Major mental disorders in Butajira, southern Ethiopia
Major mental disorders in Butajira, southern Ethiopia
复制标题
DOI：
10.1111/j.1600-0447.1999.tb10695.x
复制
发表时间：
1999-01-01
影响因子：
6.7
通讯作者：
Alem, A
中科院分区：
文献类型：
--
作者：
Awas, M;Kebede, D;Alem, A
以前在埃塞俄比亚进行的研究缺乏关于农村社区特定精神障碍流行率的信息。使用阿姆哈拉语版的综合国际诊断访谈(CIDI)在农村人口中确定特定ICD-10精神障碍的终生和一个月患病率及其相关的社会人口因素。通过分层随机抽样，从一个以农村为主的地区选择了501名社区受试者，由非临床医生面谈。精神疾病的加权总终生患病率为31.8%(不包括物质依赖时为26.7%)。最常见的具体诊断是：分离性障碍(6.3%)、情绪障碍(6.2%)、躯体形式障碍(5.9%)和焦虑症(5.7%)。经多因素Logistic模型调整后，女性性别与心境障碍(OR=3.84，95%CI：1.90，7.73)和躯体形式障碍(OR=2.30，95%CI：1.13，4.60)有统计学意义的相关性。严重的认知和情绪障碍与60岁以上的老年人显著相关(OR=7.71，95%CI：1.58，7.53；OR=3.68，95%CI=1.36，9.95)。对阿拉伯茶的依赖与穆斯林身份和低收入有关。(OR=3.5，95%CI：1.02，11.98；OR=0.32，95%CI：0.10，0.96)。结论是，精神疾病发病率是农村社区的一个主要公共卫生问题。
Previous studies conducted in Ethiopia lack information on the prevalence of specific mental disorders in rural communities. The lifetime and one-month prevalence of specific ICD-10 mental disorders and their associated socio-demographic factors were determined using the translated Amharic version of the Composite International Diagnostic Interview (CIDI) in a rural population. A total of 501 community subjects selected from a predominantly rural district by stratified random sampling were interviewed by non-clinician interviewers. The weighted aggregate lifetime prevalence of psychiatric morbidity was 31.8% (26.7% when substance dependence was not included). The most frequent specific diagnoses were: dissociative disorders (6.3%), mood disorders (6.2%), somatoform disorders (5.9%), and anxiety disorders (5.7%). After adjustment in a multivariate logistic model, female sex was shown to have a statistically significant association with mood disorders (Odds Ratio, OR=3.84, 95% CI: 1.90, 7.73) and somatoform disorders (OR=2.30, 95% CI: 1.13, 4.60). Severe cognitive and mood disorders were significantly associated with being elderly, i.e. 60 or more years of age (OR=7.71, 95% CI: 1.58, 7.53; and OR = 3.68, 95% CI = 1.36, 9.95, respectively). Khat dependence was associated with being Muslim and with earning a low income. (OR = 3.5, 95% CI: 1.02, 11.98; and OR = 0.32, 95% CI: 0.10, 0.96, respectively). It is concluded that psychiatric morbidity is a major public health problem in the rural community.