汚らわしい環境で暮らす人々に関するコミュニティ研究
G Halliday1, S Banerjee, M Philpot
1Section of Old Age Psychiatry, Institute of Psychiatry, King's College, London, UK.
Lancet (London, England)
|February 7, 2001
まとめ
貧乏な生活をしている人は,精神的,身体的障害を患うことが多い. この研究は,この集団における精神疾患の高い割合を強調し,医療へのアクセスと,汚職関連疾患の治療における潜在的なギャップを示唆しています.
科学分野:
- 公衆衛生は公衆衛生である.
- 精神科医は精神病を患っている.
- ゲロントロジーはゲロントロジーの学科です.
背景:
- スクラールは,議論の余地のある原因を持つ重要な公衆衛生問題です.
- 以前の研究は,主に二次医療サービスのケースシリーズに焦点を当てていました.
- 汚職と関連する障害に関する体系的なコミュニティベースの研究が欠けていました.
研究 の 目的:
- 家庭の汚らしさと精神的,身体的障害との関係を,地域社会で調査する.
- 格差と関連する健康状態のより体系的な評価のために,標準化された機器を活用する.
主な方法:
- 特別な清掃サービスの顧客を対象に横断的な研究が行われました.
- 家庭の汚らしさと自己軽視は,生活条件評価尺度を用いて測定されました.
- 精神障害の診断は,世界保健機関 (WHO) の神経精神医学における臨床評価スケジュール (SCAN) を用いて行われました.
主要な成果:
- 参加者の70% (n=81) が精神障害と診断されました.
- 26%は,生活環境の状態に寄与する身体的健康問題を抱えていた.
- 身体的障害のある個人は,より軽度の汚れを示し,65歳以上の個人は,精神的障害を持つ可能性が低い.
結論:
- 精神障害の高い割合は,特殊な清掃サービスを受ける,汚らわしい生活をしている人々の間で一般的です.
- スカルロは,異なる年齢層における精神的または身体的障害と関連しています.
- 医療の提供における潜在的な欠陥と,より積極的な治療戦略の必要性が示されている.
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