中危和低危人群,使用《美国精神障碍诊断与统计手册(第4版)轴Ⅰ障碍定式临床检查(患者版)》依次对100%高危人群、40%中危人群和10%低危人群进行诊断检查。结果厦门市心境障碍、焦虑障碍和物质使用障碍的调整后的终身患病率(调整患病率)分别为3.19%、1.46%和1.13%。无业与失业人群、学生与家庭妇女、农民与渔民为心境障碍高发人群,调整患病率分别为5.80%、5.74%、4.76%;学生与家庭妇女、无业与失业人群、农民与渔民为焦虑障碍高发人群,调整患病率分别为2.27%、2.13%、1.83%;工人与服务人员、个体户与临时工、无业与失业人群为物质使用障碍高发人群,调整患病率分别为2.19%、2.11%、1.70%。结论厦门市居民精神障碍分布呈现明显的职业特征,无业与失业人群、学生与家庭妇女人群的心境障碍和焦虑障碍高发,工人与服务人员、个体户与临时工人群的物质使用障碍患病率最高,应采取有针对性的防治措施。
[Abstract]:Objective to investigate the prevalence and epidemic characteristics of mood disorder, anxiety disorder and substance use disorder among different population in Xiamen, Fujian Province. Methods A multi-stage stratified cluster random sampling method was used to investigate the current situation of 12 071 urban and rural residents aged more than 18 years in Xiamen with an extended general health questionnaire. The subjects were divided into high risk group, middle risk group and low risk group. The Diagnostic and Statistical Manual of American Mental Disorder (4th Edition) was used to diagnose 100% of the high risk population, 40% of the middle risk group and 10% of the low risk group. Results the adjusted lifetime prevalence of mood disorder anxiety disorder and substance use disorder in Xiamen was 3.191.46% and 1.13% respectively. Unemployed and unemployed people, students and housewives, farmers and fishermen were high incidence of mood disorders, adjusted prevalence was 5.80 and 5.74 respectively. Students and housewives, unemployed and unemployed people, farmers and fishermen were high incidence of anxiety disorder, adjusted prevalence rate was 2.27 / 2.13 / 1.83 respectively; Workers and service workers, self-employed and temporary workers, unemployed and unemployed people had a high incidence of material use disorders, and the adjusted prevalence rate was 2.19 and 2.111.70 respectively. Conclusion the distribution of mental disorders of residents in Xiamen City shows obvious occupational characteristics. The prevalence of mood disorders and anxiety disorders among unemployed and unemployed people, students and housewives is high, and workers and service workers are also more likely to have mental disorders. The prevalence rate of substance use disorders among the self-employed and temporary workers is the highest, and targeted prevention and treatment measures should be taken.
【作者单位】：厦门市仙岳医院社会防治管理科;
【基金】：厦门市科技计划资助项目(3502Z20074034)
【分类号】：R749

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