由于精神和物质使用障碍而导致残疾的生活年数的教育差异:使用全国挪威和丹麦登记册的队列研究
Nanna Oerslev Weye1,2, Oleguer Plana-Ripoll1,3, Carl Michael Baravelli4
1Department of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
BMC public health
|September 20, 2024
概括
教育年数较少的个人承受精神和物质使用障碍的更大负担. 这凸显了需要在公共卫生战略中解决教育差异的必要性,以促进心理健康和健康公平.
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:
- 全球疾病负担 (GBD) 研究表明,精神和物质使用障碍的分布显著且不均.
- 关于社会经济地位,特别是教育对这种疾病负担的影响,存在知识差距.
研究的目的:
- 调查残疾生活年数 (YLDs) 的教育差异,用于精神和物质使用障碍.
- 分析这些性别差异在丹麦和挪威,考虑到伴随性疾病的条件.
主要方法:
- 利用来自丹麦和挪威 (2011-2021) 的全国性注册表数据.
- 使用来自国家患者和精神病学登记册的诊断信息作为疾病患病率的代理.
- 使用疾病持续时间和残疾权重 (DWs) 计算的YLDs,经过对并发症进行调整.
主要成果:
- 对于整体精神障碍和物质使用障碍,在YLD率中观察到显著的教育梯度.
- 与饮食,焦虑和情感障碍相比,精神分裂症,智力障碍和物质使用障碍的教育梯度更明显.
- 较低的教育程度与较高的YLD率和精神分裂症,智力障碍和物质使用障碍的YLD总数比例较高有关.
结论:
- 精神和物质使用障碍所造成的大部分疾病负担影响着教育程度最低的个体.
- 针对改善心理健康和健康平等的公共卫生倡议必须考虑教育不平等.
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