Xiang Yu-Tao, Ma Xin, Cai Zhuo-Ji, Li Shu-Ran, Xiang Ying-Qiang, Guo Hong-Li, Hou Ye-Zhi, Li Zhen-Bo, Li Zhan-Jiang, Tao Yu-Fen, Dang Wei-Min, Wu Xiao-Mei, Deng Jing, Lai Kelly Y C, Ungvari Gabor S
Beijing Anding Hospital, Capital Medical University, Beijing, China.
Schizophr Res. 2008 Jul;102(1-3):270-7. doi: 10.1016/j.schres.2008.04.009. Epub 2008 May 20.
There has been no large-scale survey of schizophrenia in China involving both rural and urban areas using standardized assessment tools and diagnostic criteria. This study aimed to determine the lifetime prevalence of schizophrenia and its socio-demographic correlates in Beijing, China.
A total of 5926 subjects were randomly selected in Beijing and interviewed using the Composite International Diagnostic Interview (CIDI 1.0). Basic socio-demographic and clinical data were collected during the interviews.
The lifetime prevalence of schizophrenia was 0.49%, and 0.44% and 0.55% for men and women, respectively. Unmarried status, lower monthly income, urban abode and positive family history were associated with an increased risk of schizophrenia; 9.7% of the subjects with lifetime schizophrenia reported a history of suicide attempts. The percentage of subjects with schizophrenia who were receiving treatment and their preference to seek treatment from mental health professionals were 58% and 29%, respectively.
National surveys are urgently needed to further explore the prevalence of schizophrenia in China. The low percentage of subjects treated for schizophrenia is a serious public health issue that should be addressed in the near future.
中国尚未有一项使用标准化评估工具和诊断标准，涵盖农村和城市地区的大规模精神分裂症调查。本研究旨在确定中国北京精神分裂症的终生患病率及其社会人口学相关因素。
在北京随机选取5926名受试者，使用复合国际诊断访谈（CIDI 1.0）进行访谈。访谈期间收集基本的社会人口学和临床数据。
精神分裂症的终生患病率为0.49%，男性和女性分别为0.44%和0.55%。未婚状态、月收入较低、城市居住以及家族阳性史与精神分裂症风险增加相关；9.7%的终生患精神分裂症的受试者报告有自杀未遂史。正在接受治疗的精神分裂症受试者比例及其寻求精神卫生专业人员治疗的偏好分别为58%和29%。
迫切需要进行全国性调查以进一步探索中国精神分裂症的患病率。精神分裂症患者接受治疗的比例较低是一个严重的公共卫生问题，应在近期加以解决。
