Nguyen Thi, Dennis Sarah, An Huy, Vagholkar Sanjyot, Liaw Siaw Teng
General Practice Unit, Fairfield Hospital, Cnr Polding Street and Prairievale Road, Prairiewood, NSW 2176, Australia.
Centre for Primary Health Care and Equity, UNSW Australia, Sydney, NSW 2052, Australia.
Aust J Prim Health. 2015 Aug 26;22(4):354-359. doi: 10.1071/PY14145. Print 2016.
The aim of the present study was to determine the prevalence of psychological distress among Vietnamese adults attending Vietnamese-speaking general practices and explore possible risk factors in this population. A cross-sectional survey of Vietnamese adult patients was conducted at 25 general practices with Vietnamese-speaking general practitioners (GPs) in south-western Sydney between October 2012 and February 2013. Patients completed the Kessler (K10) scale and a demographic questionnaire, available in Vietnamese or English. Data were analysed using SPSS version 21. Of the 350 patients invited to participate, 247 completed surveys (response rate 71%). One-quarter (25%) of participants had a very high K10 score for psychological distress, nearly twice that reported in the NSW Health Survey. Participants with high exposure to trauma were at increased risk of psychological distress (odds ratio 5.9, 95% confidence interval 2.4-14.4; P < 0.0001) compared with those with mild or no trauma exposure. Similarly, risk was increased if there was a past history of mental health problems and a lack of personal and social support. The high prevalence of mental health problems in adult Vietnamese people attending Vietnamese-speaking general practices is associated with exposure to trauma. This highlights the importance of personal, social and professional support in effective management. Vietnamese-speaking GPs who see Vietnamese or similar refugee groups should actively seek out a history of exposure to trauma, a past history of mental illness and the existence of support systems.
本研究的目的是确定在讲越南语的普通诊所就诊的越南成年人中心理困扰的患病率，并探索该人群中可能的风险因素。2012年10月至2013年2月期间，在悉尼西南部的25家配备讲越南语全科医生（GP）的普通诊所，对越南成年患者进行了一项横断面调查。患者完成了越南语或英语版本的凯斯勒（K10）量表和一份人口统计学问卷。使用SPSS 21版对数据进行分析。在邀请参与的350名患者中，247人完成了调查（回复率71%）。四分之一（25%）的参与者在心理困扰方面的K10得分非常高，几乎是新南威尔士州健康调查中报告得分的两倍。与轻度暴露或未暴露于创伤的参与者相比，高度暴露于创伤的参与者出现心理困扰的风险增加（优势比5.9，95%置信区间2.4 - 14.4；P < 0.0001）。同样，如果有心理健康问题病史以及缺乏个人和社会支持，风险也会增加。在讲越南语的普通诊所就诊的成年越南人心理健康问题的高患病率与暴露于创伤有关。这凸显了个人、社会和专业支持在有效管理中的重要性。接待越南或类似难民群体的讲越南语的全科医生应积极了解暴露于创伤的病史、精神疾病病史以及支持系统的存在情况。
