广西壮族自治区农村地区精神疾病流行病学调查  

EPIDEMIOLOGICAL SURVEY ON THE MENTAL DISORDERS IN RURAL IN GUANGXI ZHUANG AUTONOMOUS REGION

作　　者：韦波[1] 冯启明[1] 陈强 潘润德 陈秋明 黄国光 唐峥华[1] 唐海宁 苏莉[3] 陈娜萦[3] 陈发钦[4] 黎火佳 

机构地区：[1]广西医科大学公共卫生学院,南宁530021 [2]广西壮族自治区龙泉山医院 [3]广西壮族自治区疾病预防控制中心 [4]广西壮族自治区卫生厅

出　　处：《现代预防医学》2011年第10期1801-1805,共5页Modern Preventive Medicine

基　　金：国家自然科学基金项目(项目批准号:30660051);广西科学研究与技术开发计划项目(桂科软0663002-17)

摘　　要：[目的]了解广西壮族自治区≥15岁农村居民各类精神疾病的患病水平和分布特征。[方法]2007年7～12月采用多阶段分层整群抽样方法随机抽取10县13910人≥15岁的农村居民为调查对象进行入户调查。以中国疾病预防控制中心精神卫生中心提供的中文版本的复合性国际诊断问卷(CIDI3.0)为筛查工具,以国际疾病及相关健康问题分类第10版(ICD-10)为诊断标准。[结果]完成调查11191人,调查完成率为80.45%。广西农村地区精神疾病总时点患病率和总终生患病率分别为23.77‰和26.81‰。按终生患病率高低排列,广西农村地区前3位特定精神疾病是精神分裂症(9.20‰)、酒依赖(6.17‰)和抑郁(5.27‰)。总终生患病率女性(21.30‰)低于男性(31.85‰),差异有统计学意义(RR=0.68,95%CI=0.53～0.84,P=0.001);壮族(33.45‰)高于汉族(21.84‰),差异有统计学意义(RR=1.56,95%CI=1.21～2.01,P=0.001)。抑郁患病率在55～64岁年龄组和离婚人群患病率较高;25～34岁组和未婚是精神分裂症患病高发人群;酒精依赖症患病率在35～54岁组、65～74岁组和小学及以下人群较高。[结论]精神分裂症、酒依赖和抑郁是广西农村地区主要精神疾病,应针对其患病高发人群开展防控干预工作。[Objective]To investigate the prevalence and distribution of mental disorders among people aged more than 15 in rural in Guangxi Zhuang Autonomous Region.[Methods]From July 2007 to December 2007,13 910 subjects aged more than 15 were randomly selected for 10 counties by stratified multi-stage cluster sampling method.All subjects were investigated by face to face interview.The Chinese version of Composite International Diagnostic Interview（CIDI3.0）Provided by the Chinese Center for Disease Control And Prevention was used as the screening tool and the diagnoses were made with the 10th edition of international classification of Disease Criteria.[Results]11 191 subjects completed the screening,the Completion rate was 80.45‰.The general point prevalence was 23.77‰ and the general lifetime prevalence was 26.81‰ in rural in Guangxi Zhuang Autonomous Region.Ordered by lifetime prevalence rate,the most common specific disorders were major Schizophrenia（9.20‰）,Alcohol dependence disorder（6.17‰）and Depression disorder（5.27‰）.The general lifetime prevalence was lower in female（21.30‰）than in male（31.85‰）,and the result showed significant difference（RR=0.68,95%CI = 0.53-0.84,P = 0.001）.The general lifetime prevalence was higher in Zhuang（33.45‰）than in Han（21.84‰）,and the result showed significant difference（RR=1.56,95%CI =1.21-2.01,P = 0.001）.The prevalence of depression disorders was higher in 55-64 age group and divorce people,and the 25-34 age group and the unmarried people were with high-risk population prevalence of schizophrenia,and the prevalence of alcohol dependence disorder in 25-34 age group,65-74 age group and Primary education level and below crowds were higher than others.[Conclusion]Schizophrenia,alcohol dependence disorder,depression disorder are the most common mental disorders,and targeted research of prevention and rehabilitation should be carried out.

关 键 词：精神疾病 患病率 横断面调查 农村居民 

分 类 号：R749[医药卫生—神经病学与精神病学]