Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China.
Front Public Health. 2021 Oct 14;9:759160. doi: 10.3389/fpubh.2021.759160. eCollection 2021.
The prevalence of mental disorders is an important topic, which has been reported in different countries in the world. In China, some studies were also conducted to get the prevalence of mental disorders at the national level and in some metropolitan cities. However, the prevalence of mental disorders in Chinese underdeveloped provinces has not been reported internationally in recent decades. Due to the discrepancy in the social-economic development of different Chinese provinces, we also have reasons to believe the different prevalence of mental disorders between underdeveloped provinces and other provinces. A community-based cross-sectional study was conducted among community residents aged 18 years and older in Hebei province, China. We screened 20,884 community residents in this study, and a Structured Clinical Interview for Diagnostic and Statistical Manual (DSM-IV) Axis I disorders was used to make the diagnoses of mental disorders. The weighted lifetime prevalence of mental disorders was 15.87% (95% CI 15.38-16.38%), and the 1-month prevalence was 10.79% (95% CI 10.37-11.22%). Anxiety disorder ranked first in the classification of mental disorders for both lifetime (6.56%) and 1-month prevalence (6.25%). The weighted lifetime and 1-month region-gender-age-specific prevalence of mental disorders was also analyzed in this study. Mental disorders have been an important issue in Chinese economically underdeveloped regions, and the prevalence was at a high level compared with the results in the 2000s. There are several serious challenges in the work of Chinese mental disorders, which should be paid more attention to.
精神障碍的患病率是一个重要的话题，世界上不同国家都有报道。在中国，也有一些研究旨在了解全国和一些特大城市的精神障碍患病率。然而，近几十年来，国际上尚未报道中国欠发达省份的精神障碍患病率。由于中国不同省份社会经济发展存在差异，我们有理由相信欠发达省份与其他省份之间的精神障碍患病率也存在差异。
本研究在中国河北省进行了一项基于社区的横断面研究，纳入了 18 岁及以上的社区居民。在这项研究中，我们对 20884 名社区居民进行了筛查，并使用《精神障碍诊断与统计手册》（DSM-IV）轴 I 障碍的结构化临床访谈进行了精神障碍的诊断。精神障碍的终生患病率为 15.87%（95%CI 15.38-16.38%），1 个月的患病率为 10.79%（95%CI 10.37-11.22%）。焦虑障碍在精神障碍的分类中无论是终生（6.56%）还是 1 个月患病率（6.25%）均排名第一。本研究还分析了精神障碍的终生和 1 个月按地区、性别和年龄分层的患病率。
精神障碍在中国经济欠发达地区一直是一个重要问题，与 2000 年代的结果相比，患病率处于较高水平。中国精神障碍防治工作面临着严峻挑战，应引起更多关注。
