The epidemiology of nonspecific psychological distress in New York City, 2002 and 2003
The epidemiology of nonspecific psychological distress in New York City, 2002 and 2003
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DOI：
10.1007/s11524-006-9049-2
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发表时间：
2006-05-01
影响因子：
6.6
通讯作者：
Sederer, Lloyd I.
中科院分区：
文献类型：
--
作者：
McVeigh, Katharine H.;Galea, Sandro;Sederer, Lloyd I.
全国范围内，非特异性心理困扰（NPD）的30天患病率为3%。人们对城市地区NPD的患病率及其相关性知之甚少。本研究利用2002年和2003年纽约市社区健康调查（CHS）的人口数据，记录了纽约市成年人中NPD的患病率，并确定了该人群中NPD的相关因素。我们对纽约市成年人进行了两次横断面随机数字拨号电话调查（2002年：N = 9764； 2003年：N = 9802）。采用Kessler’s K6量表测量NPD。年龄调整后的30天NPD患病率从2002年的6.4%[95%可信区间（CI）： S.8-7.0]下降到2003年的5.1% [95% CI: 4.5-5.6]。贫穷、健康状况不佳、长期失业、无保险和曾经结过婚的纽约人是NPD的最高患病率。在已婚、白人、最近失业和女性人群中出现了下降。纽约市NPD患病率高于全国估计。经济的强劲增长和911恐怖袭击后的复苏可能是2003年某些子群体人数下降的原因。NPD的过度流行可能与巨大的经济和社会负担有关。研究了解这种高患病率的病因和干预措施，以促进纽约市的心理健康。
The 30-day Prevalence of nonspecific psychological distress (NPD) is 3%, nationwide. Little is known about the prevalence and correlates of NPD in urban areas. This study documents the prevalence of NPD among adults in New York City (NYC) using population-based data from the 2002 and 2003 NYC Community Health Surveys (CHS) and identifies correlates of NPD in this population. We examined two cross-sectional random-digit-dialed telephone surveys of NYC adults (2002: N = 9,764; 2003: N = 9,802). Kessler's K6 scale was used to measure NPD. Age-adjusted 30-day prevalence of NPD declined from 6.4% [95% Confidence Interval (CI): S.8-7.0] in 2002 to 5.1% [95% CI: 4.5-5.6] in 2003. New Yorkers who were poor, in poor health, chronically unemployed, uninsured, and formerly married bad the highest prevalence of NPD. Declines occurred among those who were married, white, recently unemployed, and female. NPD prevalence in NYC is higher than national estimates. A stronger economy and recovery from September 11th attacks may have contributed to the 2003 decline observed among selected subgroups. The excess prevalence of NPD may be associated with substantial economic and societal burden. Research to understand the etiology of this high prevalence and interventions to promote mental health in NYC are indicated.