Thornley C N, Walton V A, Romans-Clarkson S E, Herbison G P, Mullen P E
Department of Psychological Medicine, University of Otago Medical School, Dunedin.
N Z Med J. 1991 Dec 11;104(925):505-7.
This paper describes the use of the general health questionnaire (GHQ) to screen a random sample of men for psychiatric morbidity. The results are contrasted with those from the earlier Otago Women's Health Survey, an investigation into the sociodemographic determinants of psychiatric morbidity in Otago women. The level of psychiatric morbidity found in the men was equal to that found in the women which is in contrast to most overseas studies where men have been found to have lower levels of psychiatric morbidity to women. Significant differences were found in male and female demographic subgroups. High GHQ scores were found in separated, widowed and divorced men, men in higher socioeconomic status groups and those unemployed. High GHQ scores were found among the women aged 18-34, women who had never married, those in lower socioeconomic status groups and those unemployed. This study illustrates that gender needs to be considered alongside traditional sociodemographic factors when studying psychiatric morbidity and symptomatology.
本文描述了使用一般健康问卷(GHQ)对男性随机样本进行精神疾病筛查的情况。研究结果与早期的奥塔哥妇女健康调查结果进行了对比,后者是一项针对奥塔哥妇女精神疾病社会人口学决定因素的调查。男性中发现的精神疾病发病率与女性相当,这与大多数海外研究结果相反,在那些研究中男性的精神疾病发病率低于女性。在男性和女性人口亚组中发现了显著差异。在分居、丧偶和离异男性、社会经济地位较高群体的男性以及失业男性中发现了较高的GHQ得分。在18 - 34岁的女性、从未结婚的女性、社会经济地位较低群体的女性以及失业女性中发现了较高的GHQ得分。这项研究表明,在研究精神疾病发病率和症状学时,除了传统的社会人口学因素外,还需要考虑性别因素。