摘要
目的了解不同精神疾病患者的职业分布状况，探讨精神疾病与职业分布的关系，为精神疾病早期预防、早期干预及康复治疗提供依据。方法对2003年1月1日至2007年12月31日在太原市区域内精神病医院和精神科住院的户籍在太原市的精神疾病患者的病历资料进行回顾性分析，复核诊断由经过统一培训的精神科医生根据疾病和有关健康问题的国际统计分类（ICD-10）精神与行为障碍分类标准的诊断要点确定，共收集有效病历资料16495例（病例组）；对照组17039114例为同期太原市统计局和太原市公安局提供的长住人口资料，应用SPSS13．0软件包对两组数据进行统计分析。结果各职业人群精神疾病期间患病率为0．968％，平均发病年龄38．11岁，学生在18岁左右、离退休人员在65岁左右、其他职业人群30～40岁是精神疾病的3个好发年龄阶段，无业者（包括待业、无业及失业者）患病率最高，占4．223％；工人、农民次之，商业、服务业者和学生患病率较低。病例组与对照组各职业构成比中干部（U=2．67，P〈0．01）差异有统计学意义，离退休人员（U=1．14，P〉0．05）差异无统计学意义；工人（U=52．20，P〈0．001）、农民（U=15．25，P〈0．001）、无业者（U=106．16，P〈0．001），病例组构成比明显高于对照组，差异均有统计学意义；专业技术人员（U=13．97，P〈0．001）、商业服务业人员（U=30．39，P〈0．001）、学生（U=62．94，P〈0．001）及其他职业（U=23．88，P〈0．001）病例组构成比明显低于对照组，差异均有统计学意义。结论精神疾病与职业有一定的相关性，不同职业或年龄患病率及患病种类有明显差异。
Objective To understand the professional distribution of different mental illness, to explore the relationship between mental illness and professional distribution for mental illness early prevention, early intervention and rehabilitation therapy. Methods From January 1,2003 to December 31,2007, mental illness patients＇ clinical data of psychiatric hospital in Taiyuan city area and psychiatric residency in Taiyuan city hospital were retrospectively analyzed. This paper reviewed diagnosis by a psychiatrist unified training according to the international statistical classification of diseases and related health problems （ ICD - 10 ） mental and behavior disorders diagnostic point of classification standards to ensure that the total effective medical record information collected 16 495 cases （group） ; 17 039 114 eases of control group in the same period of Taiyuan and Taiyuan city public security bureau to provide permanent population statistics data. SPSS 13.0 software was used for statistical analysis of the two data. Results Prevalence of mental illness during he occupation of the population of 0. 968% ,the average age of 38.11 years ,and students around the age of 18 retirees, in the 65 years and other occupations in 30 to 40 years old, these were three good age stages of mental illness, the age of the unemployed （ including the unemployed, the unemployed and the unemployed） prevalence was highest, accounting for 4. 223%. Workers and farmers followed, business, service providers and students prevalence was lower. In the case group and control group cadres was statistically significant difference in proportion of occupational composition（ U = 2.67, P 〈 0. 01 ） , there was not statistically significant difference in retirees （U = 1.14, P 〉 1.14） ; Workers （ U = 52.20, P 〈 52.20 ）, farmers （ U = 15.25, P 〈 15.25 ）, unemployed （ U = 106. 16, P 〈 0. 001 ）, the case group was significantly higher than the control group, the difference was statistically significant;Professiona
出处
《中国基层医药》
CAS
2016年第12期1796-1799,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
山西省太原市科技兴市计划项目（0803040）
关键词
精神疾病
职业
因素分析
统计学
Mental illness
0ccupation
Factor analysis,statistical
