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A Cross-sectional Survey of disability Attributed to mental disorders and Service Use in China

Chinese Medical Journal 2017年第12期130卷 1441-1445页

作者： Li-Li Shang Yue-Qin Huang Zhao-Rui Liu Hong-Guang Chen Department of Social Psychiatry and Behavioral Medicine Peking University Sixth Hospital (Institute of Mental Health) National Clinical Research Center for Mental Disorders and Key Laboratory of Mental Health Ministry of Health (Peking University) Beijing 100191 China

Background： mental disorders are strongly associated with disabilities. National survey on disability could provide a reliable basis for policymaking in care and rehabilitation of disabled persons. This study aimed to describe the disability prevalence rates attributed to mental disorders, their distribution by sociodemographic factors, and utilizations of service. Methods： This study is a secondary data analysis of the Second National Sample Survey on disability in 2006. The disability and severity were assessed using the World Health Organization disability Assessment Schedule 2.0. mental disorders were diagnosed according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision Classification of mental and Behavioral disorders. Using descriptive and analytic epiderniological methods, prevalence rates of disability attributed to mental disorders and service use were calculated. Results： Data of 2,526,145 respondents were analyzed. The disability prevalence rate attributed to mental disorders in China was 6.3%0, accounting for 9.9% of all disabled people. Regarding disability prevalence attributed to mental disorders, it showed that gender, residential area, marital status, education level, and economic area were related to the prevalence distributions. The proportions of mild disability were highest in the disabled people with onset age of 18-64 years, while the proportion of extremely severe disability was highest in the disabled people with onset age of 65 years and above. Only 58.6% of disabled people attributed to mental disorders used some of the services. Conclusions： There are statistical differences of disability prevalence attributed to mental disorders by people and region in China. Service use in disabled people with mental disorders is insufficient.

关键词： disability: epidemiology: mental disorder Prevalence Service

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