基线家庭收入与严重精神疾病的严重程度和过程有关
Juan Pablo Valencia-Arango1,2, Juan Carlos Salazar-Uribe2, Graciela Muniz-Terrera3
1SURA Colombia, Colombia.
Psychological medicine
|March 2, 2026
概括
低收入与严重精神疾病 (SMI) 患者的心理和身体健康状况恶化有关. 这包括更高的抗精神病治疗率,住院,以及高血压和糖尿病等疾病.
科学领域:
- 卫生经济学 卫生经济学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 贫困与常见的心理健康障碍和身体健康问题有关.
- 贫困对严重精神疾病 (SMI) 的影响不太清楚,特别是在低收入和中等收入国家.
- 这项研究调查了哥伦比亚精神分裂症或双相情感障碍患者的收入和健康结果之间的关系.
研究的目的:
- 检查基线家庭收入与随后的心理和身体健康结果之间的关联.
- 根据收入水平,比较SMI患者的健康结果.
- 了解低收入对被诊断患有精神分裂症或双相情感障碍的人的具体影响.
主要方法:
- 追溯的队列和病例控制研究,利用超过500万哥伦比亚人的电子健康记录.
- 识别被诊断患有精神分裂症或双相情感障碍的个人及其基线家庭收入.
- 评估心理健康结果 (第三线抗精神病治疗,精神病医院住院) 和身体健康结果 (高血压,2型糖尿病,HbA1c水平).
主要成果:
- 与中等收入人群相比,低收入参与者 (<700美元/月) 患有SMI更有可能需要第三线抗精神病治疗 (OR 1.84) 和精神病医院住院 (IRR 1.30).
- 低收入人群中SMI患者的高血压和糖尿病发病率与中等收入人群中没有SMI的老年人群相似.
- 虽然SMI和低收入一起具有低于附加风险,但较低的收入与糖尿病患者的HbA1c较高相关,而SMI与较低的HbA1c相关.
结论:
- 严重精神疾病发病时的低收入与较差的精神和身体健康结果有关.
- 这些发现突出了社会经济地位对严重精神疾病的管理和进展的关键影响.
- 解决贫困的干预措施可能对改善SMI患者的健康结果至关重要.
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