某市重性精神疾病流行特征分析
发布时间：2019-06-07 12:03
【摘要】：目的 了解某市人群重性精神疾病的患病现状和流行趋势,掌握某市城乡不同人群重性精神疾病主要危险因素及社会文化意义,分析社会人口学因素特点及对重性精神疾病的影响,探讨重性精神疾病患者的社会功能恢复及其防治策略。 方法 采用普查方法和和问卷调查方式,对某市辖区内12个县、区的所有城乡居民进行入户调查,人口数据资料来源于该市公安局,截至2012年底总人口数为7627499人。 现场调查以社区为单位,按社区管辖范围对其社区内的所有户籍居民进行线索排查,并依据线索排查结果进行病例诊断和复核诊断,采用描述流行病学方法对确诊的重性精神疾病患者进行统计分析。 结果 1.本次调查共确诊重性精神疾病患者14446例,截止2012年底总时点患病率为1.89%o。其中精神分裂症11200例,时点患病率为1.47‰；精神发育迟滞1141例,时点患病率为0.15‰；癫痫所致精神障碍802例,时点患病率为0.11%o；双相(情感)障碍407例,时点患病率为0.08%o；分裂情感性障碍401例,时点患病率为0.05‰；偏执性精神病134例,时点患病率为0.02‰。六种重性精神疾病中患病率最高的是精神分裂症。 2.本次调查城乡均有重性精神疾病患者的确诊病例,患病率高于全市平均水平的县区有F区(2.37‰)、J县(2.17‰)、K县(2.05‰)、C区(2.04‰),共报告4758例,占报告病例总数的32.94%。 3.本次调查各年龄组均有重性精神疾病患者的病例报告,患病率较高的年龄组为55-64岁组(3.33‰)和45-54岁组(3.31‰)；男、女患病率分别为1.82‰、1.97‰,女性略高于男性。 4.本次调查的重性精神疾病人口学资料显示,患病人群以农民为主,共报告8713例,占报告病例总数的60.31%。患病年龄以中青年居多,35～64岁组人群共报告患者9531例,占报告病例总数的65.98%。男女性别比为1：1.05。已婚人群的患病数最高,占报告患病总数的49.99%。患病人群的文化程度普遍偏低,以初中及以下文化水平居多,共报告病例数9673例,占报告病例总数的66.96%。 结论 1.某市重性精神疾病患病率为1.89%o。六种重性精神疾病中,精神分裂症的患病率最高,是今后重性精神疾病防控工作的重点。 2.某市重性精神疾病的总体患病情况,农村高于城市,女性高于男性,患病年龄主要集中在35岁以上人群,提示该市重性精神疾病的重点防控区域在农村,重点防控人群应为女性人群和中青年人群。 3.某市重性精神疾病确诊病例人群主要集中在农民、文化水平较低、经济水平在当地贫困线标准以下和已婚人群中。
[Abstract]:Objective to understand the prevalence and epidemic trend of major mental illness in a city, and to grasp the main risk factors and social and cultural significance of major mental illness in different populations in urban and rural areas of a city. This paper analyzes the characteristics of social demographic factors and their influence on major mental illness, and probes into the recovery of social function and its prevention and treatment strategies in patients with major mental illness. Methods all the urban and rural residents in 12 counties and districts in a city were investigated by means of census and questionnaire. The population data came from the Public Security Bureau of the city, and the total population was 7627499 by the end of 2012. The field investigation takes the community as the unit, carries on the clue investigation to all the registered residents in their community according to the jurisdiction of the community, and carries on the case diagnosis and the review diagnosis according to the result of the clue investigation. Descriptive epidemiological method was used to analyze the patients with diagnosed major mental illness. Result 1. A total of 14446 patients with major mental illness were diagnosed in this survey. The total prevalence rate was 1.89% o by the end of 2012. Among them, there were 11200 cases of schizophrenia, 1141 cases of mental retardation, 1141 cases of mental retardation, 802 cases of mental disorder caused by seizures, the prevalence rate of time point was 0.11% o, the prevalence rate of schizophrenia was 1.47%, the prevalence rate of mental retardation was 0.15%, and the prevalence rate of mental disorder was 0.11% o. There were 407 cases of biphasic (affective) disorder (0.08% o), 401 cases of mitotic affective disorder (0.05%) and 134 cases of paranoid psychosis (0.02% o). Schizophrenia has the highest prevalence rate among the six major mental diseases. two銆，
本文编号：2494780
[Abstract]:Objective to understand the prevalence and epidemic trend of major mental illness in a city, and to grasp the main risk factors and social and cultural significance of major mental illness in different populations in urban and rural areas of a city. This paper analyzes the characteristics of social demographic factors and their influence on major mental illness, and probes into the recovery of social function and its prevention and treatment strategies in patients with major mental illness. Methods all the urban and rural residents in 12 counties and districts in a city were investigated by means of census and questionnaire. The population data came from the Public Security Bureau of the city, and the total population was 7627499 by the end of 2012. The field investigation takes the community as the unit, carries on the clue investigation to all the registered residents in their community according to the jurisdiction of the community, and carries on the case diagnosis and the review diagnosis according to the result of the clue investigation. Descriptive epidemiological method was used to analyze the patients with diagnosed major mental illness. Result 1. A total of 14446 patients with major mental illness were diagnosed in this survey. The total prevalence rate was 1.89% o by the end of 2012. Among them, there were 11200 cases of schizophrenia, 1141 cases of mental retardation, 1141 cases of mental retardation, 802 cases of mental disorder caused by seizures, the prevalence rate of time point was 0.11% o, the prevalence rate of schizophrenia was 1.47%, the prevalence rate of mental retardation was 0.15%, and the prevalence rate of mental disorder was 0.11% o. There were 407 cases of biphasic (affective) disorder (0.08% o), 401 cases of mitotic affective disorder (0.05%) and 134 cases of paranoid psychosis (0.02% o). Schizophrenia has the highest prevalence rate among the six major mental diseases. two銆，
本文编号：2494780
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