乌鲁木齐市精神卫生调查抽样和实施  

Sampling methods and field implementation of Urumqi Mental Health Survey

作　　者：马晓洁 刘肇瑞[2] 伊力哈木江·克里木阿吉 张婷婷[2] 严洁 买买提热厦提·吐尔逊 马超 丁华 傅岳文 吕萍 徐向东 黄悦勤[2] MA Xiaojie;LIU Zhaorui;KELIMUAJI Yilihamujiang;ZHANG Tingting;YAN Jie;TUERXUN Maimaitirexiati;MA Chao;DING Hua;FU Yuewen;LYU Ping;XU Xiangdong;HUANG Yueqin(Xinjiang Uygur Autonomous Region Mental Health Center,Urumqi Fourth People's Hospital,Uumqi 830002,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Bejjing 100083,China;Institute of Social Science Survey,Peking University,Beijing 100871,China)

机构地区：[1]新疆精神卫生中心,乌鲁木齐市第四人民医院,乌鲁木齐830002 [2]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [3]北京大学中国社会科学调查中心,北京10087

出　　处：《中国心理卫生杂志》2022年第12期993-998,共6页Chinese Mental Health Journal

基　　金：卫生行业科研专项基金(201202022);乌鲁木齐市科学技术局项目(Y131320021)。

摘　　要：目的:详细介绍乌鲁木齐市精神卫生调查的抽样、加权计算、执行状况以及质量控制方案。方法:调查采用三阶段不等概率的抽样设计,抽取乌鲁木齐市18岁及以上常住居民进行入户面对面访谈。由经过培训的调查员使用复合性国际诊断交谈表-3.0,通过运行诊断程序以美国精神障碍诊断与统计手册第4版为诊断标准获得心境障碍、焦虑障碍、物质使用障碍、进食障碍和冲动控制障碍的诊断。采用数据核查、电话核查、录音核查及实地核查进行质量控制。结果:本次调查在乌鲁木齐市8个区县89个乡镇街道的830个村/居中开展,完成有效问卷1782份,应答率为88.9%。以抽样设计权数和无应答调整权数的乘积为初始权数,根据乌鲁木齐市总体人群年龄和性别分布计算校准调整权数。质量核查结果显示98.8%的样本无质量问题或有轻微的质量问题,总体调查质量优良。结论:本调查预期可以获得乌鲁木齐市有代表性的精神障碍和精神卫生服务的数据,将为乌鲁木齐市精神卫生相关政策的制定提供科学依据。Objective:To introduce the sampling methods,weighting calculation,filed procedures,and quality controls of Urumqi Mental Health Survey(UMHS).Methods:A three-stage sampling design with unequal probability was used to conduct face-to-face interviews in residents aged 18 years and over in Urumqi The Composite International Diagnostic Interview version-3.0(CIDI-3.0)was used by trained interviewers,and diag nostic algorism were run to diagnose mood disorder,anxiety disorder,substance use disorder,eating disorder,and impulse control disorder based on the American Diagnostic and Statistical Manual of Mental Disorders,fourth edi tion.Methods of quality controls included data checks,telephone checks,audio checks,and field checks.Results:UMHS was carried out in 830 villages from 89 townships and streets of eight distrits and counties in Uru mqi.Totally 1782 respondents completed the CIDI,and the response rate was 88.9%.The initial weights were cal culated by multiplying the sampling design weights by non-response weights.Then the calibration weights were gen erated by adjusting the initial weights according to the age and gender distributions of the total population in Uru mqi.The results of quality checks showed that 98.8%of the sample had no quality problems or only minor prob lems.The overall quality of the UMHS was satis fied.Conclusion:The UMHS is expected to obtain representative data of mental disorders and mental health services in Urumqi.This information will provide scientific evidences for the formulation of mental health policies in Urumqi.

关 键 词：精神障碍 描述性流行病学 抽样 权重 复合性国际诊断交谈表 

分 类 号：R181.32[医药卫生—流行病学] R749.04[医药卫生—公共卫生与预防医学]