社会经济地位与心理障碍相关性的多水平模型分析

顾亚明; 徐方忠; 杨廷忠; 李鲁

Abstract

顾亚明,徐方忠,杨廷忠,李鲁.社会经济地位与心理障碍相关性的多水平模型分析[J].Chinese journal of Epidemiology,2010,31(2):171-174

社会经济地位与心理障碍相关性的多水平模型分析

A multilevei analysis On the association between socioeconomic status and psychiatric disorders

Received:July 29, 2009

DOI：

KeyWord: 心理障碍社会经济地位多水平模型一般健康问卷

English Key Word: Psychiatric disorder Socioeconomic status Multilevel model General health questionnaire

FundProject:

Author Name	Affiliation	E-mail
GU Ya-ming	Department of Social Medicine, Zhejiang University, Hangzhou 310058, China
XU Fang-zhong	Zhejiang Provincial Tongde Hospital
YANG Yan-zhong	Department of Social Medicine, Zhejiang University, Hangzhou 310058, China
Li Lu	Department of Social Medicine, Zhejiang University, Hangzhou 310058, China	lilu@zju.edu.cn

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Abstract:

目的探讨社会经济地位(SES)与社医人群心理障碍的相关性。方法利用浙江省15岁以上人群精神病流行病学调查数据(n=14 632)，采用多水平Io舀stic回归模型拟合个体SES维度(教育、收入、职业)和地理SES维度(居住地区)与心理障碍的相天性。心理障碍评定采用GHQ-12(分界值为3/4)。结果浙江省社区人群心理障碍的患病率为18.5％(95％CI:17.9％一19.1％)，略高于河北省的16.7％(H=4.39，P<0.001)。年家庭人均收入、职业等SES指标与心理障碍相关性较大；低收入组(相对于高收入组)OR=3.45。95％CI:1.72-6.67；无业/失业组(相对于非农业劳动者)OR=2.03，95％CI:1.73～2.40；心理障碍在县(市)水平具有集聚性，但作用较小；教育程度对心理障碍元影响。结论社区人群心理障碍与SES呈逆向梯度变化趋势，且主要与个体SES维度有关，地理SES维度(居住地区)有影响，但作用很小。

English Abstract:

Objective To explore the association between psychiatric disorders and socioeconomic status such as education，income，employment and area of community settings in Zhejiang province.Methods Data were from the epidemiological survey of mental illnesses aged 1 5 and older in 200l(n=14 632).Psychiatric disorders were measured by GHO一12 with a cut-point 4.Logistic multilevel analysis Was the main statistical method being used.Results The overall prevalence of psychiatric disorders was 1 8.5％(95％confidence intervals，l 7.9％to l 9.1％)，higher than the data from Hebei province(u=4.39，PConclusion Inverse gradient relation between psychiatric disorders and SES seemed as the main result of low SES individual characteristics and some minor effects at the county level.

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