中国七个地区精神分裂症流行病学调查.pdfVIP

·72 · Chin J Psychiat ry , May 1998 , Vol 3 1 , No . 2 · · 论著 中国七个地区精神分裂症流行病学调查 陈昌惠 　沈渔　 　张维熙 　李淑然 　黄悦勤 　王金荣 　王德平 　涂建 　宁佐喜 付力牧 　纪丽萍 　刘志广 　吴化民　罗开林 　翟书涛 　严和 　孟国荣 【摘要】　目的　动态观察精神分裂症患病率的变化及可能的影响因素 。方法 　于 1993 年在 1982 年调查过的 7 个地区开展流行病学调查 ,方法与 1982 年基本相同。结果 　精神分裂症终生患 ( ) 病率为 6 . 55 ‰,时点患病率为 5 . 3 1 ‰,与 1982 年比较有增高趋势 P 0 . 05 ;将经济水平分为上 、中、 下三等 , 以下等经济水平者的精神分裂症患病率为高 。结论 　1993 年出现的精神分裂症患病率变 化 ,可能源于抽样误差 ,但不排除患者预期寿命延长因素 ,提示今后在制订精神卫生规划时需予重视 。 【关键词】　精神分裂症 　流行病学 　患病率 　预期寿命 Epidemiological survey on schizophrenia in 7 areas of China 　Chen Chang hui , S hen Yucun , Zhang Weix i , et al . I ns tit ute of M ental Healt h , B eij ing M edical University , B eij ing 100083 【Abstract 】　Objective 　The purpose of t his study was to investigate t he possible changes in t he prevalence of schizop hrenia in seven areas in 1993 , 11 years after t he 1982 p sychiatric epidemiological sur vey and to identify t he possible factors t hat may influence t hese changes. Methods 　The same as t hat used in t he 1982 p sychiatric epidemiological survey over 12 areas. Results 　The 1993 survey uncovered a life time prevalence of 6 . 55 ‰and timepoint prevalence of 5 . 3 1 ‰for schizop hrenia . Eit her t he lifetime rate or timepoint rate were all of slightly higher t han t hat of 1982 ( P 0 . 05) . Additionally , t here was a clear social drift process of schizop hrenics to t he negative social living conditions. Conclusion 　The slight higher but no statistic′s difference in t he above comp arison data is possibly due to eit her t he sampling error