中国临床心理学杂志

浏阳市农村抑郁症患病影响因素分析

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
2. 新乡医学院公共卫生学系河南新乡 450032

分类号：R749.4

出版年,卷(期):页码：2009,17(5):642-644

摘要：

目的：探讨农村社区人群抑郁症患病影响因素。方法：采用分层多级随机抽样方法，共完成调查7347人，以SCID-I/P为诊断工具，共筛查出抑郁症患者295例，全部符合DSM-IV诊断标准。以同人群中未患抑郁症者7052人为正常对照组。结果：女性患病率(4.6%)高于男性(3.2%)；不同年龄组间患病率的比较，以45岁～75岁中老年人群患病率较高。多因素Logistic回归分析结果，抑郁症的患病影响因素有性别为女性(OR=1.334，95%CI：1.040～1.711)、年龄(OR=1.012，1.002～1.022)、受教育程度较低(OR=1.428，1.048～1.946)、职业为农业劳动者(OR=1.490，1.050～2.115)、不稳定婚姻状况(OR=1.628，1.174～2.260)、低收入(OR=1.361，1.066～1.737)、常住人口数(OR=1.132，1.042～1.230)、现患躯体疾病(OR=3.020，2.345～3.888)等。结论：浏阳市农村居民抑郁症患病影响因素主要有性别、年龄、低受教育程度、工作为农业劳动者、不稳定婚姻状况、低收入和现患慢性躯体疾病等。

Objective:To explore the influential factors of depression in rural residents of Liuyang.Methods:A stratified multistage random sampling was conducted and 7347 individuals of ≥15 years were interviewed with SCID to assess major depressive episode (MDE) and dysthymic disorder according to DSM-IV criteria. 295 cases with depression and 7052 controls of the same population were investigated.Results:The depression prevalences are higher in females (4.6%) than in males (3.2%), higher in 45 to 75 years than in other age groups, All of the differences are statistically significant (P<0.05). The results of multiple logistic regression analysis showed the influential factors of depression are female (OR=1.334, 95%CI:1.040～1.711), age (OR=1.012, 1.002～1.022), lower education level (OR=1.428, 1.048～1.946), being agricultural workers (OR=1.490, 1.050～2.115), in unstable marital status (OR=1.628, 1.174～2.260), lower income (OR=1.361, 1.066～1.737), number of family usual resident members (OR=1.132, 1.042～1.230) and suffering with any chronic somatic disease (OR =3.020, 2.345 ～3.888).Conclusion:The results suggest that the influential factors of depression are sex, age, lower education level, being an agricultural worker, in unstable marital status (deuterogamy, divorced or widowed), low income and suffering with any chronic somatic disease.

基金项目：

SPI(Suicide Prevention International)资助课题(AC202)

作者简介：

参考文献：

[1] 沈渔邨.精神病学.第4版.人民卫生出版社,2003.434-436
[2] Laura A,Jorge J,Patricia B,et al.The epidemiology of major depressive episodes:Results from the International Consortium of Psychiatric Epidemiology (ICPE) Surveys.Internationa1 Journal of Methods in psychiatric Research,2002,12(1):3-21
[3] 马辛,李淑然,向应强,等.北京市抑郁症的调查.中华精神科杂志,2007,40(2):100-103
[4] Newman SC,Bland RC.Life events and the 1-year prevalence of major depressive episode,generalized anxiety disorder,and panic disorder in a community sample.Compr Psychiatry,1994,35(1):76-82
[5] Laura A,Ellen EW,Valentim G,Ruy L.Prevalence of ICD-
[10] mental disorders in a catchment area in the city of S 觀o Paulo,Brazil.Social Psychiatry and Psychiatric Epidemi ology,2002,37(7):316-325
[6] 胡斌,卢小勇,魏波.江西省抑郁症患病率的流行病学调查.中华精神科杂志,2003,36(4):242-245
[7] Pakriev S.Prevalence of mood disorders in the rural population of Udmurtia.Acta-psychiatrica-Scandinavia,1998,97(3):169-174
[8] Cifuentes M,Sembajwe G,Tak SW,et al.The association of major depressive episodes with income inequality and the human development index.Soc Sci Med,2008,67(4):529-539
[9] Lee S,Tsang A,Huang YQ,et al.The epidemiology of depression in metropolitan China.Psychological Medicine,United Kingdom:Cambridge University Press,2008.1-13

服务与反馈：

【文章下载】【加入收藏】