宜宾地区居民精神分裂症流行病学调查  

Epidemiological survey of schizophrenia in people aged 18 years and older in Yibin city

作　　者：刘冬梅[1] 王志青[2] 杨永和[1] 向道华[1] 廖华[1] 王世禹[1] 冯翼[1] 杨成敏[1] 李洪梅[1] 汪卫东[2] 

机构地区：[1]宜宾市康复医院精神科,四川6440022 [2]中国中医科学院广安门医院

出　　处：《中国公共卫生》2013年第12期1755-1757,共3页Chinese Journal of Public Health

基　　金：宜宾市公安局;统计局;民政局;卫生局以及所调查区县各级领导干部的大力支持

摘　　要：目的 了解四川省宜宾地区成年人群精神分裂症的患病率及分布特点。方法 应用多阶段分层整群抽样方法随机抽取宜宾地区≥18岁人群11 227人，通过一般健康问卷、8项心理健康问题、简易智能状况筛查，将调查对象划为精神障碍高、中、低危险组，使用美国精神障碍诊断与统计手册轴I障碍定式临床检查对不同比例的3组人群进行诊断调查。结果 四川省宜宾地区≥18岁居民。调整后的精神分裂症现患率为1.2%（95%CI=0.9%-1.7%），终生患病率为2.0%（95%CI=1.6%-2.6%），男性精神分裂症现患病率1.9%和终生患病率3.1%均高于女性的0.5%（RR=3.5，95%CI=2.3-5.3）和1.0%（RR=3.3，95%CI=2.5-4.6），精神分裂症的现患病率城市（1.8%）高于农村（1.1%）（RR=1.7，95%CI=1.1-2.6），在现患的精神分裂症人群中，52.1%的人其日常功能受到重度损害，但仅有55.2%的人求助过医疗机构，37.5%的人求助过精神心理机构，22.9%的人接受过精神科住院治疗。结论 宜宾地区精神分裂症的患病率较高，而其求助精神心理机构的比例低，应引起相关卫生行政部门的重视。Objective To describe the prevalence and distribution of schizophrenia among adults in Yibin city. Methods Using multi-stage stratified cluster sampling,12 000 subjects aged 18 years or older were selected in Yibin city.The subjects were screened with a general health questionnaire,8-Item Mental Psychological Assessment,Mini-Mental State Examination and classified as high,moderate or low risk of having schizophrenia based on the results of the survey.Then,the three groups were assessed with the Structured Clinical Interview for Diagnostic and Statitical Manual of Mental Disorders IV（DSM-Ⅳ）Axis I Disorders-Patient Edition（SCID-I/P）. Results Totally 11 227 subjects completed the survey.The adjusted current prevalence of schizophrenia was 1.2%（95% confidence interval[95%CI]：0.9%-1.7%）and the lifetime prevalence was 2.0%（95% CI：1.6%-2.6%）.The current and lifetime prevalence of schizophrenia was significantly higher in the men（1.9%,3.1%）than in the women（0.5%,1.0%）（relative risk[RR]=3.5,95% CI：2.3%-5.3%;RR=3.3,95% CI：2.5%-4.6%）.The current prevalence of schizophrenia was significantly higher in urban residents than in rural residents（1.8% vs 0.8%,RR=1.7,95% CI：1.1%-2.6%）.Among the subjects with schizophrenia,52.1% had severely reduced daily life function due to schizophrenia,but only 55.2% had medical treatment,37.5% had mental health treatment,and only 22.9% received psychiatric in-patient treatment. Conclusion The prevalence of schizophrenia is high in Yibin city,but the proportion of patients with schizophrenia asking help for mental health treatment is low,and special attention should be paid to the problems.

关 键 词：精神分裂症 患病率 流行病学调查 

分 类 号：R749.3[医药卫生—神经病学与精神病学]