Wang Zhenjie, Li Ning, Guo Chao, Zhang Lei, Chen Gong, Zheng Xiaoying
Institute of Population Research/WHO Collaborating Center on Reproductive Health and Population Science Laboratory of Neuroscience and Mental Health, Peking University, Haidian District, Beijing, People's Republic of China.
Medicine (Baltimore). 2016 Sep;95(36):e4779. doi: 10.1097/MD.0000000000004779.
The world will be facing huge population aged 65 and older, accounting for 13% of the total population in the future. Significant disabilities rates reflect an accumulation of health risks. Psychiatry disability is one of the most significant disabilities, because it manifests in cognitive, affective, and behavior disorders that limit one's daily life and restrict their participations. Very few studies have explored the 20 years associations between demographic factors and psychiatry disability among older people in China.In this study, we investigated psychiatry disability transitional association behind China rapid development from 1987 to 2006 among the 60 and older population. Data used 2 nationally represented, population-based data from the China National Sample Surveys on Disability, conducted in 1987 and 2006. The sample size of the current study was 140,008 in 1987 and 354,859 in 2006, respectively. Associations between socioeconomic factors and psychiatry disability were determined by using a logistic regression model.The prevalence of psychiatric disabilities increased from 1987 to 2006. In both surveys, the most common psychiatric disabilities were schizophrenia, schizotypal, and delusional disorders, and they presented the same associations with age increase. Socioeconomic inequities, such as current employment status and marital status, were associated with psychiatry disability in both surveys. These associations remained even after these 2 surveys were combined.The rapidly rising prevalence of psychiatric disorders expected warrants strategies to reduce the burden of these disabilities among females and rural residents.
世界将面临大量65岁及以上的老年人口，未来这部分人口将占总人口的13%。显著的残疾率反映了健康风险的积累。精神残疾是最严重的残疾之一，因为它表现为认知、情感和行为障碍，限制了人们的日常生活并阻碍他们的参与。在中国，很少有研究探讨老年人人口统计学因素与精神残疾之间的20年关联。在本研究中，我们调查了1987年至2006年中国快速发展期间60岁及以上人群精神残疾的过渡关联。数据使用了1987年和2006年进行的两次全国代表性的基于人群的中国全国残疾抽样调查数据。本研究的样本量在1987年为140,008人，2006年为354,859人。社会经济因素与精神残疾之间的关联通过逻辑回归模型确定。从1987年到2006年，精神残疾的患病率有所上升。在两次调查中，最常见的精神残疾是精神分裂症、分裂型和妄想性障碍，并且它们与年龄增长呈现相同的关联。社会经济不平等，如当前就业状况和婚姻状况，在两次调查中均与精神残疾相关。即使将这两次调查合并后，这些关联仍然存在。预计精神障碍患病率的迅速上升需要采取策略来减轻女性和农村居民中这些残疾的负担。
