本地人口与外来人口精神分裂症患者就医行为调查

To investigate on medical seeking behavior in local population and the migrant population with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

上海市嘉定区精神卫生中心 ;
上海市精神卫生中心 ;

摘要
目的:调查上海市嘉定区本地人口与外来人口精神分裂症患者的就医行为。方法:应用“精神分裂症患者精神卫生服务利用调查问卷”,对上海市嘉定区精神卫生中心门诊精神分裂症患者进行调查。结果: 1、本地人口患者受教育年限较外来人口患者长,差异具有统计学意义(P<0.01);本地人口患者已婚比例明显低于外来人口患者,差异具有统计学意义(P<0.05);本地人口患者具有医保的比例明显高于外来人口患者,差异具有统计学意义(P<0.05);两组患者在性别、年龄、宗教信仰、工作、年收入、家庭人均收入、病程及家族史上,差异均无统计学意义(P>0.05)。 2、本地人口患者距首诊专科时间明显长于外来人口患者,差异具有统计学意义(P<0.05);两组患者在最先求助措施上,差异无统计学意义(P>0.05)。结论:本地人口患者婚姻状况差、距首诊专科时间较长,对这类患者应加以关注,在精神病防治工作方面需要加强。
Abstract
Objective: The purpose of this study was to investigate the medical seeking behavior in Jiading local population and the migrant population with schizophrenia. Method: Outpatients with schizophrenia attending Shanghai Jading District Mental Health Center were investigated with“Questionnaire on mental health service utilization of schizophrenic patients”. Results:1、The education years of local population patients were longer than migrant population with schizophrenia,the difference was statistically significant (P<0.01);the proportion of married patients in the local population was significantly lower than that in the migrant population with schizophrenia,the difference was statistically significant (P<0.05); the proportion of patients with health insurance in local population was significantly higher than migrant population with schizophrenia,the difference was statistically significant (P<0.05); the two groups were not statistically different in gender, age, religious beliefs, working or not,annual income,per capita household income,course of disease and family history (P>0.05) . 2、The difference was statistically significant in time from first visit to specialty between the patients in Jiading local population and the migrant population with schizophrenia (P<0.05); on the other hand , the first seeking help method after the onset was not statistically significantly different (P>0.05). Conclusion: The marital status was bad and the time from first visit to specialty was longer in Jiading local population with schizophrenia, attention should be paid to these patients ,psychiatric prevention and treatment in this area should be strengthened.
关键词
本地人口;外来人口; 精神分裂症; 就医行为
KeyWord
local population; migrant population;schizophrenia;medical seeking behavior
基金项目
页码 457-460
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孙仲礼,陈敬兰*,班春霞,屈冬燕,解艳,熊祥玉. 本地人口与外来人口精神分裂症患者就医行为调查 [J]. 国际精神病学杂志. 2020; 47; (3). 457 - 460.

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