Vanasse Alain, Courteau Josiane, Lesage Alain, Fleury Marie-Josée, Grégoire Jean-Pierre, Moisan Jocelyne, Lauzier Sophie, Bergeron Claude
Département de médecine de famille, Université de Sherbrooke, Sherbrooke, Canada.
Can J Psychiatry. 2012 Dec;57(12):772-81. doi: 10.1177/070674371205701210.
To compare mood disorder (MD) prevalence in Quebec in 2006, and compare health services and medication use, mortality and morbidity in patients with MD based on sex and the dwelling sector level of material and social deprivation. The objective was also to identify subgroups of individuals using health services in a larger proportion and having a higher risk of morbidity and mortality.
We conducted a secondary analysis of the Régie de l’assurance maladie du Québec medico-administrative data. The cohort is composed of adults diagnosed with MD and living in Quebec in 2006. Variables include: physician consultation, medication demand, consultation for substance or alcohol abuse, emergency visit, hospitalization for a mental disorder, and death. Dwelling sector types are defined by crossing Pampalon material and social deprivation quintiles.
MD prevalence in 2006 was 3.06% (177 850 patients), with prevalence in women 1.7-fold with respect to men. Findings show a higher MD prevalence as well as a higher mortality and morbidity rate in materially and socially deprived dwelling sectors. Young men also represent a specifically vulnerable subgroup for many study variables.
Public policies aimed at improving material conditions (income, education, employment) and breaking out social isolation would have an important impact on the population mental health. Public health program development should pay close attention to young men population.
比较2006年魁北克省情绪障碍（MD）的患病率，并根据性别以及居住地区的物质和社会剥夺程度，比较MD患者的医疗服务和药物使用情况、死亡率和发病率。目的还包括确定使用医疗服务比例较高且发病和死亡风险较高的亚人群。
我们对魁北克医疗保险管理数据进行了二次分析。该队列由2006年在魁北克被诊断患有MD的成年人组成。变量包括：医生诊疗、药物需求、物质或酒精滥用诊疗、急诊就诊、精神障碍住院治疗以及死亡情况。居住地区类型通过交叉潘帕隆物质和社会剥夺五分位数来定义。
2006年MD患病率为3.06%（177850名患者），女性患病率是男性的1.7倍。研究结果表明，在物质和社会剥夺程度较高的居住地区，MD患病率、死亡率和发病率也更高。在许多研究变量方面，年轻男性也是一个特别脆弱的亚人群。
旨在改善物质条件（收入、教育、就业）并打破社会隔离的公共政策将对人群心理健康产生重要影响。公共卫生项目的发展应密切关注年轻男性群体。
