2014—2018年北京市儿童精神障碍患者入院人数变化及影响因素研究  

Study on the changes and influencing factors of hospital admissions of children with mental disorder in Beijing from 2014 to 2018

作　　者：姜震 成佩霞 徐枫 王茜[2] 徐佳颖 高琦 JIANG Zhen;CHENG Pei-xia;XU Feng;WANG Qian;XU Jia-ying;GAO Qi(Department of Epidemiology and Health Statistics,School of Public Health,Capital Medical University,Beijing 100069,China;不详)

机构地区：[1]首都医科大学公共卫生学院流行病与卫生统计学系,北京100069 [2]首都医科大学附属北京安定医院

出　　处：《现代预防医学》2024年第9期1609-1614,1624,共7页Modern Preventive Medicine

基　　金：国家自然科学基金(81872688)。

摘　　要：目的分析北京市儿童精神障碍患者入院人数的时间变化趋势及潜在影响因素。方法收集2014—2018年北京安定医院儿童住院精神障碍患者中居住地为北京的入院人数,采用Joinpoint回归模型、灰色关联分析探究其入院人数变化趋势和各影响因素的关联强度。结果2014—2018年儿童精神障碍入院人数整体以平均每年19.33%的年度变化百分率呈现上升趋势,在亚组中患心境障碍的入院儿童数量上升最为迅速[年平均变化百分率(average annual percentage rate change,AAPC)=34.39%]、其次是女性患儿(AAPC=31.97%)。灰色关联分析结果显示,人均可支配收入(关联度0.841)和人均地区生产总值(关联度0.837)与儿童精神障碍入院人数的关联最强。结论2014—2018年儿童精神障碍入院人数明显上升,不同特征精神障碍患儿入院人数趋势及影响因素关联度排序不同,应重点关注不同儿童精神障碍患者的较强关联影响因素,针对性地加强北京市儿童精神健康教育及防控工作,为相关政策的制定提供参考。Objective To analyze the time trend and potential influencing factors of hospitalization of children with mental disorders in Beijing.Methods The information on hospital admissions of children with mental disorders living in Beijing from 2014 to 2018 was collected.Joinpoint regression model and grey correlation analysis were used to explore the changing trend of hospital admissions and the correlation intensity of the influencing factors.Results From 2014 to 2018,the number of hospitalized children with mental disorders showed an upward trend with an average annual change rate of 19.33%.In the subgroup,the number of hospitalized children with mood disorders increased most rapidly(average annual percentage rate change(AAPC)=34.39%),followed by female children(AAPC=31.97%).The results of grey correlation analysis showed that per capita disposable income(correlation degree 0.841)and per capita GDP(correlation degree 0.837)had the strongest correlation with the number of hospitalized children with mental disorders.Conclusion The number of hospitalized children with mental disorders increased significantly from 2014 to 2018,and the trend of hospitalization of children with mental disorders with different characteristics and the correlation order of influencing factors were different.We should focus on the strongly related factors of different children with mental disorders and strengthen the mental health education and prevention and control of children in Beijing so as to provide reference for the formulation of relevant policies.

关 键 词：儿童精神障碍 入院人数 影响因素 Joinpoint回归 灰色关联分析 

分 类 号：R749[医药卫生—神经病学与精神病学]