精神疾病和庇护无家可归之间的双向关联
Sandra Feodor Nilsson1, Theresa Wimberley2,3, Helene Speyer1,4
1Copenhagen Research Center for Mental Health - CORE, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.
精神疾病和无家可归有着强烈的双向联系. 患有精神疾病的个人有更高的无家可归风险,无家可归的人更有可能患上精神疾病.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 精神疾病和无家可归之间的关系是复杂的,时间关联不清楚.
- 了解医院精神疾病和庇护无家可归之间的重叠对于公共卫生干预至关重要.
研究的目的:
- 调查精神疾病和庇护无家可归之间的双向关系.
- 量化这两个条件之间的时间关联和同时发生的风险.
主要方法:
- 使用丹麦国家登记册 (2002-2021) 进行基于人口的队列研究.
- 包括15岁以上 (1984年至2006年出生) 的个人,根据首次诊断定义精神疾病,根据首次庇护所接触定义无家可归.
- 调整的发病率比率 (IRR) 和累计发病率的估计,以评估风险.
主要成果:
- 患有精神疾病的个人显著增加了无家可归的风险 (IRR 9.2).
- 相反,无家可归的人患精神疾病的风险要高得多 (IRR 7.0).
- 在十年内,3.0%的精神疾病患者经历了无家可归,而47.1%的无家可归者接受了精神病诊断.
结论:
- 精神疾病和无家可归之间存在强烈的双向关联.
- 医疗保健和社会服务必须认识到并应对受影响人群中同时出现精神病和社会问题的高风险.
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