| Objective To explore the influencing factors of depressive disorder patients in Inner Mongolia Autonomous Region,and provide scientific and effective basis for the prevention and treatment of depressive disorder.Methods Using stratified multi-stage unequal probability sampling method,14,164 permanent residents aged 18 and above in Inner Mongolia Autonomous Region were selected for face-to-face computer-assisted personal interview.The Chinese version of Composite International Diagnostic Inter-View-3.0(CIDI-3.0)was used for the survey.The Diagnostic criteria of depressive disorder were DSM-Ⅳ.(Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition,DSM-Ⅳ).Results1.A total of 12,315 people completed the survey.The lifetime prevalence of depressive disorder was 8.01% and the 12-month prevalence was 4.90%.The lifetime prevalence of depression was 4.70% and the 12-month prevalence was 3.08%.The lifetime prevalence of dysthymic was 1.81%,and the 12-month prevalence was 1.52%.The lifetime prevalence of unspecific depressive disorder was 3.23% and the 12-month prevalence was 1.77%.2.The lifetime prevalence and 12-month prevalence of depressive disorder were higher in females than in males(9.06% vs.7.01%,P < 0.05;5.77% vs.4.06%,P < 0.05),the population aged 55-64 was higher than that of other age groups(10.29%,6.52%,P < 0.01),and the population with primary school education was higher than that with secondary school education(9.79%,6.15%,P < 0.05).Separated/divorced group was higher than other subgroups of marital status(13.28%,10.11%,P < 0.01),and there was no significant difference in the prevalence of urban and rural,ethnic and depressive disorder.3.Female(OR=1.422,95%CI: 1.064-1.900),unmarried(OR=1.969,95%CI:1.215-3.189),separated/divorced(OR=3.047,95%CI: 1.934-4.801)were risk factors for depressive disorder.35-44 years old(OR=0.540,95%CI: 0.359-0.811),junior high school education OR above(OR=0.555,95%CI: 0.406-0.759;OR=0.514,95%CI: 0.337-0.785;OR=0.610,95%CI: 0.404-0.921)was a protective factor for depressive disorder.Conclusion1.The prevalence of depressive disorder was correlated with gender,age,marital status and educational level.There was no significant difference between ethnic group and depressive disorder prevalence.And there was no significant difference between urban and rural areas and the prevalence of depressive disorder.Lifetime and 12-month prevalence rates were higher among females,55-64 years of age,primary school education and below,and separated/divorced.Female,unmarried,separation/divorce were risk factors for depressive disorder.35-44 years old and junior high school or above were protective factors for depressive disorder.2.At present,depressive disorder has become an urgent public health problem,so it is necessary to build a psychological service platform at the grass-roots level,improve the psychological service network in the education system,and strengthen the popularization of depressive disorder knowledge on the Internet,so as to achieve the popularization of depressive disorder knowledge in the whole district.Promote women,aged 55 to 64,the degree of culture,primary school and below separation/divorce and other higher depressive disorder prevalence of self health care consciousness,for women,unmarried,separation/divorce group to strengthen psychological counselling,emotional relief,family relationship adjustment and mental health services,thus reduce depressive disorder prevalence trends,to promote the harmonious development of the family and the society better,Achieve the full implementation of "Healthy Inner Mongolia-Mental health promotion action". |
PDF Full Text Request