Canino G, Bird H, Rubio-Stipec M, Bravo M
Behavioral Sciences Research Institute, University of Puerto Rico, San Juan 00936-5067. G
P R Health Sci J. 1997 Jun;16(2):117-24.
The main objective of the manuscript is to present a review of the literature of the psychiatric epidemiological studies carried out in Puerto Rico in the last decade.
Data from three major epidemiological surveys carried out in the last decade is presented which provide evidence against prior long standing observations that Puerto Ricans reported higher levels of psychiatric symptomatology as compared to other populations and ethnic groups in the United States.
The studies selected for review were the universe of population epidemiological studies carried out in Puerto Rico in the last decade. All studies used island wide probability sampling procedures to select the study population.
Rates of psychiatric disorders in Puerto Rico were found to be significantly different from those obtained in United States communities. Exceptions were somatization disorder and symptoms which were found to be significantly more common in Puerto Rico and drug abuse/dependence which was found to be considerably less common in the island as compared to the Unites States adults in the age range of 17 to 67 years old.
In spite of several indicators of social disruption in the island, the prevalence of most psychiatric disorders does not appear to be more prevalent than in other communities in the United States and other parts of the world. Risk factors for mental disorders are also similar, although sex ratios for gender linked disorders are more marked in the island.
本文的主要目的是对过去十年在波多黎各开展的精神疾病流行病学研究文献进行综述。
文中呈现了过去十年三项主要流行病学调查的数据,这些数据为反对先前长期存在的观察结果提供了证据,即与美国其他人群和族裔群体相比,波多黎各人报告的精神症状水平更高。
所选用于综述的研究是过去十年在波多黎各开展的所有人群流行病学研究。所有研究均采用全岛概率抽样程序来选择研究人群。
发现波多黎各的精神疾病发病率与在美国社区所获发病率存在显著差异。例外情况是躯体化障碍及症状,在波多黎各显著更为常见,以及药物滥用/依赖,在该岛与17至67岁美国成年人相比显著不那么常见。
尽管该岛存在若干社会混乱指标,但大多数精神疾病的患病率似乎并不比美国其他社区及世界其他地区更高。精神障碍的风险因素也相似,尽管与性别相关障碍的性别比例在该岛更为明显。