|
Background In recent years, With the development of China's economy, people's living environment, work, psychological adjustment ability have undergone tremendous changes. The accelerated pace of life, the the people competitive pressure and psychological pressure is also growing, the gradual emergence of a variety of psychological problems. Domestic and international studies have shown that the prevalence of mental illness significantly improved compared with 10 years ago, different populations show different demographic factors (such as gender, age, marital status, region, education level, economic status, work status etc.) the incidence of mental illness, and mental illness comorbidity. But the survey sites, survey different tools around mental illness prevalence differences affect the comparability of prevalence between various mental illnesses. Composite International Diagnostic Interview Checklist (Composite International Diagnostic Interview Composite, CIDI) as a mental disease epidemiology survey tool, after several cross-cultural examination and repeatedly revised the total cultural adaptability is good, has been in a number of countries, has good reliability and validity. CIDI-3.0 Chinese version of the tools for the investigation of the characteristics of China's cultural experts after its evaluation of the reliability and validity of its good criterion validity and satisfactory test-retest reliability screening with high sensitivity, diagnostic part with high specificity, can be used as a screening and diagnostic tools for epidemiological studies of mental illness. Quite different between the prevalence of mental illness in the Pearl River Delta economic circle of the city of Zhongshan, Shenzhen, Dongguan City, located in the heart of the Pearl River Delta, Guangzhou City, the prevalence of mental illness situation how? Demographic factors on the prevalence of mental illness what? Therefore, we use the Chinese version of the CIDI-3.0 as a survey tool Guangzhou resident population, the current situation of the Community Epidemiology survey to understand these situations. The purpose of understanding the Guangzhou resident aged 16 and over account population prevalence of various types of mental illness, distribution characteristics; understanding of the socio-demographic factors (gender, age, marital, region, education level, economic status, working conditions, etc.) characteristics and spirit the impact of disease prevalence; understanding of mental illness comorbidity. Method stratified cluster sampling method, cross-Eau check Composite International Diagnostic Scale 3.0 Chinese version (CIDI 3.0) for the investigative tools of Guangzhou City, six districts on October 12, 2009 - January 3, / City, 2707, 16 to 84 years old, urban and rural residents face-to-face interviews. The results of the survey data and the prevalence of (1) mental illness: ① the mental illness investigation should check the number of 3293, the actual survey in 2707 (82.21%). Males and 1300 (48.02%) completed the survey respondents: age 16 to 84 years, with an average of (40.3 ± 15.2) years; women in 1407 (51.98%); city in 1902 (70.3%), rural 805 (29.7%). Lost to the residents of 586 (17.79%), loss to follow the main reasons to go to work in 400 (68.26%), meals (107, 18.26%), go out for medical treatment 21 (3.58%), uncooperative 58 (9.90%). ② various types of mental illness 4 weeks (point in time), 12 months and lifetime standardized prevalence were 1.69%, 3.89% and 7.61%, respectively. Standardized point prevalence, the top five a special phobia (0.54%), intermittent explosive disorder (0.29%), major depressive disorder (0.23%), alcohol use disorders (0.16%) , obsessive-compulsive disorder (0.14%); top five standardized lifetime prevalence of major depressive disorder (2.25%) a special phobia (0.95%), intermittent explosive disorder (0.93%) alcohol use disorders (0.92%), unspecified depressive disorder (0.62%). (2) the prevalence of mental illness in the differences between urban and rural areas and gender: ① types of mental illness standardized lifetime prevalence of women was significantly higher than that of men (8.39% vs. 6.23%, χ-2 = 4.61, p = 0.032). (2) major depressive disorder lifetime prevalence rate higher in urban than in rural areas 2.68% vs. 1.49%, χ to 2 = 3.53, p = 0.06), and higher in women than in men (2.99% vs. 1.62%, χ-2 = 5.58, p = 0.018 ); drug use disorder lifetime prevalence in rural areas than in urban (0.39% VS 0.05, the χ to 2 = 2.06, p = 0.047), and higher in men than women (0.31% VS 0 of χ ~~ 2 = 4.34, p = 0.037) ; posttraumatic stress disorder lifetime prevalence of females was significantly higher than men (0.50% VS 0 of χ ~~ 2 = 4.7, p = 0.03); alcohol use disorder lifetime prevalence of male than female (1.39% VS 0.28% , χ ~ 2 = 10.15, p = 0.001), the differences were statistically significant. (3) information and the prevalence of mental illness demographic differences in demographic factors: ① The primary school group (10.03%), junior high (9.04%) prevalence in high school (6.29%), college (6.08% ) group, the difference was statistically significant (of χ ~~ 2 = 9.52, p = 0.049); ② unemployed or laid-off persons (11.87%), students (9.38%), retirees (7.59%), homemakers (7.75%) group than formal workers (6.08%) group, there was no statistically significant difference (χ ~~ 2 = 10.27, p = 0.114), but unemployed or laid-off persons with prevalence formal workers difference was statistically significance (χ ~ 2 = 9.63, p = 0.002); ③ economy is very poor (16.33%) and poor (10.37%) group than in the general level (5.28%) and affluent (7.11%) group, the difference was statistical significance (χ ~ 2 = 16.93, p = 0.001); ④ divorce, separation (24.49%) and widowed (19.10%) prevalence in married persons (5.46%) group, the difference was statistically significant (χ ~ 2 = 43.54, p = 0.000). (4) mental illness comorbidity: (1) 199 cases of lifetime prevalence of mental disorders in a single diagnosed 135 cases (67.84%), comorbidity in 64 cases (32.16%), including 40 cases of the two diagnostic ≥ 3 diagnostic were 24 cases; the ② re depressive disorder comorbid alcohol use disorders, special phobia, post-traumatic stress disorder, social phobia, intermittent explosive obstacles mainly, panic disorder, obsessive-compulsive disorder, social phobia, anxiety disorders comorbid disease, Special phobia main. Conclusions (1) mental illness standardized lifetime prevalence rate of 7.61%, the sick women than in men. (2) the low level of education, economic poverty, higher divorce widowed psychiatric morbidity. (3) Community mental illness comorbidity comorbidity of depressive disorders and anxiety disorders more common.
|