Risk correlates for physical-mental multimorbidities in South Africa: a cross-sectional study
Risk correlates for physical-mental multimorbidities in South Africa: a cross-sectional study
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南非身心多重疾病的风险相关性：一项横断面研究
DOI：
10.1017/s2045796017000737
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发表时间：
2017
影响因子：
8.1
通讯作者：
A. Bhana
中科院分区：
文献类型：
--
作者：
I. Petersen;S. Rathod;Tasneem Kathree;One Selohilwe;A. Bhana
目标。本研究的目的是确定南非慢性护理人群中共存的常见精神障碍（cmd）的风险相关因素，以确定特别脆弱的患者群体。方法。样本包括2549名慢性护理患者，他们参加了由改善精神卫生保健方案在南非西北省肯尼斯·卡翁达博士区三个大型设施进行的设施检测调查的基线轮和终末轮。使用患者健康问卷（PHQ9）对参与者进行抑郁症筛查，使用酒精使用障碍识别测试（AUDIT）对参与者进行酒精滥用筛查。根据发病率、障碍类型（身体或精神）和人口统计学变量对数据进行分析。多病被定义为存在两种或两种以上的疾病（身体和/或精神）。结果。超过三分之一的样本报告了两种或两种以上的身体状况。女性比男性更容易抑郁，而男性更容易滥用酒精。那些有工作的人患共存cmd的风险较低，而年轻、艾滋病毒阳性和食物匮乏的人患共存cmd的风险都较高。结论。面对南非对慢性疾病的巨大治疗缺口，以及共存的慢性疾病在加重慢性身体疾病负担方面可能发挥的作用，精神健康筛查和治疗干预措施应针对生活在家庭粮食不安全环境中的艾滋病毒阳性年轻患者。
Aims. The aim of this study was to identify the risk correlates for coexisting common mental disorders (CMDs) in the chronic care population in South Africa, with the view to identifying particularly vulnerable patient populations. Methods. The sample comprised 2549 chronic care patients enrolled in the baseline and endline rounds of a facility detection survey conducted by the Programme for Improving Mental Health Care in three large facilities in the Dr Kenneth Kaunda district in the North West province of South Africa. Participants were screened for depression using the Patient Health Questionnaire (PHQ9) and for alcohol misuse using the Alcohol Use Disorders Identification Test (AUDIT). Data were analysed according to the number of morbidities, disorder type (physical or mental) and demographic variables. Multimorbidity was defined as the presence of two or more disorders (physical and/or mental). Results. Just over one-third of the sample reported two or more physical conditions. Women were more at risk of being depressed than were men, with men more at risk of alcohol misuse. Those who were employed were at lower risk of having coexisting CMDs, while being younger, HIV positive, and food deprived were all found to be associated with higher risk for having coexisting CMDs. Conclusion. In the face of the large treatment gap for CMDs in South Africa, and the role that coexisting CMDs can play in exacerbating the burden of chronic physical diseases, mental health screening and treatment interventions should target HIV-positive, younger patients living in circumstances where there is household food insecurity.
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影响因子：
20.8
作者：
Kessler RC;Bromet EJ
通讯作者：
Bromet EJ
南非人使用心理健康服务来治疗情绪、焦虑和药物滥用障碍。
DOI：
--
发表时间：
2009
期刊：
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
影响因子：
--
作者：
Seedat,Soraya;Williams,DavidR;Herman,AllenA;Moomal,Hashim;Williams,StaceyL;Jackson,PamelaB;Myer,Landon;Stein,DanJ
通讯作者：
Stein,DanJ
南非重度抑郁症的流行病学：南非压力与健康研究的结果。
DOI：
--
发表时间：
2009
期刊：
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
影响因子：
--
作者：
Tomlinson,Mark;Grimsrud,AnnaT;Stein,DanJ;Williams,DavidR;Myer,Landon
通讯作者：
Myer,Landon
影响因子：
17.7
作者：
Ciesla, JA;Roberts, JE
通讯作者：
Roberts, JE