Marriage outcome and relationship with urban versus rural context for individuals with psychosis in a population-based study in China.
Marriage outcome and relationship with urban versus rural context for individuals with psychosis in a population-based study in China.
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DOI：
10.1007/s00127-015-1080-8
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发表时间：
2015-10
影响因子：
4.4
通讯作者：
Susser E
中科院分区：
文献类型：
--
作者：
Yang LH;Phillips MR;Li X;Yu G;Zhang J;Shi Q;Song Z;Ding Z;Pang S;Susser E
虽然精神病患者的社会融合因社会背景而异，但很少在城市与农村环境中进行调查。对于精神病患者来说，婚姻可能是社会融合的关键组成部分。本研究的目的是比较婚姻的个人与精神病在城市与农村设置在中国，其中婚姻几乎是普遍的个人之间没有psychiatris.MethodsIn一个大型的社区为基础的研究，在四个省代表12%的中国人口，我们确定了393个人与精神病（112从未治疗）。我们使用调整后的泊松回归模型来比较那些生活在城市（n= 96）vs.农村（n= 297）contextuals.ResultsWhile城市和农村居民有类似的障碍，由于症状，城市女性居民是2.72倍，更可能是他们的农村同行未婚（95%CI 1.19- 6.22，p < 0.0176）。分层分析表明，这种婚姻劣势主要发生在城市女性中，发病年龄较早。没有发现任何差异之间的males.ConclusionsOur研究结果表明，城市环境阻碍了婚姻的机会，为女性个人精神病。这些数据表明，发病年龄较早的城市妇女难以结婚，这可能与城市地区妇女的经济期望有关。研究影响婚姻的背景机制可以进一步理解中国和其他背景下的社会融合。
PurposeWhile social integration among individuals with psychosis differs by social context, this has rarely been investigated across urban vs. rural settings. For individuals with psychosis, marriage may be a key component of social integration. This study aims to compare marriage outcomes for individuals with psychosis in urban vs. rural settings in China, where marriage has been almost universal among individuals without psychosis.MethodsIn a large community-based study in four provinces representing 12 % of China’s population, we identified 393 individuals with psychosis (112 never treated). We used adjusted Poisson regression models to compare marriage status for those living in urban (n= 96) vs. rural (n= 297) contexts.ResultsWhile urban and rural residents had similar impairments due to symptoms, urban female residents were 2.72 times more likely to be unmarried than their rural counterparts (95 % CI 1.19–6.22,p< 0.0176). Stratified analyses indicated that this marital disadvantage occurred primarily among urban females with an earlier age of onset. No differences were found among males.ConclusionsOur findings indicate that urban contexts impeded opportunities for marriage for female individuals with psychosis. These data suggest that urban women with earlier age of onset have difficulty in marrying which may be related to economic expectations of women in urban areas. Research examining contextual mechanisms that affect marriage may further understanding of social integration in China and other contexts.