Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study
Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study
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DOI：
10.1192/bjp.bp.108.054841
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发表时间：
2009-05-01
影响因子：
10.5
通讯作者：
Kessler, R. C.
中科院分区：
文献类型：
--
作者：
Lee, S.;Tsang, A.;Kessler, R. C.
背景精神障碍对受教育程度影响的研究在高收入和中低收入国家都很少见。目的研究早发性精神障碍与随后终止教育之间的关系。方法对参加世界卫生组织世界精神卫生调查倡议的16个国家进行了调查(n=41 688)。生存模型被用来估计DSM-LV精神障碍与随后未达到教育里程碑之间的关联。结果在高收入国家，既往药物使用障碍与所有教育阶段的未完成教育相关(OR 1.4-15.2)。在拉美国家，焦虑障碍(OR=1.3)、情绪障碍(OR=1.4)和冲动控制障碍(OR=2.2)与中等教育提前终止有关，冲动控制障碍(OR=1.3)和物质使用障碍(OR=1.5)与中等教育提前终止有关。
BackgroundStudies of the impact of mental disorders on educational attainment are rare in both high-income and low- and middle-income (LAMI) countries.AimsTo examine the association between early-onset mental disorder and subsequent termination of education.MethodSixteen countries taking part in the world Health Organization World Mental Health Survey Initiative were surveyed with the Composite international Diagnostic Interview (n=41 688). Survival models were Used to estimate associations between DSM-lV mental disorders and Subsequent non-attainment of educational milestones.ResultsIn high-income countries, prior substance use disorders were associated with non-completion at all stages of education (OR 1.4-15.2). Anxiety disorders (OR=1.3), mood disorders (OR=1.4) and impulse control disorders (OR=2.2) were associated with early termination of secondary education in LAMI countries, impulse control disorders (OR=1.3) and substance Use disorders (OR=1.5) were associated with early termination of secondary education.ConclusionsOnset of mental disorder and subsequent non-completion of education are consistently associated in both high-income and LAW countries.