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达舍尔坎迪项目研究。孟加拉国一个农村社区的人口统计学、发病率和死亡率。

Dasherkandi project studies. Demography, morbidity and mortality in a rural community of Bangladesh.

作者信息

Chowdhury A K, Alam M N, Ali S M

出版信息

Bangladesh Med Res Counc Bull. 1981 Jun;7(1):22-39.

PMID:7347602
Abstract

The entire population of Dasherkandi, a village near Dacca city was surveyed. Out of 1181 people 44.2% suffered from organic or psychiatric disorders. 37.7% suffered from physical disorders, 3.6% suffered from psychiatric disorders and another 2.9% suffered from both psychiatric and physical disorders. The common physical disorders were worm infestations, hypertension, peptic ulcer, dental problems and upper respiratory tract infection including flu. Females suffered from psychiatric diseases more than males. The psychiatric morbidity found in the survey differed significantly from those found in other similar surveys. Depressive states were the commonest psychiatric disorder and women suffered four times as frequently as men. Anxiety neurosis was the next common psychiatric problem. Both crude mortality and infant mortality rates (5.75 and 93.20 per thousand respectively) were lower than those of other similar studies. The commonest cause of infant mortality during first one month of life was tetanus in this series. Inspite of the fact that diagnosis was based entirely on clinical findings the morbidity rate was high. It was observed that a high percentage of the people who suffered from psychiatric disorders were due to problems which can be easily tackled under field conditions.

摘要

对达卡市附近一个名为达舍坎迪的村庄的全体居民进行了调查。在1181人中,44.2%患有器质性或精神疾病。37.7%患有躯体疾病,3.6%患有精神疾病,另有2.9%同时患有精神和躯体疾病。常见的躯体疾病有蠕虫感染、高血压、消化性溃疡、牙齿问题以及包括流感在内的上呼吸道感染。女性患精神疾病的比例高于男性。此次调查中发现的精神疾病发病率与其他类似调查中的结果有显著差异。抑郁状态是最常见的精神疾病,女性的发病率是男性的四倍。焦虑神经症是第二常见的精神问题。粗死亡率和婴儿死亡率(分别为每千人5.75和93.20)均低于其他类似研究。在这个系列中,出生后第一个月婴儿死亡的最常见原因是破伤风。尽管诊断完全基于临床发现,但发病率仍然很高。据观察,患有精神疾病的人群中很大一部分是由在现场条件下可以轻松解决的问题导致的。

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