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目的了解惠州市杨侨镇越南归国华侨精神障碍的患病率及分布特点。方法于2012年8月20日~9月20日采取整群抽样方法抽取杨侨镇5个办事处400户人为调查对象,其中200户为越南归国华侨,200户为非华侨。由具有5年以上精神科临床经验的医生采用1982年精神疾病流行病学调查协作组编写的《精神疾病流行病学调查手册》进行逐户筛选,参考《中国精神障碍分类与诊断标准(第3版)》(CCMD-3)对可疑精神障碍者进行诊断与分类。共调查了酒精依赖、精神分裂症、抑郁症等9个病种。结果 420人完成筛选,≥15岁为1244人,其中华侨为674人,非华侨为570人。华侨患病为40例(59.35‰),其中男性21例(31.16‰),女性19例(28.19‰);非华侨患病43例(75.44‰),其中男性24例(42.11‰),女性19例(33.33‰)。调查的9个精神疾病病种在华侨和非华侨中的分布差异均无统计学意义(P均>0.05)。结论广东惠州市华侨精神疾病的患病率可能高于全国其他地区,但精神疾病患病情况在华侨和非华侨中的分布相当,精神分裂症仍是重点防治的疾病。
Objective To understand the prevalence and distribution of mental disorders in overseas Chinese returning to Vietnam in Yangqiao Town, Huizhou City. Methods From August 20 to September 20, 2012, a cluster sampling method was used to select 400 households from 5 offices in Yangqiao Town, of which 200 were returned overseas Chinese and 200 were non-overseas Chinese. Psychiatry with more than 5 years of clinical experience of doctors using the 1982 survey of mental illness epidemiological cooperation team prepared “Mental Illness Epidemiology Investigation Handbook” for each household screening, refer to “China’s mental disorders classification and diagnostic criteria (3 Version) ”(CCMD-3) for the diagnosis and classification of persons with suspected mental disorders. A total of nine investigations of alcohol dependence, schizophrenia, depression and other diseases. Results 420 people completed screening, ≥ 15 years old to 1244 people, of which 674 overseas Chinese, non-overseas Chinese were 570 people. The number of overseas Chinese was 40 (59.35 ‰), including 21 males (31.16 ‰) and 19 females (28.19 ‰), 43 non-Chinese males (75.44 ‰), including 24 males (42.11 ‰) and 19 females Example (33.33 ‰). There was no significant difference in the distribution of the nine mental diseases investigated among overseas Chinese and non-overseas Chinese (all P> 0.05). Conclusions The prevalence of mental illness in overseas Chinese in Huizhou City, Guangdong Province may be higher than that in other parts of the country. However, the prevalence of mental illness is equally distributed between overseas Chinese and non-overseas Chinese. Schizophrenia is still the focus of prevention and treatment.