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上海市社区精神分裂症患者社会经济状况及影响因素分析
引用本文:王怡然,陈优,蒋江灵,陆峥,李清伟. 上海市社区精神分裂症患者社会经济状况及影响因素分析[J]. 同济大学学报(医学版), 2021, 42(1): 52-56
作者姓名:王怡然  陈优  蒋江灵  陆峥  李清伟
作者单位:同济大学附属同济医院精神医学科,上海200065;上海交通大学医学院附属精神卫生中心,上海200030;上海市杨浦区精神卫生中心防治科,上海200090;上海交通大学医学院附属精神卫生中心,上海200030;同济大学附属同济医院精神医学科,上海200065
基金项目:上海市卫生和计划生育委员会面上项目(201740007);上海市重中之重临床重点学科建设计划(2017ZZ02020);上海卫生健康系统心身医学重要薄弱学科建设计划(2019ZB0202);上海市公共卫生体系建设三年行动计划(GWV-10.2-XD29)
摘    要:目的 调查上海市社区精神分裂症患者的工作、经济和生活状态,并探讨相关人口学影响因素.方法 使用自编患者社会经济基本状况调查表,调查基于重性精神障碍管理系统、随机抽样选取的社区精神分裂症患者,了解其社会经济状况.结果 入组社区精神分裂症患者样本333例(男性183例,女性150例).患者中72.8%为无业,74.3%月收...

关 键 词:精神分裂症  社区  社会经济状况  影响因素  横断面调查
收稿时间:2020-06-19

Socioeconomic status of community dweller with schizophrenia in Shanghai and its influencing factors
WANG Yi-ran,CHEN You,JIANG Jiang-ling,LU Zheng,LI Qing-wei. Socioeconomic status of community dweller with schizophrenia in Shanghai and its influencing factors[J]. Journal of Tongji University(Medical Science), 2021, 42(1): 52-56
Authors:WANG Yi-ran  CHEN You  JIANG Jiang-ling  LU Zheng  LI Qing-wei
Affiliation:Dept. of Psychology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China; Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;Shanghai Yangpu Mental Health Center, Shanghai 200090, China
Abstract:ObjectiveTo investigate the socioeconomic status of patients with schizophrenia and their influencing factors. MethodsThe outpatients with schizophrenia were randomly selected from communities in Shanghai for the study. The socioeconomic status of patients was surveyed with a self-designed questionnaire. ResultsThe survey showed that among 333 participants (183 male and 150 female), 72.8% were unemployed, only 22.8% patients had regular salary as their main income, and the income of 74.3% patients was below 2000 Yuan per month, 68.3% patients were able to make both ends meet, and 84.0% patients had social insurance to cover their medical expenditure. Multivariate regulation analysis showed that employment and financial condition were associated with the self-evaluation of health and living condition., while being married and having children were associated with higher employment and financial status; patients taking first-generation antipsychotics suffered a higher unemployed rate; female, married patient with children and patients with higher education were more optimistic about their future finical status (all P<0.05). ConclusionPatients with schizophrenia suffer from unemployment, low income, and sexual dysfunction, thus targeted individualized interventions are needed.
Keywords:schizophrenia   community   socioeconomic status   influencing factors   cross-sectional survey
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