湖南省15岁及以上人群重性精神疾病风险水平及影响因素分析  

Risk of Severe Mental Illness and Its Influencing Factors in People Aged 15 and Over in Hunan, China

作　　者：刘禹辰 罗邦安[1] 付文彬[1] 王东欣 田雪飞 虞建英[1] 李小松 LIU Yuchen;LUO Bangan;FU Wenbin;WANG Dongxin;TIAN Xuefei;YU Jianyingz;LI Xiaosong(Brain Hospital of Hunan Province,Changsha,Huncal 410007,China;Clinical Medical College,Huncal University of Chinese Medicine,Changgsha,Hunan 41000Z China)

机构地区：[1]湖南省脑科医院,湖南长沙410007 [2]湖南中医药大学临床医学院,湖南长沙410007

出　　处：《湖南中医药大学学报》2018年第9期1038-1042,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家科技支撑计划课题(2015BAI13B02)基金支持项目;湖南省卫计委课题(B2016025)基金支持项目

摘　　要：目的了解湖南省15岁及以上人群的重性精神疾病患病风险水平及分布特征,探讨其影响因素。方法对全省123个县采用多阶段分层整群随机抽样的方法,应用家庭一般情况问卷和增补后的一般健康问卷(GHQ-12),对70 976名≥15周岁的人群进行问卷调查。结果在完成调查的70 976人中,存在重性精神疾病高危风险的有3 708人,占5.22%,中危1 607人,占2.26%,低危65 661人,占92.51%;农村人群风险高于城市人群(OR=0.834),≥60岁人群风险高于<30岁人群(OR=0.483),男性风险高于女性(OR=1.118),受教育年限<9年人群风险高于受教育年限≥15年人群(OR=1.940),非在职人群风险高于在职人群(OR=0.631),无稳定婚姻人群风险高于有稳定婚姻人群(OR=0.622)。结论湖南省15岁及以上人群的一般健康水平相对较高,重性精神疾病患病风险水平相对较低,其高危因素有农村户籍、年龄≥60岁、男性、受教育年限0-6年、非在职、无稳定婚姻。Objective To investigate the risk of severe mental illness and its distribution characteristics in people aged 15 and over in Hunan, China, and to investigate the influencing factors. Methods A total of 70976 subjects aged ≥15 years were selected from all 123 counties in Hunan by muhi-stage stratified cluster random sampling and subjected to the survey with General Household Questionnaire and General Health Questionnaire-12 （supplemented edition）. Results Of the 70976 people, 3708 （5.21%） were at high risk of＇ severe mental illness, 1607 （2.26%） at moderate risk, and 65661 （92.51%） at low risk. The rural group had a higher risk than the urban group （odds ratio [0R]--0.834）; the people aged ≥60 years had a higher risk than the people aged 〈30 years （0R--0.483）; the males had a higher risk than the temales （OR=l.l18）; the low-educated group （〈9 years of education） had a higher risk than the high-educated group ≥15 years of education） （0R=1.940）; the unemployed group had a higher risk than the employed group （0R--0.631）; the non-stable marriage group had a higher risk than the stable marriage group （0R=0.622）. Conclusion People aged ≥15 years in Hunan are at a high level of health status and a low risk of severe mental illness. The high-risk taetors tor severe mental illness were rural living, ≥60 years of age, male sex, low education level （0.6 years of education）, being unemployed, and non-stable marriage.

关 键 词：增补后的一般健康问卷 重性精神疫病 影响因素 

分 类 号：R256.29[医药卫生—中医内科学] R749.3[医药卫生—中医学]