| 浏阳市农村社区抑郁症患者就诊率及其影响因素分析 |
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| 引用本文： | 桂立辉,肖水源,周亮,张启文.浏阳市农村社区抑郁症患者就诊率及其影响因素分析[J].中国临床心理学杂志,2010,18(2). |
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| 作者姓名： | 桂立辉 肖水源 周亮 张启文 |
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| 作者单位： | 1. 中南大学公共卫生学院社会医学与卫生事业管理系,湖南,长沙410078;新乡医学院公共卫生学系,河南,新乡,450032
2. 中南大学公共卫生学院社会医学与卫生事业管理系,湖南,长沙410078 |
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| 基金项目： | 本课题为SPI(Suicide Prevention International)资助课题(AC202) |
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| 摘 要： | 目的:探讨农村抑郁症患者的就医情况及其影响因素。方法:以浏阳市≥15岁农村居民抑郁症抽样调查中发现并确诊的抑郁症患者295例为研究对象,全部符合DSM-IV标准。由调查员对所有调查对象询问并填写"精神障碍患者求医行为调查表"(自编)。结果:有13.5%(45/295)的患者曾到乡(镇)卫生院及以上医疗机构就诊,女性就诊率(18.9%)显著高于男性(9.1%)。多元Logistic回归分析结果,影响抑郁症患者就诊率因素有性别(OR=0.363)、年龄(OR=1.040)、家庭主事人职业(OR=0.352)、家庭类型(OR=2.593)和精神病家族史(OR=3.642)。45例曾经就诊的患者中,有5例(1.7%)重症抑郁发作患者曾就诊于精神专科,仅有3例(1.0%)既往重症抑郁发作患者接受过精神科药物治疗。结论:浏阳市农村抑郁症患者卫生服务利用率很低,影响卫生服务利用的因素主要是性别、年龄、受教育程度、家庭类型、家庭人均收入、家庭主事人职业等。
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| 关 键 词： | 抑郁症 农村社区 卫生服务利用 就诊率 影响因素 |
Visiting Rate of Patients with Depression and It' s Influential Factors in Rural Communities of Liuyang |
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| GUI Li-hui,XIAO Shui-yuan,ZHOU Liang,ZHANG Qi-wen.Visiting Rate of Patients with Depression and It' s Influential Factors in Rural Communities of Liuyang[J].Chinese Journal of Clinical Psychology,2010,18(2). |
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| Authors: | GUI Li-hui XIAO Shui-yuan ZHOU Liang ZHANG Qi-wen |
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| Abstract: | Objective:To research the rate of visiting medical institutions of patients with depression.Methods:The objects of this study were 295 patients with depression,234 cases with MDE and 61 cases with dysthymic disorder,who were screened out and confirmed in the sampling survey of depression in rural residents of Liuyang from March to May 2007,all accorded with the DSM-IV criteria.All of the objects were interviewed with Quetionaire on Behaviors of Help Seeking of Patients with Mental Disorders(self-compiled) b... |
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| Keywords: | Depression Rural community Health services utilization Visiting rate Influential factors |
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