Piroozi Bakhtiar, Adnan Saeed Banaz, Shokri Azad, Safari Hossein, Moradpour Farhad, Zokaei Mehdi, Qaderi Bagajan Kaveh, Mohamadi-Bolbanabad Amjad, Zarezadeh Yadolah
Social Determinants of Health, Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
College of Medicine, Hawler Medical University, Erbil, Iraq.
Med J Islam Repub Iran. 2025 Feb 12;39:25. doi: 10.47176/mjiri.39.25. eCollection 2025.
Mental disorders are prevalent among individuals with disabilities, often exacerbated by socioeconomic factors. This study aims to examine the prevalence of mental disorders among people with disabilities in Iran, addressing a significant yet under-researched issue within this population.
Conducted in 2023, this cross-sectional study focused on adults with physical and sensory disabilities (sight, hearing, speech) in Sanandaj city. A total of 613 individuals participated, selected through simple random sampling. Data were gathered utilizing the General Health Questionnaire-28 (GHQ-28). Multivariate logistic regression identified significant predictors of mental disorder suspicion, while the concentration index (C) and concentration curve (CC) measured prevalence inequality. Data analysis was conducted using STATA software version 16.0.
The prevalence of mental disorder suspicion was 56.7% (344 individuals), with severity categorized as 29.7% mild, 16.6% moderate, and 10.4% severe. Significant predictors for increased odds of mental disorder symptoms included being female (AOR: 1.55; 95% CI: 1.05-2.29), under 30 years old (AOR: 3.46; 95% CI: 1.55-5.76), unemployed (AOR: 4.10; 95% CI: 2.74-6.14), lacking supplementary insurance (AOR: 2.78; 95% CI: 1.49-5.20), and belonging to the poorest economic class (AOR: 4.23; 95% CI: 2.34-7.62). The suspicion of mental disorders was unevenly distributed and concentrated among individuals with lower economic status (C = -0.395).
This study highlights significant mental health disparities among individuals with disabilities, particularly in economically disadvantaged groups. Health policies should focus on prevention and access to mental health services, such as community-based programs, healthcare provider training, and financial assistance, alongside efforts to improve employment opportunities for this population.
精神障碍在残疾人群体中普遍存在,且往往因社会经济因素而加剧。本研究旨在调查伊朗残疾人群体中精神障碍的患病率,解决该人群中一个重要但研究不足的问题。
这项横断面研究于2023年进行,聚焦于萨南达杰市有身体和感官残疾(视力、听力、言语)的成年人。通过简单随机抽样共选取了613名个体参与研究。使用一般健康问卷-28(GHQ-28)收集数据。多变量逻辑回归确定了精神障碍疑似病例的显著预测因素,而集中指数(C)和集中曲线(CC)衡量了患病率不平等情况。使用STATA软件16.0版进行数据分析。
精神障碍疑似病例的患病率为56.7%(344人),严重程度分为轻度29.7%、中度16.6%和重度10.4%。精神障碍症状几率增加的显著预测因素包括女性(比值比:1.55;95%置信区间:1.05 - 2.29)、30岁以下(比值比:3.46;95%置信区间:1.55 - 5.76)、失业(比值比:4.10;95%置信区间:2.74 - 6.14)、缺乏补充保险(比值比:2.78;95%置信区间:1.49 - 5.20)以及属于最贫困经济阶层(比值比:4.23;95%置信区间:2.34 - 7.62)。精神障碍疑似病例分布不均,集中在经济地位较低的个体中(C = -0.395)。
本研究凸显了残疾人群体中显著的心理健康差异,尤其是在经济弱势群体中。卫生政策应侧重于预防和获得心理健康服务,如社区项目、医疗服务提供者培训和财政援助,同时努力改善该人群的就业机会。