江西省抑郁症患病率的流行病学调查

目的 调查江西省抑郁症的患病率。方法 资料来自江西省11个地市的样本，年龄≥15岁的城区和农村常住居民，共15939人。使用复合性国际诊断交谈检查和专门设计的社会人口学调查表，采用国际疾病分类第10版精神与行为障碍分类中的诊断标准。结果 (1)11个地市抑郁症时点患病率为0．95％，总患病率为1．15％95％的可信区间(CI)=0．91-1．49]。其中抑郁发作的时点患病率为0．35％，总患病率为0．51％；恶劣心境的时点患病率为0．60％，总患病率为0．65％。(2)年龄45—54岁相对危险度(RR)=2．09]、女性(RR=1．91)、离婚或丧偶(RR=2．09)、文盲(RR=2．43)或低收入(RR=2．73)与抑郁症明显相关，而有无固定的职业、地区的不同、经济区域的不同对抑郁症的总患病率没有明显的关联。女性患抑郁症的相对危险度是男性的1．91倍。结论 抑郁症是一种患病率较高的精神障碍。年龄45—54岁、女性、离婚或丧偶、文盲或低收入，与抑郁症明显相关。

Epidemiological survey of depression prevalence in Jiangxi Province

Objective The prevalence of depression was surveyed based on community in Jiangxi Province Methods All 15 939 persons age 15 years or over were sampled in the provincial population from the 11 areas in Jiangxi The subjects were interviewed and assessed with the Chinese version of Composite International Diagnostic Interview (CIDI) and a self designed socio demographic questionnaire The diagnoses of depression were made according to the 10th edition of International Classification of Diseases criteria Results (1) The time point prevalence rate of depression was 0 95%, and the lifetime rate 1 15% (95% CI =0 91 1 49), in which the time point and lifetime rate of major depression were 0 35% and 0 51% respectively; dysthymia 0 60% and 0 65% respectively (2) Such factors as being 45 54 years of age ( RR= 2 09), female ( RR= 1 91), divorced or losing spouse ( RR= 2 09), illiterate ( RR= 2 43) and having low income ( RR= 2 73) were significantly associated with depression Regular work, living areas and economic regions were not significantly correlated to depression Conclusion Depression is a psychotic disorder with high prevalence, which is correlated to some socio demographic factors