香港华人的普通精神障碍和社会经济状况的关系  

The Relationship between Socioeconomic Status and Common Mental Disorder among Hong Kong Chinese

作　　者：张斌[1] 荣润国[2] 

机构地区：[1]广东省人民医院广东省精神卫生研究所,广州510120 [2]香港中文大学精神病学系

出　　处：《中国心理卫生杂志》2008年第11期842-846,849,共6页Chinese Mental Health Journal

摘　　要：目的:探讨普通精神障碍(common mental disorder,CMD)与社会经济状况(socioeconomic status,SES)的关系。方法:随机抽取若干香港居民进行电话访谈。根据Kish方法选取访谈对象。年龄限定在18-65岁。采用结构式问卷了解SES(性别、年龄、婚姻、教育、工作、家庭收入、住房类型和面积),采用自我评定量表(Self-Reporting Questionnaire,SRQ)评价CMD。结果:收回有效问卷9851份(71.7%),根据粤语版本划界点(≥5),3358名访谈对象(34.2%)存在CMD。总体而言,低水平SES更易出现CMD。修正年龄、性别和SES相互作用后,婚姻稳定(OR=0.763,0.697-0.835)、教育程度高(OR= 0.766.0.708-0.830)、住房面积大(OR=0.906,0.849-0.968)是减少CMD的关键因素。结论:社会经济状况和心理健康水平有直接的关系,婚姻、教育和居所是其中的重点。Objective： To investigate the relationship between socioeconomic status （SES） and common mental disorder （CMD） . Methods： A random sampling of household telephone numbers was obtained from 1995 residential telephone directories. A subject from each eligible household was selected according to the Kish method. The target population comprised noninstitutionalized Chinese residents in Hong Kong ages 18 to 65 years. A structure questionnaire was used to measure some SES characteristics （age, gender, marriage, education, job, family income, house type, and house area ）, and Serf-Reporting Questionnaire （SRQ） was used to evaluate their CMD. Results： A total of 9851 subjects （71.7%） were included in the final analysis. According to the cutoff （≥5） of SRQ, 3358 subjects （34.2%） suffered from CMDo Totally, subjects with lower SES had more chances to suffer from CMD. After controlling confounding factors, stable marriage （OR = 0. 763, 0. 697 - 0. 835 ）, higher education （ OR = 0. 766, 0. 708 - 0. 830）, and larger house （ OR = 0. 906, 0. 849 - 0. 968 ） were important factors for reduction of CMD. Conclusion： The mental health of general population is closely linked with SES, especially marriage, education, and house.

关 键 词：香港 社会经济状况 普通精神障碍 横断面调查 

分 类 号：R749.01[医药卫生—神经病学与精神病学] F126.2[医药卫生—临床医学]