深圳市精神卫生服务利用现况调查  

The mental health service utilization in Shenzhen City

作　　者：位照国[1] 刘铁榜[1] 胡赤怡[1] 段卫东[1] 高欢[1] 杨孔军[1] 张繁新[1] 陆亚文[1] 舒明跃[1] 杨洪[1] 

机构地区：[1]深圳市精神卫生中心,深圳518020

出　　处：《中国心理卫生杂志》2010年第8期597-603,共7页Chinese Mental Health Journal

摘　　要：目的:调查了解深圳市居民精神卫生服务利用率,分析影响精神卫生服务利用的因素。方法:采用分阶段分层随机抽样的方法,对深圳市户籍及常住非户籍居民共计抽取8920人。采用复合性国际诊断访谈表(CIDI)3.1中文版进行入户调查采集信息,实际完成7134人,计算各类人群的终生和1年精神卫生服务利用率,采用Logistic回归分析精神障碍终生罹患人群精神卫生服务1年利用率的相关因素。结果:深圳市全人群精神卫生服务终生总利用率为4.02%,1年总利用率为1.71%,专业服务终生利用率为2.50%,1年专业服务利用率为0.64%;精神障碍罹患人群精神卫生服务终生总利用率为11.32%,1年总利用率为5.63%,专业服务终生利用率为6.69%,1年专业服务利用率为2.25%;Logistic回归分析结果显示性别、宗教信仰、童年期抚养人精神异常史、自杀观念是影响精神障碍终生罹患人群精神卫生服务1年利用率的因素。结论:深圳区域的精神卫生服务利用水平较低,该地区相当一部分有精神卫生服务需求的居民未能享有专业服务;精神障碍终生罹患人群中男性、有宗教信仰者、童年期抚养人有精神异常史者、有自杀观念者更容易接受精神卫生服务。Objective： To explore the mental health service utilization and the related factors in Shenzhen City. Methods： Totally 8920 Shenzhen citizens were sampled according to the stratified randomly sampling and stage sampling methods. Among them, 7134 citizens completed the field survey with the Chinese version of the Composite International Diagnostic Interview Version （ CIDI ） 3.1. Different types of mental health service utilizations were investigated. Logistic regression analysis was applied to explore the related factors. Results： In Shenzhen population, the total lifetime utilization rate of mental health service was 4.02% and the utilization rate in one year was 1.71%. The lifetime utilization rate of professional mental health service was 2. 50%, and the utilization rate in one year was 0. 64%. In Shenzhen citizens suffering mental disorders, the total lifetime utilization rate of mental health service was 11.32%, and the utilization rate in one year was 5. 63%. The lifetime utilization rate of professional mental health service was 6. 69%, and the utilization rate in one year was 2. 25%. The factors such as gender, religion, mental health status of guardians in their childhood, suicide idea had impact on the utilization rate of mental health service in one year for patients with mental disorder. Conclusion： The utilization of mental health service in Shenzhen City is poor. Quite a lot of Shenzhen citizens who have mental health needs can not make use of the professional mental health service. Persons who are males or have religion or suicide idea, or whose guardians have mental disorders history in their childhood are more probably to utilize mental health service than others.

关 键 词：深圳 精神卫生服务 利用率 复合性国际诊断访谈表 横断面研究 

分 类 号：R749.01[医药卫生—神经病学与精神病学] R19[医药卫生—临床医学]