Turns D F
Ann Med Psychol (Paris). 1980 Jun;138(6):637-46.
Epidemiological studies of Schizophrenia have shed scant light on etiological factors involved in this disorder. They have been useful, however, in estimating the frequency of the disease (incidence of about 1/1 000 and prevalence of 2-10/1 000), the age of risk (adolescence and young adulthood) and identifying certain individual characteristics such as male sex, single or marital status and black race (USA data) which are associated with higher rates than those found in the general population. Recent studies indicate that in the next decade, the incidence and prevalence of schizophrenia are expected to rise substantially. The increased fertility of schizophrenic women, the reduced mortality rate due to better medical treatment of the chronically ill will play a part. But the major factor will be population trends. In the United States, the population most at risk for schizophrenia (young black males) is expected to expand by 42% and a parallel increase in the number of new cases should ensure. In order to forestall the consequences of this incipient epidemic, it is imperative that aggressive treatment programs be maintained and reinforced and that research efforts geared toward primary prevention be adequately supported.
对精神分裂症的流行病学研究,几乎没有揭示出该疾病的病因。然而,这些研究在估计疾病的发病率(约为1/1000,患病率为2 - 10/1000)、发病风险年龄(青春期和成年早期)以及识别某些个体特征(如男性、单身或婚姻状况以及黑人种族,美国数据)方面是有用的,这些特征与高于一般人群的发病率相关。最近的研究表明,在未来十年,精神分裂症的发病率和患病率预计将大幅上升。精神分裂症女性生育率的增加,以及慢性病患者因更好的医疗治疗导致的死亡率降低,都将起到一定作用。但主要因素将是人口趋势。在美国,最易患精神分裂症的人群(年轻黑人男性)预计将增长42%,新病例数量也将相应增加。为了预先防止这种初现的流行病的后果,必须维持和加强积极的治疗方案,并充分支持针对一级预防的研究工作。