丹麦严重精神疾病患者死亡率的时间趋势2000-2018年
Christine Lindstrӧm1, Volkert Siersma1, Margit Kriegbaum1
1Centre of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Nordic journal of psychiatry
|December 26, 2024
概括
患有严重精神疾病 (SMI) 的人经常经历更高的死亡率. 尽管整体预期寿命有所改善,但SMI患者和无SMI患者之间的差距仍然保持不变或扩大,凸显了持续的健康不平等.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 严重的精神疾病 (SMI) 与由于身体状况而减少的预期寿命有关.
- 全球北方的预期寿命有所增加,但对SMI患者的好处尚不清楚.
研究的目的:
- 调查丹麦SMI患者的死亡趋势.
- 将SMI患者的全因和因特定死亡率与普通人口进行比较.
主要方法:
- 对2000-2018年丹麦全国注册数据的分析.
- 包括已注册诊断为抑郁症,双相情感障碍或精神分裂症的成年人 (≥18岁).
- 具有和没有SMI的个体之间的死亡率的比较.
主要成果:
- 在SMI组中,全因和因特定死亡率 (心血管,癌症,呼吸道,感染,创伤,自杀) 较高.
- 所有原因的死亡率均降低,包括SMI患者.
- 对SMI个体的相对死亡率保持不变或增加,特别是对于精神分裂症.
结论:
- 尽管整体预期寿命有所增加,但SMI患者的死亡率持续上升.
- 对SMI患者的健康不平等需要有针对性的干预措施.
- 进一步努力至关重要,以减少严重精神疾病的死亡率差距.
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