广西壮族自治区城乡居民心境障碍流行病学调查

目的 了解广西壮族自治区≥15岁城乡居民心境障碍的患病水平和分布特征。方法 采用多阶段分层整群随机抽样方法抽取广西壮族自治区城乡10 100户≥15岁18 219名常住居民为调查对象进行入户调查。采用复合性国际诊断问卷(CI=DI 3.0)为筛查工具,以国际疾病及相关健康问题分类第10版(ICD-10)为诊断标准。结果 广西壮族自治区城乡居民心境障碍时点患病率为4.50‰,终生患病率为6.70‰;多因素logistic回归分析显示女性心境障碍的危险度高于男性(OR=1.47,95%CI=1.05～2.23),少数民族患心境障碍的危险性高于汉族(OR=1.30,95%CI=1.06～1.76);离婚人群心境障碍时点患病率和终生患病率均较高(P<0.01)。结论 广西心境障碍的患病率较高,其中少数民族、离婚人群患病率高;重性抑郁是广西需要重点防治的特定心境障碍。

Prevalence of mood disorders among residents in Guangxi Zhuang Autonomous Region

Objective To examine the prevalence of mood disorders among residents in Guangxi Zhuang Autonomous Region.Methods From July 2007 to December 2007,a total of 18 219 residents aged more than 15 years were randomly selected from 6 prefecture-level cities and 10 counties with stratified multi-stage cluster sampling.All subjects were investigated by face-to-face interviews.The Chinese Version of Composite International Diagnostic Interview(CI=DI 3.0)provided by the Chinese Center for Disease Control and Prevention was used as the screening tool and the diagnoses were made according to the International Classification of Diseases-10th edition.Results The general current prevalence and the general lifetime prevalence of mood disorders in the residents were 4.50‰ and 6.70‰.The risk factors of mood disorders were female gender,minority,and divorce based on logistic regression analyses.The general current prevalence was higher in the women than in the men(odds ratio[OR]=1.47,95% confidence interval[CI=:1.05-2.23)and higher in the minorities than in the Han(odds ratio[OR]=1.30,95% CI=:1.06-1.76).The divorsed individuals show ed higher current and lifetime prevalence of mood disorders.Conclusion Mood disorder is one of the most common mental disorders among the residents in Guangxi.The minority and divorsed individuals had a higher prevalence of mood disorder.Major deperession should be most concerned for the mood disorders among the residents.