| Objective:1.To investigate the incidence rate and related factors of traumatic events in community population in Tianjin.2.To investigate the prevalence and related factors of traumatic stress disorder in community population in Tianjin.3.To explore the relationship between traumatic events and other mental disorders.Methods:The survey comes from the epidemiology of mental disorder in Tianjin sample,using multistage sampling method in 19 towns of 18 counties in Tianjin city were selected,29 subdistrict offices,58 neighborhood committees,42 villages.A total of 15388 families,15388 respondents.The two phase of the investigation,the first stage is using the amplified version of the general health questionnaire(General Health,Questionnaire,GHQ-12),after the screening subjects suffering from mental disorders in high-risk,division of risk and low risk 3 risk levels,then in accordance with the proportion of 100%,intermediate 40% selected high-risk and low-risk subjects were 10% American disorders and Statistical Manual of mental Fourth Edition(DSM-IV)axis I diagnostic clinical interview examination of the patient version(SCID-I/P)of structured interview.The surveyors and survey face survey interview all investigators in the local guide,to explain the purpose of the survey and investigation contents and ensure the investigation content usage and security measures,informed and consent after the formal investigation was conducted in this study the mental health center of Tianjin City medical ethics committee approval.The object of investigation.A total of 11748 people completed the first phase of screening,of which 4438 completed SCID diagnosis.Description of classification data using percentage.The final data were adjusted according to the sixth census data of Tianjin.Logistic regression analysis of related factors of traumatic events and the relationship between traumatic events and the prevalence of major depressive disorder.Logistic regression was performed with dominance ratio(OR)and 95% confidence intervals(95%CI).With P < 0.05 with statistical difference.Result:1.completion of SCID examination of 4,438,of which female 57.5 %,urban73.0%,single6.5%,married77.8%,divorced15.7 %,average age 49.6±16.2 years,education year 9.6±4.3 years,average family income of 3,000 yuan.2.469 of whom are traumatic events,traumatic events of the total exposure rate was 10.3%,accounted for 11.4% of men,women accounted for 9.9%,there was no significant difference between men and women;of which 1 experienced traumatic events was 421,exposure rate was 9.4%;2-3 experienced traumatic events was 48,exposure rate was 0.9%;in person after disaster or accident in 218 cases,exposure rate was 3.8% and the family accident or death in 191 cases,exposure rate was 5.1%,47 cases of other trauma witnessed the scene,the exposure rate was 0.9%.3.The related factors of traumatic events are shown in table 3.The traumatic event exposure rate between urban and rural areas,gender,age,marital status had no significant difference;the education for the 7-9 years age group was 0-6 years of education the population exposed rate had significant difference,unemployment and the unemployed farmers than the exposure rate had significant difference.4.the lifetime prevalence of posttraumatic stress disorder(n=45)and:0.68%(95% CI:0.37%1.25%),1 month prevalence rate(n=16): 0.09%(95%CI:0.04%-0.17%),the median age of onset(four percentile): 36(29-47).5.The prevalence of posttraumatic stress disorder was not related to gender,urban and rural areas,the age of occurrence,the number of years of education,the nature of the event,the number of events,and occupation.6.The relationship between traumatic events and the prevalence of severe depressive disorder(MDD)was shown in Table 11.The incidence of MDD was in the 76 patients after trauma,and the prevalence rate was MDD.The control of sex,age,education,marital status,urban and rural areas,logistic regression analysis,OR =2.21 value after adjustment,there is a traumatic event,the prevalence of MDD is 2.21 times the prevalence of traumatic events MDD.7.The prevalence of MiDD in patients with traumatic events was 2.4%,and the prevalence rate of MiDD in patients with no traumatic events was.Gender,age,education,urban and rural,marital status.Adjusted OR value =1.08(95%CI:0.60-1.96).8.The prevalence of AUD in patients with traumatic events was 9.3%,and the prevalence rate of AUD in patients with no traumatic events was.Gender,age,education,urban and rural,marital status.Adjusted OR value =1.08(95%CI:0.60-1.96).9.The prevalence of AUD in patients with traumatic events was 3.9%,and the prevalence rate of AUD in patients with no traumatic events was.Gender,age,education,urban and rural,marital status.Adjusted OR value =1.05(95%CI:0.62-1.79).10.The prevalence of SB in patients with traumatic events was 10%,and the prevalence rate of AUD in patients with no traumatic events was.Gender,age,education,urban and rural,marital status.Adjusted OR value =2.48(95%CI:1.74-3.52).11.The prevalence of SI in patients with traumatic events was 2.1%,and the prevalence rate of AUD in patients with no traumatic events was.Gender,age,education,urban and rural,marital status.Adjusted OR value =4.38(95%CI:1.58-12.18).Conclusion:1.The level of exposure to traumatic events in community groups is not low,and due to cultural influence,it is often more concealed.The mental health problems of this group of people are easily ignored.Psychosocial problems associated with traumatic events and the lack of timely and regular treatment often have more serious social consequences.2.After traumatic events,the study showed that the prevalence of PTSD in our community is lower than that of foreign data;The incidence of major depressive disorder,suicidal thoughts,and suicidal behavior in this part of the group that had experienced traumatic events was higher than that of the group that had not experienced traumatic events.3.Post-traumatic stress disorder and major depressive disorder,suicide thoughts,alcohol use disorders,anxiety disorders of the common rate is high,worthy of attention.4.The public often fail to pay enough attention to traumatic events,and the knowledge of mental health education is not enough;This paper attempts to explore the relevant factors of traumatic event exposure in the community population.The result is that the population with 7-9 years of education,unemployment and unemployment are the risk factors for traumatic event exposure. |
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