乌鲁木齐市4类精神障碍危险因素  

Risk factors of four classifications of mental disorders in Urumqi

作　　者：吕淑云[1] 贾娜·木海 杨燕[1] 刘肇瑞[2] 买买提热厦提·吐尔逊[1] 严洁 张婷婷[2] 丁华 马超 傅岳文[1] 吕萍 徐向东[1] 黄悦勤[2] LYU Shuyun;MUHAI Jiana;YANG Yan;LIU Zhaorui;TUERXUN Maimaitirexiati;YAN Jie;ZHANG Tingting;DING Hua;MA Chao;FU Yuewen;LYU Ping;XU Xiangdong;HUANG Yueqin(Urumqi Fourth People's Hospital,Xinjiang Mental Halth Center,Urumqi 830002,China;Peking University Sixth Hospital,Pe-king University Instiute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;Institute of Social Science Survey,Peking University,Bejjig 100871,China)

机构地区：[1]乌鲁木齐市第四人民医院,新疆精神卫生中心,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,北京100871

出　　处：《中国心理卫生杂志》2022年第12期1016-1022,共7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:探讨乌鲁木齐市社区成人4类精神障碍的危险因素。方法:本调查作为中国精神卫生调查的一部分,采用抽样调查的方法获得乌鲁木齐市4类精神障碍终生患病率和12月患病率及其分布特征,运用logistic回归分析探索4类精神障碍的相关因素。结果:共1782人完成调查,共调查出心境障碍、焦虑障碍、酒精药物使用障碍和进食障碍4类精神障碍患者,终生符合4类精神障碍任一诊断的病例数为87例,4类中任何一类精神障碍终生患病率为11.41%,12月患病率为7.64%。心境障碍终生患病的危险因素有大学及以上受教育程度(OR=4.80,95%CI:1.57~14.69)、无工作(OR=13.13,95%CI:1.75~98.72)、罹患躯体疾病(OR=17.13,95%CI:4.28~73.42);心境障碍12月患病的危险因素有高收入水平(OR=5.32,95%CI:1.38~20.47)、罹患躯体疾病(OR=75.53,95%CI:1.23~999)。焦虑障碍终生患病的危险因素有初中(OR=19.37,95%CI:1.75~214.04)和大学及以上(OR=13.04,95%CI:1.48~114.85)受教育程度。结论:乌鲁木齐市的大学及以上受教育程度、无工作、罹患躯体疾病、高收入水平群体是心境障碍的高危人群,初中和大学及以上受教育程度群体是焦虑障碍的高危人群。Objective:To explore the risk factors of four classifications of mental disorders in adult coummunity residents in Urumqi.Methods:As a part of China Mental Health Survey,the lifetime prevalence and 12-month prevalence of mental disorders and their distribution characteristics in Urumqi were obtained.Logistic regression analysis was used to explore the risk factors of mental disorders.Results:A total of 1782 people were interviewed in the survey.The lifetime prevalence of any of the four clas sifications of mental disorders was 11.41%,and the 12-month prevalence was 7.64%.The risk factors of lifetime mood disorders were college education or above(OR=4.80,95%CI:1.57-14.69),unemployment(OR=13.13,95%CI:1.75-98.72),and comorbid physical diseases(OR=17.13,95%CI:4.28-73.42).The risk factors of the 12-month mood disorders were high-income level(OR=5.32,95%CI:1.38-20.47)and comorbid physical diseases(OR=75.53,95%CI:1.23-999).The risk factors of lifetime anxiety disorders were junior high school education(OR=19.37,95%CI:1.75-214.04)and college education or above(OR=13.04,95%CI:1.48-114.85).Conclusion:College education or above,unemployment,comorbid physical diseases,and high-income groups are the high-risk populations of mood disorders,junior high school education and college education or above groups are the high-risk populations of anxiety disorders in Urumqi.

关 键 词：心境障碍 焦虑障碍 患病率 危险因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R181.32[医药卫生—临床医学]