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2003-2015年圣保罗市常见的精神障碍:基于人口的连续横截面小组研究
Thiago Pestana Pinto1, Camila Nascimento Monteiro2, Moises Goldbaum3
1Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, SP, Brazil.
概括
在2003年至2015年期间,在城市圣保罗20-59岁的女性中,常见的精神障碍减少了. 在此期间,没有观察到男性或老年女性的显著变化.
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:
- 常见的精神障碍 (CMD) 在全球范围内是一个重大的公共卫生问题.
- 了解CMD的时间趋势对于有效的卫生政策和资源分配至关重要.
- 之前的研究表明,CMD在不同的人口和地理位置的流行率不同.
研究的目的:
- 在圣保罗市居住的成年人中调查常见精神障碍 (CMD) 的时间演变.
- 分析2003年至2015年CMD流行趋势.
- 为了识别CMDs的时间变化的人口变化.
主要方法:
- 利用了来自圣保罗市健康调查 (2003年,2008年,2015年) 的基于人口的连续横截面小组研究.
- 通过自报告问卷-20 (SRQ-20) 评估CMD.
- 使用波桑回归来计算流行率 (PR) 和95%置信区间 (95%CI) 进行趋势分析.
主要成果:
- 总共有1,565名 (2003年),2,019名 (2008年) 和3,169名 (2015) 的参与者被纳入.
- 经过调整后的分析显示,2003年至2015年间,20-59岁女性中CMD患病率显著下降 (PR 0.68;95%CI 0.56-0.84).
- 在20-59岁的男性,60岁以上的女性或60岁以上的男性中,没有观察到CMD患病率的显著时间变化.
结论:
- 在圣保罗城市的成年女性 (20-59岁) 中,常见精神障碍的患病率呈现下降趋势.
- 这些发现突出了这种城市人口中CMD的潜在的性别特异性时间模式.
- 进一步的研究是有必要的,以探索导致这些观察到的趋势的潜在因素,并为有针对性的心理健康干预提供信息.
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