摘要
目的:详细介绍内蒙古精神卫生调查(立项名称为“内蒙古自治区居民心理健康状况调查”)的抽样方案、权重计算、现场执行以及质量控制方案。方法:调查以计算机辅助个人访谈为主,采取分层多阶段不等概率的抽样方法抽取在当地社区居住6个月及以上的18岁及以上居民入户进行面对面访谈。调查分两个阶段开展。心境障碍、焦虑障碍、物质使用障碍、进食障碍和冲动控制障碍的诊断采用一步法设计完成,而精神分裂症及其他精神病性障碍以及老年期痴呆的诊断采用二步法设计完成。结果:实际调查在41个区县旗246个村居的14130名调查对象中开展,完成第一阶段调查人数12360人,应答率为87.5%。第二阶段调查抽取了5263人,实际完成4448人,应答率84.5%。根据抽样结果,分别计算了抽样设计权数、无回答调整权数、事后分层权数,并进行了极值调整。共有314名调查员和51名精神科医生接受培训,合格后开展入户调查。两个阶段调查均进行了及时的数据核查、电话核查以及录音核查的措施,核查结果显示所有样本没有出现质量问题或仅出现轻微质量问题。结论:本调查获得了内蒙古自治区有代表性的精神障碍、精神卫生服务以及危险因素的相关信息。未来学者可以利用这个数据库开展相关分析,从而增加对精神健康的理解和认知。
Objective:This paper aimed to describe the sample design,weighting,filed procedures and quality control in Inner Mongolia Mental Health Survey(IMMHS),also called Mental Health Survey among Community Population in Inner Mongolia.Methods:The survey mode of IMMHS was mainly computer-assisted personal interview(CAPI).Face-to-face interviews were finished in the homes of respondents who were selected from a provincial representative multi-stage disproportionate stratified sampling procedure.One-stage design of data collection was used in the IMMHS to obtain information of mental disorders including mood disorders,anxiety disorders,substance use disorders,eating disorder and impulsive disorder,while two-stage design was applied for schizophrenia and other psychotic disorders,and dementia.Results:A total of 14130 respondents were selected from 246 communities among 41 districts or counties.Totally 12360 persons finished the first stage interviews with 87.5%of the overall response rate.At the second stage,5263 respondents were selected from the first stage interviews,and 4448 persons finished the interviews with 84.5%of the overall response rate.Three procedures were used in the weighting of IMMHS samples,including sampling design weights,non-response adjustment weights,and post-stratification adjustment weights.Trimming of the weights was also considered to adjust extreme values.Totally 314 lay interviews and 51 psychiatrists attended training and were qualified to carry out interviews.Comprehensive and timely quality control of fieldwork,including data check,telephone check and audio check were carried out in the IMMHS.Final results of the quality control showed that most interviews passed quality check and the rest only had minor problems.Conclusion:Substantial and provincial representative information about mental disorders,service use and risk factors were collected in the IMMHS.Professionals in different areas could carry out analyses of the rich data,so as to enrich our knowledge and understanding of mental health
作者
刘肇瑞
吕东升
黄悦勤
隋晓杰
严洁
丁华
吕萍
白志坚
张婷婷
李强
王瑞琪
马超
陈红光
LIU Zhaorui;LYU Dongsheng;HUANG Yueqin;SUI Xiaojie;YAN Jie;DING Hua;LYU Ping;BAI Zhijian;ZHANG Tingting;LI Qiang;WANG Ruiqi;MA Chao;CHEN Hongguang(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;Mental Health Institute of Inner Mongolia Autonomous Region,The Third Hospital of Inner Mongolia Autonomous Region,Hohhot 010010,China;Institute of Social Science Survey,Peking University,Beijing 100871,China)
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2020年第6期507-515,共9页
Chinese Mental Health Journal
基金
内蒙古自治区应用技术研究与开发资金计划(201702150、201802142)。
