专业精神卫生保健的使用者丧失了几年的生命
Stefan R A Konings1,2,3, Jochen O Mierau4,5,6, Ellen Visser3
1Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Acta psychiatrica Scandinavica
|September 12, 2023
概括
与普通人群相比,使用专业精神卫生保健 (SMH) 的个人平均失去9.5年的生命年限. 性别和精神疾病诊断之间存在死亡率差异,需要有针对性的干预措施.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 精神疾病显著增加死亡风险.
- 根据诊断对专门精神卫生保健 (SMH) 用户的死亡率差异的研究是有限的.
- 了解SMH用户的死亡率对于政策和研究至关重要.
研究的目的:
- 将SMH使用者的死亡率与普通人口进行比较.
- 调查SMH内的性别死亡率差异.
- 分析主要精神障碍类别的死亡率变化.
主要方法:
- 利用了荷兰10914名SMH用户 (2010-2017年) 的人口统计和死亡数据.
- 应用了参数Gompertz分布和间隔回归来估计寿命死亡率.
- 通过比较SMH使用者和普通人群的生存功能来计算丧失的生命年数.
主要成果:
- 据估计,SMH使用者损失了9.5年的寿命 (95% CI:9.4-9.6).
- 失去的生命年数因诊断而有所不同,从焦虑症的7.2年到双相情感障碍的11.7年.
- 男性SMH使用者比女性 (8.3) 失去的生命年数 (11.0) 更多,诊断的差异不同.
结论:
- 在SMH使用者和普通人群之间存在显著的死亡率差异.
- 性别和特定的诊断与生命年数的大幅差异有关.
- 需要有针对性的干预措施来缓解SMH用户的过度死亡率.
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