The mental health of informal caregivers in Ontario: An epidemiological survey
The mental health of informal caregivers in Ontario: An epidemiological survey
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DOI：
10.2105/ajph.87.12.2002
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发表时间：
1997-12-01
影响因子：
12.7
通讯作者：
Rogers, JM
中科院分区：
文献类型：
--
作者：
Cochrane, JJ;Goering, PN;Rogers, JM
目标.本研究描述了安大略省65岁以下非正式照顾者的心理健康状况、残疾、身体健康和心理健康服务利用。这项研究分析了1991年全省范围内收集的数据，以人口为基础的精神健康补充安大略健康调查。根据结构化诊断访谈，对《精神疾病诊断与统计手册》第3版（修订版）中的诊断结果进行分析。照顾者和noncarefulers在这里比较过去一年的精神疾病，身体疾病，残疾和精神卫生服务的利用率。年龄、性别、就业状况和经济劣势可能的混杂效应进行了探讨。非正式的照顾者（n = 1219）构成样本的15.0%。照顾者的情感障碍（6.3%比4.2%）和焦虑障碍（17.5%比10.9%）的发生率高于非照顾者，并且因心理健康问题而使用卫生服务的比率几乎是非照顾者的两倍。随着政府继续向社区护理迈进，记录护理人员中精神障碍、残疾和服务利用率的患病率和患病率的增加至关重要。为了实现这一目标，必须承认照顾者的需要，并通过建立适当和方便的支助服务来满足这些需要。
Objectives. This study describes the mental health status, disability, physical health, and mental health service utilization of informal caregivers under the age of 65 in the province of Ontario.Methods. The study analyzed data collected in the 1991 province-wide, population-based mental health supplement to the Ontario Health Survey. Diagnoses from the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, revised were generated on the basis of a structured diagnostic interview. Caregivers and noncaregivers are compared here on past-year prevalence of psychiatric disorder, physical illness, disability, and utilization of mental health services. The possible confounding effects of age, sex, employment status, and economic disadvantage are explored.Results. Informal caregivers (n = 1219) constituted 15.0% of the sample. Caregivers had higher rates of affective (6.3% vs 4.2%) and anxiety (17.5% vs 10.9%) disorders than noncaregivers and used health services for mental health problems at nearly twice the rate.Conclusions. Documentation of the prevalence of caregiving and the increased prevalence of psychiatric disorders, disability, and service utilization among caregivers is of critical importance as governments continue to move toward community-based care. To accomplish this goal, the needs of caregivers must be acknowledged and met by the establishment of appropriate and readily accessible support services.