广西壮族自治区城市社区居民抑郁症流行病学特征研究  

Epidemiological Features of Depression in Urban Residents in Guangxi Zhuang Autonomous Region

作　　者：冯启明[1] 罗红叶[1] 韦波[1] 陈强 潘润德 陈秋明 黄国光 唐海宁 陈发钦[3] 黎火佳 

机构地区：[1]广西医科大学公共卫生学院,广西壮族自治区南宁市530021 [2]广西壮族自治区龙泉山医院 [3]广西壮族自治区卫生厅

出　　处：《中国全科医学》2012年第31期3660-3662,共3页Chinese General Practice

基　　金：国家自然科学基金(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岁城市社区居民抑郁症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6个地级市7 028名≥15岁的城市社区居民作为调查对象,进行入户调查。以复合性国际诊断问卷(CIDI 3.0)为筛查工具,国际疾病及相关健康问题分类第10版(ICD-10)为诊断标准。结果拟调查7 380人,完成调查7 028人,调查完成率为95.23%。广西壮族自治区≥15岁城市社区居民抑郁症时点患病率为2.99‰〔95%CI(1.90‰,4.60‰)〕,终生患病率为5.41‰〔95%CI(3.40‰,8.10‰)〕。女性抑郁症的终生患病率为5.72‰,高于男性的5.07‰,但差异无统计学意义(P>0.05)。不同年龄和文化程度者抑郁症终生患病率间差异均无统计学意义(P>0.05)。不同婚姻状况者抑郁症终生患病率间差异有统计学意义(P<0.05),离婚人群重性抑郁症患病率较高。结论广西城市社区居民抑郁症患病率较高,离婚人群是防治抑郁症的重点人群。Objective To investigate the prevalence and distribution of depression disorders in urban people aged more than 15 in Guangxi Zhuang Autonomous Region.Methods From July to December 2007,7 028 urban residents≥15 from 6 prefecture-level cities were recruited by multi-stage stratified cluster random sampling.All subjects were investigated by face to face interview.The Composite International Diagnostic Interview（CIDI 3.0） was used as the screening tool and the 10th Edition of International Classification of Disease（ICD-10） was taken as the criteria.Results Totally 7 380 people were planned to be investigated and 7 028 were finished with a completion rate of 95.23%.The general point prevalence was 2.99‰（95%CI（1.90‰,4.60‰））,and the general lifetime prevalence was 5.41‰（95%CI（3.40‰,8.10‰））.The general lifetime prevalence of depression disorders higher in female（5.72‰） than in male（5.07‰）,but the results showed no significant difference（P0.05）.There were no statistically significant differences in lifetime prevalence among ages and educational level（P0.05）.But the lifetime prevalence of depression disorders was higher in divorced status（P0.05）.Conclusion The prevalence of urban residents in Guangxi is higher,and the divorced people are the key group to prevention and treatment of depression disorders.

关 键 词：抑郁症 患病率 横断面调查 城市居民 

分 类 号：R749.42[医药卫生—神经病学与精神病学]