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Quote : 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英文版,2018,38(9):1038-1042.[Click to copy ]
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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
Received:June 08, 2018  
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。
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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