使用Blinder-Oaxaca分解的群体之间的精神障碍不平等的流行影响
Yousef Veisani1, Fathola Mohamadian2
1Non-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Journal of education and health promotion
|June 8, 2023
概括
精神障碍 (MDs) 在弱势社会经济群体中更为普遍,影响该人口的35.6%. 这项研究突出了显著的不平等现象,导致弱势群体的多发性疾病发病率更高.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 以前的研究表明,社会人口学不平等影响精神障碍 (MD) 患病率.
- 了解这些不平等的主要驱动因素对于有针对性的干预至关重要.
研究的目的:
- 评估不同社会经济群体中精神障碍 (MDs) 患病率不平等的主要原因.
- 量化成年人口中MD率的社会经济差距.
主要方法:
- 一项涉及伊朗伊兰省10个城市382个家庭的横截面研究.
- 利用集群采样来选择参与者,并使用标准化工具 (GHQ-28,DSM-IV-TR) 进行查和诊断.
- 用社会经济分层的主要组件分析 (PCA) 和布林德-奥哈卡方法来分析不平等差距.
主要成果:
- 在弱势群体中,MD的患病率明显高 (35.6%),相比于优势群体 (22.6%).
- 负度指数 (-0.013) 证实了弱势群体中MDs的度更高.
- 优势人群与弱势人群相比,MD的几率高出81%,女性与男性相比,MD的几率高出60%. 整体的不平等差距为12%.
结论:
- 这项研究证实了成人人口中精神障碍 (MD) 发生率的重大社会经济不平等.
- 确定了MD不平等的主要贡献者,为社区一级的控制和减少策略提供了证据.
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