WHO Collaborating Centre (Mental Health), Institute of Psychiatry, King's College London, P.O. Box 35, De Crespigny Park, London SE5 8AF, UK.
Int J Environ Res Public Health. 2012 May;9(5):1810-9. doi: 10.3390/ijerph9051810. Epub 2012 May 9.
Association between common mental disorders (CMDs), equity, poverty and socio-economic functioning are relatively well explored in high income countries, but there have been fewer studies in low and middle income countries, despite the considerable burden posed by mental disorders, especially in Africa, and their potential impact on development. This paper reports a population-based epidemiological survey of a rural area in Kenya. A random sample of 2% of all adults living in private households in Maseno, Kisumu District of Nyanza Province, Kenya (50,000 population), were studied. The Clinical Interview Schedule-Revised (CIS-R) was used to determine the prevalence of common mental disorders (CMDs). Associations with socio-demographic and economic characteristics were explored. A CMD prevalence of 10.8% was found, with no gender difference. Higher rates of illness were found in those who were of older age and those in poor physical health. We conclude that CMDs are common in Kenya and rates are elevated among people who are older, and those in poor health.
常见精神障碍(CMDs)、公平、贫困和社会经济功能之间的关系在高收入国家得到了相对充分的研究,但在中低收入国家的研究较少,尽管精神障碍造成了相当大的负担,尤其是在非洲,而且它们可能对发展产生影响。本文报告了肯尼亚一个农村地区的基于人群的流行病学调查。对肯尼亚尼扬扎省基苏木区马塞纳的私人家庭中所有成年人的 2%进行了随机抽样(50000 人口)。使用修订后的临床访谈量表(CIS-R)来确定常见精神障碍(CMDs)的患病率。探讨了与社会人口学和经济特征的关联。发现常见精神障碍的患病率为 10.8%,无性别差异。年龄较大和身体健康状况较差的人患病的几率更高。我们的结论是,CMD 在肯尼亚很常见,在年龄较大和健康状况较差的人群中发病率较高。