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尼日利亚阿南布拉州在校青少年中使用广泛性焦虑症筛查量表-7(GAD-7)进行广泛性焦虑症筛查:城乡对比研究

Generalized anxiety disorder screening using gad-7 among in-school adolescents of anambra state, nigeria: a comparative study between urban and rural areas.

作者信息

Victor Mbanuzuru Ahoma, Uwakwe Rechard, Sochukwu Anyaoku Chinekwu, Okwudili Ojimba Anastacia, Chinyere Mbanuzuru Mary, Ezenyeaku Chijioke Amara, Chukwudinma Obi Darlington, Nkiru Okafor Christiana, Prosper Okonkwo Uchenna

机构信息

Department of Community Medicine & Primary Health Care, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.

Department of Psychiatry, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.

出版信息

Child Adolesc Psychiatry Ment Health. 2023 Jul 19;17(1):91. doi: 10.1186/s13034-023-00637-4.

DOI:10.1186/s13034-023-00637-4
PMID:37468988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10357710/
Abstract

BACKGROUND

Previous studies have reported that general anxiety disorder manifestations differ in diverse settings.

OBJECTIVE

To determine and compare the prevalence of probable anxiety disorders among in-school adolescents in urban and rural areas of Anambra State.

METHODS

A total of 1187 in-school adolescents were recruited using a multi-stage sampling technique. The study instrument was an interviewer-administered pretested questionnaire adopted from General Anxiety Disorder (GAD-7). Data were analyzed with the IBM Statistical Package for the Social Sciences (SPSS) version 22.

RESULT

One hundred and twenty of the participants out of the 1187 (10.1%) were found to have probable generalized anxiety disorders using GAD-7 as screening tool. The prevalence of symptoms of anxiety disorder revealed that urban participants had a higher prevalence compared to their rural counterparts (11% vs. 8.8%), while females had a higher prevalence compared to the males in the ratio of 3:2 (or 12% vs. 8%). The prevalence of symptoms of anxiety disorders among females was higher than that of males even when compared based on a rural and urban settings. When all other variables are held constant, urban participants were found to have a 50% higher chance of being identified with anxiety disorders compared to their rural participants (OR = 1.500, C.I.:1.002-2.246, p = 0.049).

CONCLUSION

The prevalence of probable anxiety disorders was found in 10% of the participants. The females have a higher propensity to exhibit symptoms of anxiety disorders than the males. Anxiety status affects how adolescents view their general health. The study started from the date of approval by the West African College of Physicians on the 21 February 2017, but Ethical Clearance from NAUTHEC was given on the 19th December 2016.

摘要

背景

先前的研究报告称,广泛性焦虑症的表现在不同环境中有所不同。

目的

确定并比较阿南布拉州城乡在校青少年中可能患焦虑症的患病率。

方法

采用多阶段抽样技术共招募了1187名在校青少年。研究工具是一份由访谈员实施的经过预测试的问卷,该问卷改编自广泛性焦虑症量表(GAD-7)。数据使用IBM社会科学统计软件包(SPSS)22版进行分析。

结果

使用GAD-7作为筛查工具,在1187名参与者中有120名(10.1%)被发现可能患有广泛性焦虑症。焦虑症症状的患病率显示,城市参与者的患病率高于农村参与者(11%对8.8%),而女性的患病率高于男性,比例为3:2(或12%对8%)。即使按城乡环境进行比较,女性焦虑症症状的患病率也高于男性。当所有其他变量保持不变时,发现城市参与者被识别出患有焦虑症的可能性比农村参与者高50%(比值比=1.500,置信区间:1.002 - 2.246,p = 0.049)。

结论

在10%的参与者中发现了可能患焦虑症的情况。女性比男性更易表现出焦虑症症状。焦虑状况会影响青少年对自身总体健康的看法。该研究于2017年2月21日获得西非医师学院批准后开始,但于2016年12月19日获得了NAUTHEC的伦理批准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d45/10357710/dd18a49d1a48/13034_2023_637_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d45/10357710/8d010cb9688b/13034_2023_637_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d45/10357710/dd18a49d1a48/13034_2023_637_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d45/10357710/8d010cb9688b/13034_2023_637_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d45/10357710/dd18a49d1a48/13034_2023_637_Fig2_HTML.jpg

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