摘要
目的了解滨州市滨城区重性精神疾病的患病率及分布情况;研究社会人口学要素（性别、年龄、地域、婚姻、文化程度等）对重性精神疾病患病率的影响。方法采用线索调查的方法,以《重性精神疾病患者线索调查登记表》和《滨州市滨城区行为异常人员线索调查问题清单》为调查工具,以国际疾病分类精神与行为障碍分类第10版（ICD-10）为诊断工具,分析不同人群重性精神疾病的患病率及相关影响因素。结果 2013年4月至10月滨州市滨城区共查出重性精神疾病患者835例,患病率为1.98‰,重性精神疾病患病率男性（1.90‰）与女性（2.01‰）、农村（1.99‰）与城市（1.94‰）之间患病率均无差异（P〉0.05）。双相障碍的患病率城市高于农村（χ^2=8.476,P〈0.05）;发病年龄集中在35~44岁之间,不同年龄段的患病率的差异有统计学意义（χ^2=0.76,P〈0.000 1）;文盲/小学文化程度患病率最高,患病率为3.89‰,本科及以上最低,患病率为1.09‰,不同文化程度患病率的差异有统计学意义（χ^2=04.8,P〈0.000 1）;离婚分居丧偶者患病率最高,患病率6.76‰,不同婚姻状况重性精神疾病患病率的差异有统计学差异（χ^2=337.1,P〈0.000 1）。结论精神分裂症和双相情感障碍是精神卫生工作的防治重点,重性精神疾病的发生与调查人群的年龄、受教育程度、婚姻等多方面因素有关。
Objective To find out the prevalence and distribution of severe mental illness of ginzhou city Bincheng district. To study the influence of socio-demographic factors （ gender, age, region, marital status, education level, etc. ） to the prevalence of severe mental illness. Methods Use ＂clue in patients with severe mental illness investigation Registration Form and abnormal person leads the list of survey questions Bincheng behavior＂ as investigative tools, use International Classification of Diseases Mental and behavioral disorders classified lOth edition （ICD-IO） as diagnostic tools to analysis of the prevalence of different groups of people with severe mental illness and related factors. Results January to October in 2013 found 835 cases with severe mental illness in Bincheng district Prevalence is 1.98‰ ,No significant difference was found in prevalence of severe mental ill- ness, between men（ 1.90‰ ） and women（2.01‰）, between rural（ 1.99‰ ）and urban （1.94‰）（ P〉0. 05）. The prevalence of bi- polar disorder of urban was higher than rural areas（x^2= 28. 476 ,P〈0.05 ）. The age of onset was between 35 to 44 years old. The difference prevalence of was statistically significant{z2= 80. 76, P〈 0. 000 1 ）. Illiterate/elementary junior high school had the highest prevalence,prevalence was 1.98‰;the bachelor degree or above had the lowest prevalence was 1.09%0. Prevalence of different education was statistically significant（x^2 = 204.8, P〈0. 000 1） ;Divorced/separated/widowed had the highest prev- alence, the prevalence was 6.76‰. Prevalence of different marital status was statistically significant（ X^2 = 337.1, P〈0. 000 1 ）. Conelasion Schizophrenia and bipolar disorder are the focus of prevention and treatment of mental health work. The occurrence of severe mental illness was related with population＇s age, education level, marital, and many other relevant factors.
出处
《滨州医学院学报》
2014年第3期219-222,共4页
Journal of Binzhou Medical University
关键词
重性精神疾病
流行病学调查
患病率
滨州
Severe mental illness,Epidemiological investigation,Prevalence rate,Binzhou
