發(fā)布時間：2018-04-19 05:38

  本文選題：焦慮抑郁共病 + 患病率　； 參考：《大連醫(yī)科大學》2013年碩士論文

【摘要】：目的：通過對大連市居民精神衛(wèi)生現(xiàn)狀的調(diào)查，了解大連市18歲以上人群焦慮抑郁共病的患病率和人群分布特點，為開展有針對性的人群干預提供依據(jù)。 方法：采用多階段分層整群隨機抽樣方法，以復合性國際診斷交談檢查量表3.0（CIDI3.0）對大連市5062名≥18歲城鄉(xiāng)居民進行了調(diào)查。計算總的共病患病率，不同因素間患病率差異的統(tǒng)計學檢驗采用2檢驗，，將單因素分析有意義的因素（P0.01）作為自變量，共病患病作為因變量進行非條件Logistic回歸分析，所有結果均采用SPSS17.0進行統(tǒng)計分析。 結果：（1）焦慮抑郁共病在普通人群中的總患病率為1.24%，抑郁障礙患者中伴有共病焦慮障礙的占29.17%，其中男性焦慮抑郁共病的患病率為1.34%，女性的患病率為1.16%，在不同性別間焦慮抑郁共病患病率的差異無統(tǒng)計學意義（P㧐0.05）；年齡≤30歲人群的焦慮抑郁共病患病率為1.38%，31-45歲人群的患病率為1.47%，46-60歲人群的患病率為1.19%，年齡60歲以上人群的焦慮抑郁共病患病率為0.73%，經(jīng)比較未發(fā)現(xiàn)不同年齡段人群的焦慮抑郁共病患病率之間差異有統(tǒng)計學意義（P㧐0.05）；焦慮抑郁共病的城市患病率為1.22%，農(nóng)村患病率為1.29%，城鄉(xiāng)間焦慮抑郁共病的患病率差異經(jīng)統(tǒng)計學檢驗未達到顯著性水平（P㧐0.05）；不同婚姻狀況及職業(yè)、收入狀況的焦慮抑郁共病患病率差異經(jīng)檢驗也無統(tǒng)計學差異；人群中焦慮抑郁共病的患病率的高低表現(xiàn)為隨教育水平提高而降低（P0.05）；酒精依賴因素與焦慮抑郁共病的患病率有統(tǒng)計學差異，酒精依賴者患焦慮抑郁共病的危險度升高（P0.05）。（2）經(jīng)多因素非條件logistic回歸分析，提示職業(yè)及酒精依賴是焦慮抑郁共病障礙的可能危險因素。 結論：（1）焦慮抑郁共病在普通人群中的總體患病率為1.24%，抑郁障礙患者中伴有共病焦慮障礙的占29.17%。（2）低教育水平、酒精依賴可增加患焦慮抑郁共病的危險性。（3）失業(yè)、無業(yè)、殘疾及酒精依賴者是焦慮抑郁共病的高危人群。
[Abstract]:Objective: to investigate the prevalence and distribution of anxiety and depression syndromes among people over 18 years old in Dalian.Methods: 5062 urban and rural residents aged more than 18 years old in Dalian were investigated by using multi-stage stratified cluster random sampling and CIDI 3.0).To calculate the total prevalence rate of co-disease, the statistical test of the difference of prevalence among different factors was carried out by 2 tests. Univariate analysis of significant factors (P0.01) was used as independent variable, and the prevalence of coexisting disease as dependent variable was analyzed by non-conditional Logistic regression analysis.All the results were analyzed by SPSS17.0.Results the total prevalence of anxiety and depression coexisting in the general population was 1.24 and 29.17 in the patients with depression disorder. The prevalence rate of male anxiety and depression coexisting disorder was 1.34 and that of female was 1.16.There was no significant difference in the prevalence of anxiety and depression, and the prevalence rate of anxiety and depression was 1.38 and 1.47 in the age 鈮

本文編號：1771841