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中国老年期痴呆残疾的现况调查

吴闻雷闫永平王志忠徐向东王丽敏李强徐广明肖水源李凌江黄悦勤刘肇瑞张婷婷马超徐一峰李涛许秀峰于雅琴

中国心理卫生杂志2024，Vol.38Issue(11)：936-942,7.

中国心理卫生杂志2024，Vol.38Issue(11)：936-942,7.DOI:10.3969/j.issn.1000-6729.2024.11.002

中国老年期痴呆残疾的现况调查

A cross-sectional study of disability rate of dementia and risk factors in Chinese old people

吴闻雷 ¹闫永平 ²王志忠 ³徐向东 ⁴王丽敏 ⁵李强 ⁶徐广明 ⁷肖水源 ⁸李凌江 ⁹黄悦勤 ¹刘肇瑞 ¹⁰张婷婷 ¹⁰马超 ¹⁰徐一峰 ¹¹李涛 ¹²许秀峰 ¹³于雅琴¹⁴

作者信息

1. 北京大学医学部医学技术研究院,北京 100191||北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
2. 第四军医大学,预防医学系流行病学教研室,西安 710032
3. 宁夏医科大学公共卫生与管理学院流行病与卫生统计学系,银川 750004||广东医科大学
4. 乌鲁木齐市第四人民医院,乌鲁木齐 830002
5. 中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京 100050
6. 北京大学中国社会科学调查中心,北京 100871
7. 天津市安定医院,天津医科大学精神卫生中心,天津 300222
8. 中南大学公共卫生学院,长沙 410078
9. 中南大学湘雅二医院精神卫生研究所,长沙 410011
10. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
11. 上海市精神卫生中心,上海交通大学医学院,上海 200030
12. 四川大学华西医院心理卫生中心,成都 610041||浙江大学医学院附属精神卫生中心/杭州市第七人民医院
13. 昆明医科大学第一附属医院精神科,昆明 650032
14. 吉林大学公共卫生学院,长春 130021||珠海科技学院
折叠

摘要

Abstract

Objective:To describe disability rates of dementia in community residents aged 65 years and over in China,and explore related risk factors of disability.Methods:This study conducted an in-depth data analysis of the China Mental Health Survey.World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0)was used to assess dementia disability,Community Screening Interview for Dementia(CSID)and Geriatric Mental Status Examination(GMS)were used for dementia screening and diagnosing.Univariate analysis was used to calcu-late the weighted disability rates of dementia in population and in patients,and their population distribution.Multiple linear regression and logistic regression were used to analyze the risk factors of the occurrence of dementia disability and its severity.Results:The weighted disability rate of dementia was 2.1％in population,and 38.6％in pa-tients.The disability rates of comorbid dementia in population and in patients were higher than those of patients with only dementia.Female,older age,lower education level,lower economic status,and lower cognitive test scores in CSID had higher disability rates of dementia in population.Female and urban resident had higher disability rates of dementia in patients.Multiple linear regression showed economic status(β=0.11),gender(β=0.11),age(β=0.10),and treatment in the last 12 months(β=-0.20)were statistically associated with WHODAS 2.0 scores.Multiple logistic regression showed female(OR=2.81)and treatment in the last 12 months(OR=2.38)were statistically associated with disability.Conclusions:Persons with low economic status,female and elderly peo-ple are the high-risk groups for dementia disability.It should be paid attention to prevent dementia and its conse-quential disabilities.

关键词

老年人/痴呆/精神残疾/残疾率/致残率/危险因素

Key words

aged/dementia/mental disability/disability rate in population/disability rate in patients/risk factors

分类

医药卫生

引用本文复制引用

吴闻雷,闫永平,王志忠,徐向东,王丽敏,李强,徐广明,肖水源,李凌江,黄悦勤,刘肇瑞,张婷婷,马超,徐一峰,李涛,许秀峰,于雅琴..中国老年期痴呆残疾的现况调查[J].中国心理卫生杂志,2024,38(11):936-942,7.

基金项目

国家重点研发计划(2017YFC0907800、2017YFC0907801),"十二五"国家科技支撑计划(2012BAI01B01),卫生部公益性行业科研专项(201202022) （2017YFC0907800、2017YFC0907801）

中国心理卫生杂志

OA北大核心CHSSCDCSTPCD

ISSN：1000-6729

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