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自殺と中国本土における統合失調症の独特の流行パターン: 遡及的観察研究
Michael R Phillips1, Gonghuan Yang, Shuran Li
1Beijing Suicide Research and Prevention Centre, Beijing Hui Long Guan Hospital, Beijing, People's Republic of China. phillips@public3.bta.net.cn
Lancet (London, England)
|September 24, 2004
まとめ
統合失調症は中国で425万人に罹患しており,女性や都市部での罹患率が高い. 統合失調症は,特に農村部の男性において,自殺のリスクを大幅に増加させる.
科学分野:
- 精神科医は精神病を患っている.
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- 統合失調症と自殺は,中国でユニークな流行病学的パターンを呈しており,男性よりも女性のほうが高い.
- これらの状態は,中国における重大な公衆衛生上の課題を代表しています.
研究 の 目的:
- 中国における統合失調症の有病率データを提示する.
- 中国大陸における統合失調症患者の自殺の相対的および帰属的リスクを推定する.
主な方法:
- 国家精神病流行病学研究データ,死亡者登録,国勢調査,心理解剖研究を利用した.
- 1995年から1999年の中国大陸の15歳以上の人々に関するデータを分析した.
- 推定される統合失調症と自殺の頻度と発生率.
主要な成果:
- 中国では推定425万人が統合失調症を患っている.
- 統合失調症の罹患率は,女性 (RR 1.77) と都市部 (RR 1.62) で高かった.
- 統合失調症の個人は,自殺の相対リスクが23.8倍高く,全自殺の9.7%を占めていた.
結論:
- 疾患特有のリスクプロファイルは,自殺予測と予防戦略の改善に不可欠です.
- 統合失調症患者の自殺率における性別と地域特有の差異は,中国のユニークな流行病学的パターンに寄与する可能性がある.
- 特定されたリスク要因に基づいて予防の取り組みを調整することが不可欠です.
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