McVeigh Katharine H, Galea Sandro, Thorpe Lorna E, Maulsby Catherine, Henning Kelly, Sederer Lloyd I
Bureau of Epidemiology Services, New York City Department of Health and Mental Hygiene, 125 Worth Street, Rm 315, CN-6, New York, NY, 10013, USA.
J Urban Health. 2006 May;83(3):394-405. doi: 10.1007/s11524-006-9049-2.
The 30-day prevalence of nonspecific psychological distress (NPD) is 3%, nationwide. Little is known about the prevalence and correlates of NPD in urban areas. This study documents the prevalence of NPD among adults in New York City (NYC) using population-based data from the 2002 and 2003 NYC Community Health Surveys (CHS) and identifies correlates of NPD in this population. We examined two cross-sectional random-digit-dialed telephone surveys of NYC adults (2002: N = 9,764; 2003: N = 9,802). Kessler's K6 scale was used to measure NPD. Age-adjusted 30-day prevalence of NPD declined from 6.4% [95% Confidence Interval (CI): 5.8-7.0] in 2002 to 5.1% [95% CI: 4.5-5.6] in 2003. New Yorkers who were poor, in poor health, chronically unemployed, uninsured, and formerly married had the highest prevalence of NPD. Declines occurred among those who were married, white, recently unemployed, and female. NPD prevalence in NYC is higher than national estimates. A stronger economy and recovery from September 11th attacks may have contributed to the 2003 decline observed among selected subgroups. The excess prevalence of NPD may be associated with substantial economic and societal burden. Research to understand the etiology of this high prevalence and interventions to promote mental health in NYC are indicated.
全国范围内，非特异性心理困扰（NPD）的30天患病率为3%。关于城市地区NPD的患病率及其相关因素，人们知之甚少。本研究利用2002年和2003年纽约市社区健康调查（CHS）的基于人群的数据，记录了纽约市（NYC）成年人中NPD的患病率，并确定了该人群中NPD的相关因素。我们对纽约市成年人进行了两项横断面随机数字拨号电话调查（2002年：N = 9764；2003年：N = 9802）。使用凯斯勒K6量表来测量NPD。NPD的年龄调整后30天患病率从2002年的6.4%[95%置信区间（CI）：5.8 - 7.0]降至2003年的5.1%[95%CI：4.5 - 5.6]。贫困、健康状况差、长期失业、未参保以及曾经结婚的纽约人NPD患病率最高。已婚者、白人、近期失业者和女性的患病率有所下降。纽约市的NPD患病率高于全国估计值。经济状况改善以及从9·11袭击事件中恢复过来可能是导致2003年部分亚组患病率下降的原因。NPD的过高患病率可能与巨大的经济和社会负担相关。有必要开展研究以了解这种高患病率的病因，并采取干预措施促进纽约市的心理健康状况。
