中国精神残疾与伤害致残共患特征分析

目的 探讨精神残疾与伤害致残的关系, 以及我国两种残疾共患的多重残疾人群其残疾严重程度和卫生服务利用情况。方法 利用2006年第二次全国残疾人抽样调查和2009年残疾监测追踪调查数据, 提取精神残疾合并伤害致残的数据资料进行统计描述分析, 并加入权重使其结果推至全国。结果 我国2.7%的精神残疾共患因伤害导致的视、听、言语、肢体和/或智力残疾, 1.8%的伤害致残合并精神残疾, 高于普通人群伤害致残(0.94%)和精神残疾(0.63%)的现患率。>50%的共患残疾其严重程度为极重度, 46.32%共患残疾者的精神残疾和伤害致残为同年发生。需要精神科治疗的共患残疾中, 有56.25%未接受任何治疗。结论 精神疾病与伤害致残间可能存在密切关系。我国共患残疾者的治疗康复水平有待进一步提高。

Characteristics of co-morbid psychiatric disability and injury caused disability in Chinese population

Objective To investigate the relations between psychiatric disability and co-morbid disability caused by injury, severity of the disabilities, as well as the unmet health care need among people living with both disabilities. Methods Data collected through both the Second China National Sample Survey on Disabilities in 2006 and the Follow-up Studies in 2009, were utilized. Sampling weights were considered to appropriately estimate situations in the total Chinese population. Methods Among people with psychiatric disability, 2.7% of them were affected by other injury-caused disabilities as visual, hearing, speech, psychical and intellectual disabilities. Among people with disability that caused by injuries, 1.8% of them were living with psychiatric disability as well. The prevalence rates of psychiatric disability and injury caused disability were as 0.94% and 0.63%, respectively. More than half of the co-morbid people were living with profound disabilities while 46.32% of the people living with both disabilities developed co-morbid disabilities in the same year. Data from the follow-up program showed that 56.25% of the people living with co-morbid disabilities did not receive any psychiatric treatment which were in need. Conclusion There seemed a close but bidirectional relationship existed between the mental disorders and injuries that calling for better mental health services provided for people with psychiatric disabilities.