| 引用本文： |
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王怡然,陈优,蒋江灵,等.上海市社区精神分裂症患者社会经济状况及影响因素分析[J].同济大学学报（医学版）,2021,42(1):52-56. [点击复制]
- WANG Yi-ran,CHEN You,JIANG Jiang-ling,et al.Socioeconomic status of community dweller with schizophrenia in Shanghai and its influencing factors[J].同济大学学报（医学版）,2021,42(1):52-56. [点击复制]
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| 摘要: |
| 目的调查上海市社区精神分裂症患者的工作、经济和生活状态，并探讨相关人口学影响因素。方法使用自编患者社会经济基本状况调查表，调查基于重性精神障碍管理系统、随机抽样选取的社区精神分裂症患者，了解其社会经济状况。结果入组社区精神分裂症患者样本333例（男性183例，女性150例）。患者中72.8%为无业，74.3%月收入在2000元以下，仅有22.8%以固定工资为主要收入；社区分裂症患者中84.0%以社会医保为主要医疗支付方式，68.3%的患者基本能达到收支平衡。回归分析发现，就业、经济情况与患者的健康与生活水平正相关；已婚、已育患者的就业、经济水平更高；使用一代抗精神病药的患者就业率更低。女性、已婚、已育、受教育程度高者对未来的经济状况更加乐观（均P<0.05）。结论社区精神分裂症患者的工作状况和社会经济水平较低，尤其男性、未婚、低教育水平患者状况更为严峻，需加强有针对性、个体化的康复干预。 |
| 关键词: 精神分裂症 社区 社会经济状况 影响因素 横断面调查 |
| DOI：10.12289/j.issn.1008-0392.20275 |
| 投稿时间：2020-06-19 |
| 基金项目:上海市卫生和计划生育委员会面上项目（201740007）；上海市重中之重临床重点学科建设计划（2017ZZ02020）；上海卫生健康系统心身医学重要薄弱学科建设计划（2019ZB0202）；上海市公共卫生体系建设三年行动计划（GWV-10.2-XD29） |
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| Socioeconomic status of community dweller with schizophrenia in Shanghai and its influencing factors |
| WANG Yi-ran,CHEN You,JIANG Jiang-ling,LU Zheng,LI Qing-wei |
| (Dept. of Psychology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China; Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;Shanghai Yangpu Mental Health Center, Shanghai 200090, China) |
| Abstract: |
| ObjectiveTo investigate the socioeconomic status of patients with schizophrenia and their influencing factors. MethodsThe outpatients with schizophrenia were randomly selected from communities in Shanghai for the study. The socioeconomic status of patients was surveyed with a self-designed questionnaire. ResultsThe survey showed that among 333 participants (183 male and 150 female), 72.8% were unemployed, only 22.8% patients had regular salary as their main income, and the income of 74.3% patients was below 2000 Yuan per month, 68.3% patients were able to make both ends meet, and 84.0% patients had social insurance to cover their medical expenditure. Multivariate regulation analysis showed that employment and financial condition were associated with the self-evaluation of health and living condition., while being married and having children were associated with higher employment and financial status; patients taking first-generation antipsychotics suffered a higher unemployed rate; female, married patient with children and patients with higher education were more optimistic about their future finical status (all P<0.05). ConclusionPatients with schizophrenia suffer from unemployment, low income, and sexual dysfunction, thus targeted individualized interventions are needed. |
| Key words: schizophrenia community socioeconomic status influencing factors cross-sectional survey |
