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2014 年加拿大慢性疾病患者心境和焦虑障碍生活状况调查:方法学概述。

The 2014 Survey on Living with Chronic Diseases in Canada on Mood and Anxiety Disorders: a methodological overview.

机构信息

Public Health Agency of Canada, Ottawa, Ontario, Canada.

Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.

出版信息

Health Promot Chronic Dis Prev Can. 2016 Dec;36(12):275-288. doi: 10.24095/hpcdp.36.12.02.

Abstract

INTRODUCTION

There is a paucity of information about the impact of mood and anxiety disorders on Canadians and the approaches used to manage them. To address this gap, the 2014 Survey on Living with Chronic Diseases in Canada-Mood and Anxiety Disorders Component (SLCDC-MA) was developed. The purpose of this paper is to describe the methodology of the 2014 SLCDC-MA and examine the sociodemographic characteristics of the final sample.

METHODS

The 2014 SLCDC-MA is a cross-sectional follow-up survey that includes Canadians from the 10 provinces aged 18 years and older with mood and/or anxiety disorders diagnosed by a health professional that are expected to last, or have already lasted, six months or more. The survey was developed by the Public Health Agency of Canada (PHAC) through an iterative, consultative process with Statistics Canada and external experts. Statistics Canada performed content testing, designed the sampling frame and strategies and collected and processed the data. PHAC used descriptive analyses to describe the respondents' sociodemographic characteristics, produced nationally representative estimates using survey weights provided by Statistics Canada, and generated variance estimates using bootstrap methodology.

RESULTS

The final 2014 SLCDC-MA sample consists of a total of 3361 respondents (68.9% response rate). Among Canadian adults with mood and/or anxiety disorders, close to twothirds (64%) were female, over half (56%) were married/in a common-law relationship and 60% obtained a post-secondary education. Most were young or middle-aged (85%), Canadian born (88%), of non-Aboriginal status (95%), and resided in an urban setting (82%). Household income was fairly evenly distributed between the adequacy quintiles; however, individuals were more likely to report a household income adequacy within the lowest (23%) versus highest (17%) quintile. Forty-five percent reported having a mood disorder only, 24% an anxiety disorder only and 31% both kinds of disorder.

CONCLUSION

The 2014 SLCDC-MA is the only national household survey to collect information on the experiences of Canadians living with a professionally diagnosed mood and/or anxiety disorder. The information collected offers insights into areas where additional support or interventions may be needed and provides baseline information for future public health research in the area of mental illness.

摘要

简介

关于情绪和焦虑障碍对加拿大人的影响以及用于管理这些障碍的方法,相关信息十分匮乏。为了填补这一空白,加拿大 2014 年慢性病生活状况调查-情绪和焦虑障碍部分(SLCDC-MA)应运而生。本文旨在描述 2014 年 SLCDC-MA 的方法,并研究最终样本的社会人口统计学特征。

方法

2014 年 SLCDC-MA 是一项横断面随访调查,包括来自加拿大 10 个省份的年龄在 18 岁及以上的成年人,他们被卫生专业人员诊断患有预计持续或已经持续六个月或更长时间的情绪和/或焦虑障碍。该调查由加拿大公共卫生局(PHAC)通过与加拿大统计局和外部专家进行迭代协商制定。加拿大统计局进行了内容测试,设计了抽样框架和策略,并收集和处理了数据。PHAC 使用描述性分析来描述受访者的社会人口统计学特征,使用加拿大统计局提供的调查权重生成全国代表性估计值,并使用自举方法生成方差估计值。

结果

2014 年 SLCDC-MA 的最终样本共包括 3361 名受访者(68.9%的回复率)。在患有情绪和/或焦虑障碍的加拿大成年人中,近三分之二(64%)为女性,超过一半(56%)已婚/处于事实婚姻关系,60%接受过高等教育。大多数为年轻人或中年人(85%),在加拿大出生(88%),非原住民(95%),居住在城市地区(82%)。家庭收入在充足五分位数之间分布较为均匀;然而,更多的人报告家庭收入在最低五分位数(23%)而不是最高五分位数(17%)内充足。45%的人报告仅患有情绪障碍,24%的人仅患有焦虑障碍,31%的人同时患有这两种障碍。

结论

2014 年 SLCDC-MA 是唯一一项收集关于经专业诊断患有情绪和/或焦虑障碍的加拿大人生活经历信息的全国性家庭调查。收集到的信息提供了有关需要额外支持或干预的领域的见解,并为未来精神疾病领域的公共卫生研究提供了基线信息。

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