摘要
目的了解2016—2020年宁波市户籍在管严重精神障碍患者死亡与减寿情况,为制定严重精神障碍防治策略提供依据。方法通过宁波市精神卫生信息管理系统收集2016—2020年宁波市户籍在管严重精神障碍死亡患者资料,分析人口学特征和死因分布;采用潜在减寿年数(YPLL)、潜在减寿率(YPLLR)和平均减寿年数(AYLL)分析严重精神障碍死亡患者的寿命损失。结果2016—2020年宁波市户籍在管严重精神障碍患者死亡3350例,死亡率为1962/10万。其中,精神分裂症2490例,占74.33%;男性1640例,占48.96%;农民1877例,占56.03%;小学及以下学历2622例,占78.27%。患者死亡年龄M(Q_(R))为66.8(20.1)岁,病程M(Q_(R))为25.8(26.7)年;男性患者死亡年龄M(Q_(R))为63.7(18.5)岁,小于女性的70.0(19.6)岁(χ^(2)=132.633,P<0.001);精神发育迟滞伴发精神障碍患者的病程最长且死亡年龄最小,M(Q_(R))分别为40.3(34.1)年和61.4(21.9)岁。主要死因为躯体疾病,2754例占82.21%。全部死因造成的YPLL为44417.32人年,AYLL为15.61年,YPLLR为6.21‰。男性AYLL为17.33年,高于女性的13.75年(χ^(2)=68.254,P<0.001)。精神分裂症患者的YPLL为30156.80人年;精神发育迟滞伴发精神障碍患者的AYLL为20.87年。结论2016—2020年宁波市户籍在管严重精神障碍患者死亡的主要原因为各种躯体疾病;对男性、精神分裂症和精神发育迟滞伴发精神障碍患者的寿命影响较大。
Objective To investigate the mortality and life lost among patients with severe mental illness(SMI)that were registered in Ningbo City from 2016 to 2020,so as to provide the evidence for formulating the SMI control strat⁃egy.Methods All data pertaining to dead SMI patients registered in Ningbo City from 2016 to 2020 were extracted from Ningbo Municipal Mental Health Information Management System.The demographic characteristics and causes of death were analyzed among dead SMI patients,and the life lost was analyzed among dead SMI patients using years of potential life lost(YPLL),years of potential life lost rate(YPLLR)and average years of life lost(AYLL).Results A total of 3350 deaths occurred among SMI patients registered in Ningbo City from 2016 to 2020,with mortality of 1962/105,including 2490 patients with schizophrenia(74.33%),1640 men(48.96%),1877 farmers(56.03%),and 2622 patients with an educational level of primary school and below(78.27%).The dead SMI patients had a median age of 66.8(interquartile range,20.1)years at death,and median disease course of 25.8(interquartile range,26.7)years.The median age at death was 63.7(interquartile range,18.5)years among men,which was significantly lower than that(median,70.0 years;interquartile range,19.6 years)among women(χ^(2)=132.633,P<0.001).The patients with mental retardation complicated by mental disorders had the longest disease course(median,40.3 years;interquartile range, 34.1 years) and the lowest age at death (median, 61.4 years;interquartile range, 21.9 years). Physical disease was identified as the predominant cause of death (2 754 cases, 82.21%), and the YPLL, AYLL and YPLLR due to all causes of death were 44 417.32 person-years, 15.61 years and 6.21‰. The AYLL was significantly greater among men than among women (17.33 vs. 13.75 years;χ^(2)=68.254, P<0.001). The YPLL was 30 156.80 person-years among patients with schizophrenia, and the AYLL was 20.87 years among patients with mental retardation complicated by men⁃ tal disorders. Conclusions Physical disease was the main cause of death among SMI patients registered in Ningbo City from 2016 to 2020, which posed a great effect on the lifespan among men and patients with schizophrenia and mental retardation complicated by mental disorders.
作者
王云锋
李链
宋平
杨红英
李金成
王玉成
WANG Yunfeng;LI Lian;SONG Ping;YANG Hongying;LI Jincheng;WANG Yucheng(Department of Disease Prevention and Treatment,Ningbo Kangning Hospital,Ningbo,Zhejiang 315201,China)
出处
《预防医学》
2022年第12期1224-1229,共6页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
宁波市医学重点学科建设项目(2022-F28)。
关键词
严重精神障碍
死亡率
死因
潜在减寿年数
severe mental disorder
mortality
cause of death
years of potential life lost
