The sociodemographic correlates of schizophrenia in Butajira, rural Ethiopia
The sociodemographic correlates of schizophrenia in Butajira, rural Ethiopia
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DOI：
10.1016/s0920-9964(03)00089-6
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发表时间：
2004-08-01
影响因子：
4.5
通讯作者：
Beyero, T
中科院分区：
文献类型：
--
作者：
Kebede, D;Alem, A;Beyero, T
目的：描述埃塞俄比亚农村人口中精神分裂症的主要社会人口学相关因素及其相互作用。方法：我们最近在Butajira完成了一项研究，以确定病程和结果描述的主要精神障碍病例。通过对近68,500人的主要农村人口进行上门调查，共确定了318例精神分裂症病例。病例通过扫描和临床评估得到确认。研究结果：研究表明，已婚、年龄在35岁以下、未婚、受教育程度高以及居住在城市地区都是与精神分裂症独立相关的因素。35岁及以上的男性患精神分裂症的风险比35岁以下的男性高得多。与已婚男性相比，未婚男性（从未结婚、分居、离婚或丧偶）患精神分裂症的风险更高。与35岁以下的人相比，35岁及以上的人的婚姻状况与精神分裂症的关系更为明显。精神分裂症和未婚之间的关联在城市地区比在农村地区更高。结论：农村人群中精神分裂症的社会人口学相关因素与发达国家相似。此外，性别、年龄、婚姻状况、居住地区和教育程度与精神分裂症有显著的相互作用。(C) 2003 Elsevier B.V.版权所有
Objectives: To describe the major sociodemographic correlates of schizophrenia, and their interactions, in a rural population of Ethiopia. Methods: We have recently completed a study in Butajira to identify cases of major mental disorders for description of course and outcome. A total of 318 cases of schizophrenia were identified by a door-to-door survey of a predominantly rural population of close to 68,500 individuals. Cases were confirmed by use of the SCAN and clinical assessment. Findings: The study showed that being mate, under 35 years of age, unmarried, educated and living in an urban area were factors all associated with schizophrenia independently of each other. The risk of schizophrenia associated with being male was much higher in those aged 35 and over compared to those under 35 years of age. The risk of schizophrenia among males was higher in those not married (never married, separated, divorced or widowed) compared to those who were married. The association of marital status with schizophrenia was also more pronounced among those aged 35 year or over compared to those under 35. The association between schizophrenia and being unmarried was higher in urban than in rural areas. Conclusion: The sociodemographic correlates of schizophrenia in this rural population were similar to those described for the developed world. Furthermore, there were significant interactions between sex, age, marital status, area of residence and education as correlates of schizophrenia. (C) 2003 Elsevier B.V. All rights reserved.