摘要
目的了解深圳市宝安区目前六种在册严重精神障碍患者的患病率及人口统计学特征,为制定严重精神障碍的防治策略提供科学依据。方法选取2019年6月30日前纳入深圳市精神卫生信息管理系统的宝安区患者,对其人口统计学特征进行分析。结果宝安区共登记在册严重精神障碍患者7835例,现住址在宝安区的患者共有6408例。全区报告患病率为1.97‰,其中最高的是西乡街道(2.95‰),最低的是新桥街道(0.83‰)。在六种严重精神障碍中,精神分裂症最多,占60.82%,其次为双相情感障碍(17.03%)和精神发育迟滞伴发精神障碍(15.48%)。患病人群主要集中在18~44岁年龄组(61.01%),文化程度较低,未婚人士居多;患者合并高血压和糖尿病患病率分别为1.44%和1.46%;个案管理率为3.17%。在2010-2018年间,年度登记病例数和报告发病率都呈现双峰型变动趋势。结论精神分裂症是宝安区严重精神障碍综合防控的重点病种,不同类型的严重精神障碍患者具有不同的人口统计学构成,患者的慢性非传染性疾病的筛查和个案管理有待进一步加强。
Objective To understand the prevalence and epidemiological features of six severe mental disorders in Bao’an District,Shenzhen City,so as to provide scientific evidence for developing severe mental disorders prevention and control strategy.Methods The patients who were included in the mental health information management system in Bao’an District before 30 June 2019 were selected to analyze their demographic characteristics.Results A total of 7835 patients with severe mental disorders were registered in Bao’an District,6408 of whom live in this district.The reported prevalence of six severe mental disorders was 1.97‰,with the highest in Xi’xiang street(2.95‰)and the lowest in Xin’qiao street(0.83‰).Among the six categories of severe mental disorders,schizophrenia was the most common disease(60.82%),followed by bipolar disorder(17.03%)and mental retardation accompanied by mental disorder(15.48%).Patients with severe mental disorders were mainly in age of 18 to 44 years old(61.01%),which had a low level of education and most of them were unmarried.In addition,the prevalence rates of hypertension and diabetes among patients were 1.44%and 1.46%,respectively.The case management rate of severe mental disorders for patients was 3.17%.The annual number of registered cases and reported incidence both showed a bimodal trend from 2010 to 2018.Conclusions Schizophrenia is the key disease for prevention and treatment in Bao’an District of Shenzhen City.Patients with different severe mental disorders types have different demographic composition,and the screening and case management of patients with chronic non-communicable diseases need to be further strengthened.
作者
陈卿
刘成锋
韩明辉
卿利
卢楚虹
程娟
胡付兰
张明
胡东生
郭艳芳
CHEN Qing;LIU Cheng-feng;HAN Ming-hui;QING Li;LU Chu-hong;CHENG Juan;HU Fu-lan;ZHANG Ming;HU Dong-sheng;GUO Yan-fang(Center of Mental Health,Bao’an Chronic Diseases Prevent and Cure Hospital,Shenzhen 518100,China;Department of Biostatistics and Epidemiology,School of Public Health,Shenzhen University,Shenzhen 518061,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2020年第11期1315-1320,共6页
Chinese Journal of Disease Control & Prevention
基金
深圳市宝安区科技创新局-2020年宝安区医疗卫生基础研究项目(2020JD099)。
关键词
严重精神障碍
病例系列分析
患病率
发病率
Severe mental disorders
Case series analysis
Prevalence rate
Incidence rate
