2009年至2019年中国精神疾病死亡的趋势和负担:全国纵向研究
Jiawen Wu1, Yuzhu Wang1, Lu Wang1
1Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, China.
Frontiers in psychiatry
|June 19, 2023
概括
中国的精神疾病死亡总体下降,但精神分裂症和酒精使用障碍仍然是主要原因. 需要针对男性,农村人口和40-64岁的人进行有针对性的干预,以减少过早死亡率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 精神疾病 (MD) 在全球和中国构成了重大公共卫生挑战.
- 了解死亡率趋势和负担对于有效的公共卫生战略至关重要.
研究的目的:
- 分析2009-2019年中国精神疾病原始死亡率 (CMR) 和年龄标准化死亡率 (ASMR) 的趋势.
- 为了评估精神疾病的负担,使用诸如失去了生命年数等措施来评估.
主要方法:
- 一项纵向观测研究利用了中国国家疾病监测系统 (2009-2019) 的数据.
- 使用全球人口数据将死亡率正常化.
- 分析包括按年龄,性别,地区和居住地的分层,并通过SPYLL和AYLL评估负担.
主要成果:
- 18,178例精神疾病死亡发生 (0.13%的总死亡),其中68.3%发生在农村地区.
- 精神疾病的整体ASMR下降,主要是由于农村居民的减少.
- 精神分裂症和酒精使用障碍 (AUD) 是主要的死亡原因,农村地区和40-64岁年龄组的ASMR较高.
结论:
- 尽管精神疾病的ASMR数量下降,但精神分裂症和AUD仍然是致命的死亡原因.
- 干预措施应针对男性,农村人口和40至64岁的个人,以减轻与精神疾病相关的过早死亡率.
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