[The impact of common mental and physical health conditions on days out of role: costs for the individual and society].
[The impact of common mental and physical health conditions on days out of role: costs for the individual and society].
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DOI：
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发表时间：
2013
影响因子：
2.3
通讯作者：
C. Benjet;L. Casanova;G. Borges;M. Medina-Mora
中科院分区：
文献类型：
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作者：
C. Benjet;L. Casanova;G. Borges;M. Medina-Mora
目的估计墨西哥人口中常见的精神和身体健康状况的个人和社会成本，与角色的天数有关。材料与方法：2001-2002年，对5,826名成年人进行了综合国际诊断访谈和WHO残疾评估表的评估。一般线性模型用于估计个体水平效应。社会水平的影响估计与人口归因的风险比例，考虑到患病率和合并症的障碍。结果：个体水平影响最大的是重性抑郁症、创伤后应激障碍和双相情感障碍。最强的社会层面的影响与严重抑郁症，疼痛，失眠和心血管疾病有关。结论研究结果表明，投资于精神卫生支出的重要性与精神卫生疾病的社会成本相称。
OBJECTIVE To estimate the individual and societal costs of common mental and physical health conditions in the Mexican population with regards to the number of days out of role. MATERIALS AND METHODS 5,826 adults were evaluated in 2001-2002 with the Composite International Diagnostic Interview and the WHO Disability Assessment Schedule. General linear models were used to estimate individual-level effects. Societal-level effects were estimated with the population attributable risk proportion which takes into account prevalence and comorbidity of disorders. RESULTS The conditions with the strongest individual -level effects were major depression, post-traumatic stress disorder and bipolar disorder. The strongest societal-level effects were associated with major depression, pain, insomnia and cardiovascular conditions. CONCLUSION The findings suggest the importance of investing in mental health expenditure to a level commensurate with the costs to society of mental health disorders.