Comino Elizabeth J, Harris Elizabeth, Chey Tien, Manicavasagar Vijaya, Penrose Wall Jonine, Powell Davies Gawaine, Harris Mark F
Centre for Health Equity, Training, Research, and Evaluation, School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales 2170, Australia.
Aust N Z J Psychiatry. 2003 Apr;37(2):230-5. doi: 10.1046/j.1440-1614.2003.01127.x.
To compare the prevalence of anxiety and affective disorders among employed and unemployed patients and to compare the type of treatment received between the two groups for these disorders.
A secondary analysis of the 1997 National Survey of Mental Health and Wellbeing of Adults cross-sectional study was undertaken.
Unemployed adults were more likely to have symptoms of anxiety (OR = 3.09, 95% CI = 2.80-3.41) or an affective disorder (OR = 2.11, 95% CI = 1.95-2.27) or anxiety and/or affective disorders (OR = 2.53, 95% CI = 2.37-2.69). Unemployed participants with symptoms were less likely to have seen a general practitioner for treatment but when they did they received similar care to employed participants.
These results confirm studies reported elsewhere that the prevalence of symptoms of anxiety and/or affective disorders is higher for unemployed people. The data provide further evidence that people with an anxiety and/or affective disorder who are unemployed are not seeking medical treatment. However, unlike previous research undertaken by our group, these results indicate that symptomatic adults who seek help receive comparable treatment in general practice irrespective of their employment status.
比较在职和失业患者中焦虑症和情感障碍的患病率，并比较两组针对这些疾病所接受的治疗类型。
对1997年全国成人心智健康与幸福横断面研究进行二次分析。
失业成年人更有可能出现焦虑症状（比值比=3.09，95%置信区间=2.80-3.41）或情感障碍（比值比=2.11，95%置信区间=1.95-2.27）或焦虑和/或情感障碍（比值比=2.53，95%置信区间=2.37-2.69）。有症状的失业参与者看全科医生接受治疗的可能性较小，但当他们这样做时，所接受的治疗与在职参与者相似。
这些结果证实了其他地方报道的研究，即失业者中焦虑和/或情感障碍症状的患病率更高。数据进一步证明，患有焦虑和/或情感障碍的失业者没有寻求医疗治疗。然而，与我们团队之前的研究不同，这些结果表明，有症状的成年人无论就业状况如何，在全科医疗中寻求帮助时都能得到类似的治疗。
