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广西城市居民精神分裂症患病率调查

Prevalence and influencing factors of schizophrenia in urban Guangxi Zhuang autonomous region

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【作者】 陈强韦波潘润德陈秋明黄国光唐海宁冯启明苏莉陈娜萦唐峥华陈发钦黎火佳

【Author】 CHEN Qiang,WEI Bo,PAN Run-de,CHEN Qiu-ming,HUANG Guo-guang,TANG Hai-ning,FENG Qi-ming,SU Li,CHEN Na-ying,TANG Zheng-hua,CHEN Fa-qin,LI Huo-jia.Guangxi Zhuang autonomous region Long Quan Shan Hospital,Liuzhou 545005,China

【机构】 广西壮族自治区龙泉山医院广西医科大学公共卫生学院广西壮族自治区疾病预防控制中心广西壮族自治区卫生厅

【摘要】 目的:了解广西壮族自治区≥15岁城市居民精神分裂症患病率的分布特征和影响因素。方法:采用多阶段分层整群抽样方法随机抽取6个城市7380名≥15岁城市居民为调查对象进行入户调查。以中文版复合性国际诊断问卷为筛查工具;以国际疾病分类第10版为诊断标准。结果:在实际完成调查的7028人中,精神分裂症时点患病率为8.68‰,终生患病率为10.67‰。终生患病率以女性(7.08‰)显著低于男性(14.60‰);以15~24岁(4.67‰)显著低于25~44岁(14.01‰)及35~44岁(19.17‰);以初中文化水平(15.35‰)显著高于大专以上(3.07‰);以未婚(13.71‰)及离婚/丧偶者(31.14‰)显著高于现婚者(8.34‰);差异有统计学意义(P<0.05或P<0.001)。多因素非条件Lo-gistic回归分析显示:性别、年龄、教育水平、婚姻状况4个因素进入回归模型。结论:性别、年龄、教育水平、婚姻状况是影响广西城市居民精神分裂症患病率的主要因素。

【Abstract】 Objective:To investigate the prevalence and influencing factors of schizophrenia among people aged more than 15 in urban Guangxi Zhuang autonomous region. Method:7 380 subjects aged more than 15 were randomly selected from 6 cities by stratified multi-stage cluster sampling method.The Chinese version of composite international diagnostic interview was used as the screening tool and the diagnoses were made with the 10th edition of international classification of disease criteria. Results:Schizophrenia in 7 028 population aged 15 years old or over,with a general lifetime prevalence of 10.67‰ and a point prevalence of 8.68‰.The general lifetime prevalence of schizophrenia was lower in female(7.08‰)than in male(14.60‰),lower in aged 15~24(4.67‰)than in 25~44 and 35~44(19.17‰),higher in education level under junior high school(15.35‰)than that over collegial(3.07‰),lower in married(8.34‰) than in spinsterhood(13.71‰)and divorcee(31.14‰),and the results showed significant difference(P<0.05 or P<0.001).By multiple factor no-condition logistic regression analysis,it was found that there were 4 factors including sex,age,education level and marriage status enter regression model. Conclusion:Factors including sex,age,education level and marriage status were influencing factors of schizophrenia of people aged more than 15 in urban Guangxi.

【基金】 国家自然科学基金项目(30660051);广西科学研究与技术开发计划项目(桂科软0663002-17)
  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychiatry , 编辑部邮箱 ,2010年06期
  • 【分类号】R749.3
  • 【被引频次】7
  • 【下载频次】189
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