上海地区赴美移民人群精神障碍病例分析  

Case analysis of mental disorder among US immigrant visa applicants in Shanghai area

作　　者：孟成艳[1] 潘俊[1] 周娴[1] 潘佳鸿[1] 王惟信 陈磊[1] 叶魏[1] 方筠[1] 

机构地区：[1]上海国际旅行卫生保健中心,上海200335

出　　处：《中国国境卫生检疫杂志》2014年第6期391-394,共4页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的总结近5年来上海地区赴美移民人群中发现和诊断的精神障碍病例,获得上海地区赴美移民人群精神障碍的疾病检出率并分析其影响因素。方法采用回顾性的研究方法分析2009—2013年在上海国际旅行卫生保健中心接受赴美移民体检的人员中被诊断为精神障碍的病例,进行疾病分类和检出率统计,对检出率的影响因素进行相关统计学分析。结果 2009—2013年,上海国际旅行卫生保健中心共接待赴美移民体检人员19 499人,共发现和诊断精神障碍病例35例,5年中赴美移民人群精神障碍疾病总检出率为1.8‰。男女检出率差异无统计学意义（P〉0.05）;15岁以下以及15-30岁这两个年龄段的患病人数共占了病例总数一半以上（62.9%）;精神病性障碍患者比例（60%）高于非精神病性障碍患者比例（40%）;有3例（8.6%）患者医学报告被评为A级。结论上海地区赴美移民人群精神障碍疾病检出率较同类研究低,可能与移民人群本身发病率较低,或筛查方法简单被动有关,需要进一步采取有效措施提高检出率。Objective In order to acquire the prevalence of mental disorder and its related high risk factors in the immigrant visa applicants, serial case analysis of mental disorders were performed among US immigrant visa applicants in Shanghai area in recent 5 years. Methods In this retrospective study, all US immigrant visa applicants accepted mental evaluation in our center from 2009 to 2013. The disease classification was made in those who suspected of mental disorder and the prevalence of the mental disorders was also investigated. Meanwhile, the impact factors of the prevalence of mental disorders in the immigrant applicants were also analyzed. Results Totally 19 499 applicants were performed medical examination, among which 35 cases of mental disorder were diagnosed with the prevalence of 1.8‰. No significant difference of prevalence rate was observed between male and female. Most of the cases were found among the applicants under 15 years old and 15-30 years old which together accounted more than half（62.9%） of the case number. In all cases of mental disorders, the ration of psychiatric mental disorder was higher than non-psychiatric mental disorders（60% vs. 40%）. Three cases were classified as Class A mental disorder. Conclusion The prevalence of mental disorders among US immigration personnel was relatively low comparing with the national wide prevalence, indicating the low prevalence of the disease in this special population or more effective and sensitive screening measures are needed to find more hiding cases of mental disorders in immigrant applicants.

关 键 词：赴美移民 精神障碍 

分 类 号：R749[医药卫生—神经病学与精神病学]