社区对生活在脏环境中的人们的研究
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
概括
生活在贫困中的人往往会患上精神或身体障碍. 这项研究强调了这一群体中精神疾病的高发病率,这表明在医疗保健和与脏相关的疾病的治疗方面存在潜在的差距.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 老年学是一门学科.
背景情况:
- 污秽是一个重要的公共卫生问题,原因有争议.
- 以前的研究主要集中在二级医疗保健服务的病例系列.
- 缺乏对脏和相关疾病的系统的社区研究.
研究的目的:
- 在社区环境中调查家庭脏与精神和身体障碍之间的关系.
- 利用标准化仪器,更有系统地评估污秽和相关的健康状况.
主要方法:
- 对一家专门的清洁服务的客户进行了一项横截面研究.
- 家庭的脏和自我疏忽是使用生活条件评分尺度来衡量的.
- 精神疾病的诊断是使用世界卫生组织的神经精神病学临床评估日程表 (SCAN) 进行的.
主要成果:
- 70%的参与者 (n=81) 被诊断出患有精神障碍.
- 26%的人有身体健康问题,这有助于他们生活环境的状况.
- 患有身体障碍的个人表现出不太严重的脏;65岁以上的人不太可能患有精神障碍.
结论:
- 精神障碍的高率普遍存在于生活在贫民窟中的人群中,他们接受特殊的清洁服务.
- 污秽与不同年龄段的精神或身体障碍有关.
- 报告指出了医疗保健服务的潜在缺陷,以及需要更积极的治疗策略.
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