目的:了解云南省景洪市基诺族抑郁症的患病情况及相关因素。方法:本研究为横断面研究。采用按比例单纯随机抽样原则抽取基诺族1977名15岁及以上的基诺族居民,采用自编的一般情况调查表、一般成人健康问卷(GHQ)进行精神疾病筛查,采用DSM—IV—TR轴I障碍定式临床检查病人版(SCID—I/P)进行诊断,对抑郁症患者进行汉密尔顿抑郁量表(HAMD17)评分。结果:基诺族的抑郁症时点患病率为2.4%,女性患病率明显高于男性(4.0%vs.1.0%,P〈0.001),各年龄段中以35~54岁组的患病率3.7%为最高,受教育年限多者患病率高于受教育年限低者(3.2%vs.1.4%,P〈0.05);女性、目前工作状况不佳、缺乏家人理解以及存在自杀意念的人群抑郁症患病率较高;女性患者的HAMD得分较男性高,家人支持差者的HAMD得分较家庭支持好者高。结论:基诺族抑郁症的患病率与近年国内其他省市报告的患病率相近,在性别、年龄、受教育程度方面存在差异,以女性35~54岁人群和受教育程度较高者的患病率相对更高。
Objective: To explore the prevalence and related factors of depression in the Jino ethnic minority in Yunnan Province. Methods: By proportionate random sampling, 1977 Jino subjects aged 15 or above were selected and assessed mental disorders with a self-designed social-demographic questionnaire and the General Health Questionnaire. They were diagnosed by the Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition for mental disorders, and the persons diagnosed with depression were assessed with the Hamilton Depression Rating Scale (HAMD). Results: The prevalence of depression in Jino ethnic minority was 2.4%. The prevalence in females was significantly higher than that in males (4.0% vs. 1.0%, P 〈0. 001). The people aged 35 -54 years old had the highest prevalence ( 3.7 % ) and the people with a lower educational background had a higher prevalence of depression (3.2% vs. 1.4%, P 〈0.05). People with bad work status, lack of family support, the thoughts of suicide and the female had higher prevalence of depression. The scores of HAMD of females were higher than that of males. People with less family support had higher scores of HAMD than people with more family support Conclusion: It indicate the prevalence of depression in Jino are similar to other populations in different area of China Having bad work status, lack of family support, having the thoughts of suicide and being female may be depression, associated with higher lisk for.