| 引用本文: |
刘禹辰,罗邦安,付文彬,王东欣,田雪飞,虞建英,李小松.湖南省15岁及以上人群重性精神疾病风险水平及影响因素分析[J].湖南中医药大学学报,2018,38(9):1038-1042[点击复制] |
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| 湖南省15岁及以上人群重性精神疾病风险水平及影响因素分析 |
| 刘禹辰,罗邦安,付文彬,王东欣,田雪飞,虞建英,李小松 |
| (湖南省脑科医院, 湖南 长沙 410007;湖南中医药大学临床医学院, 湖南 长沙 410007) |
| 摘要: |
| 目的 了解湖南省15岁及以上人群的重性精神疾病患病风险水平及分布特征，探讨其影响因素。方法 对全省123个县采用多阶段分层整群随机抽样的方法，应用家庭一般情况问卷和增补后的一般健康问卷（GHQ-12），对70 976名≥ 15周岁的人群进行问卷调查。结果 在完成调查的70 976人中，存在重性精神疾病高危风险的有3 708人，占5.22%，中危1 607人，占2.26%，低危65 661人，占92.51%；农村人群风险高于城市人群（OR=0.834），≥ 60岁人群风险高于<30岁人群（OR=0.483），男性风险高于女性（OR=1.118），受教育年限<9年人群风险高于受教育年限≥ 15年人群（OR=1.940），非在职人群风险高于在职人群（OR=0.631），无稳定婚姻人群风险高于有稳定婚姻人群（OR=0.622）。结论 湖南省15岁及以上人群的一般健康水平相对较高，重性精神疾病患病风险水平相对较低，其高危因素有农村户籍、年龄≥ 60岁、男性、受教育年限0-6年、非在职、无稳定婚姻。 |
| 关键词: 增补后的一般健康问卷 重性精神疾病 影响因素 |
| DOI：10.3969/j.issn.1674-070X.2018.09.016 |
| 投稿时间：2018-06-08 |
| 基金项目:国家科技支撑计划课题（2015BAI13B02）基金支持项目；湖南省卫计委课题（B2016025）基金支持项目。 |
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| Risk of Severe Mental Illness and Its Influencing Factors in People Aged 15 and Over in Hunan, China |
| LIU Yuchen,LUO Bangan,FU Wenbin,WANG Dongxin,TIAN Xuefei,YU Jianying,LI Xiaosong |
| (Brain Hospital of Hunan Province, Changsha, Hunan 410007, China;Clinical Medical College, Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To investigate the risk of severe mental illness and its distribution characteristics in people aged 15 and over in Hunan, China, and to investigate the influencing factors. Methods A total of 70976 subjects aged ≥ 15 years were selected from all 123 counties in Hunan by multi-stage stratified cluster random sampling and subjected to the survey with General Household Questionnaire and General Health Questionnaire-12 (supplemented edition). Results Of the 70976 people, 3708 (5.21%) were at high risk of severe mental illness, 1607 (2.26%) at moderate risk, and 65661 (92.51%) at low risk. The rural group had a higher risk than the urban group (odds ratio[OR]=0.834); the people aged ≥ 60 years had a higher risk than the people aged <30 years (OR=0.483); the males had a higher risk than the females (OR=1.118); the low-educated group (<9 years of education) had a higher risk than the high-educated group (≥ 15 years of education) (OR=1.940); the unemployed group had a higher risk than the employed group (OR=0.631); the non-stable marriage group had a higher risk than the stable marriage group (OR=0.622). Conclusion People aged ≥ 15 years in Hunan are at a high level of health status and a low risk of severe mental illness. The high-risk factors for severe mental illness were rural living, ≥ 60 years of age, male sex, low education level (0-6 years of education), being unemployed, and non-stable marriage. |
| Key words: supplemented edition of General Health Questionnaire severe mental illness influencing factor |
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