2017年深圳市在册严重精神障碍患者流行病学特征分析  

Epidemiological features of severe mental disorders of Shenzhen in 2017

作　　者：彭小冬 谢海燕[1] 周志坚[1] 金冬[1] 邱友胜[1] 徐福山 刘铁榜[1] PENG Xiao-dong;XIE Hai-yan;ZHOU Zhi-jian;JIN Dong;QIU You-sheng;XU Fu-shan;LIU Tie-bang(Department of Public Health,Shenzhen Mental Health Center,Shenzhen Corning Hospital,Shenzhen,Guangdong 518020,China)

机构地区：[1]深圳市精神卫生中心/深圳市康宁医院公共卫生科,广东深圳518020

出　　处：《现代预防医学》2019年第5期777-780,788,共5页Modern Preventive Medicine

基　　金：深圳市医疗卫生三名工程(SZSM201512038);广东省医学科学技术研究基金项目(A2015358)

摘　　要：目的了解深圳市登记在册严重精神障碍患者的流行学分布特征,为制定严重精神障碍防治策略提供参考依据。方法利用2017年深圳市精神卫生防治工作信息管理系统报告的严重精神障碍病例,对其流行病学特征进行描述性分析。结果深圳市2017年底严重精神障碍累计登记在册患者40 682例,报告患病率3.58‰,呈上升趋势。报告患病率最高的前3位地区依次为罗湖(4.96‰)、盐田(4.19‰)、南山(4.05‰)和大鹏(4.05‰)。病种以精神分裂症为主(57.7%),男性(51.4%)多于女性(48.6%),平均年龄(37.0±15.2)岁,文化程度主要在初中及以下(40.9%),32.9%患者为下岗/无业/退休,65.5%的患者无精神疾病家族史,未婚患者占47.2%,64.3%的患者经济状况大多为非贫困。六类精神疾病在不同人口学特征患者中的构成不同。结论深圳市严重精神障碍患者存在人口学特征和地区分布差异,应特别重视精神分裂症社区防治和监测工作。Objective To understand epidemiological features of severe mental disorders in Shenzhen and to provide a scientific basis for developing severe mental disorders prevention and control strategy.Methods With surveillance data of information management system of mental health prevention and control in Shenzhen by December 31,2017,a descriptive analysis was conducted to explore the distribution of epidemiological features for severe mental disorders.Results A total of 40 682 severe mental disorders cases were reported and the prevalence incidence was 3.58‰ in Shenzhen in 2017,which showed an increasing tendency.The districts with higher prevalence were Luohu(4.96‰),Yantian(4.19‰),Nanshan(4.05‰)and Dapeng(4.05‰),respectively.In those patients with severe mental disorders,schizophrenia accounted for 57.7%,and the proportion of males(51.4%)was higher than females(48.6%).The patients were aged(37.0±15.2),40.9% of them were junior middle school and under,32.9% of them were laid off,unemployed or retired,65.5% of them had no family history of mental illness,47.2% of them were unmarried,64.3% of them were non-poverty.There were significant differences in general characteristics in six severe mental illness(all P<0.001).Conclusion There is a demography and geographic distribution difference of severe mental disorders in Shenzhen.The prevention and control for schizophrenia in the community should be strengthened.

关 键 词：流行病学 严重精神障碍 精神分裂症 

分 类 号：R181.23[医药卫生—流行病学]