{"title":"印度北部哈里亚纳邦农村成年人常见精神障碍(CMDs)症状的发生率和社会人口决定因素","authors":"MD. Abu Bashar, A. Mehra, Arun Kumar Aggarwal","doi":"10.2185/jrm.2023-013","DOIUrl":null,"url":null,"abstract":"Objectives: Common mental disorders (CMDs), including depression, anxiety, and somatoform disorders, affect all stages of life and impact individuals, families, and communities. This study aimed to determine the magnitude of CMDs and their sociodemographic determinants in the adult population of a rural block in North India. Material and Methods: A cross-sectional, quantitative, community-based study was conducted among adult residents of a rural block in Haryana, North India, using a multistage random sampling technique. The Hindi version of the General Health Questionnaire (GHQ-12), a well-validated tool, was used to screen participants for CMDs. Scores of 4 or above denoted the presence of CMDs. Bivariate analyses were performed to determine the associations between CMDs and sociodemographic characteristics. Results: Of the 180 residents selected for the study, most were women (60.0%) and aged between 31 and 50 years (52.3%). The prevalence of CMDs symptoms in the study population was 20.0%. The presence of CMDs symptoms was significantly higher among those who were aged 60 years or older [OR=12.33, 95% CI 3.21–47.38], widowed, divorced or separated [OR=7.50, 95% CI 1.09–51.52], illiterate [OR= 6.25, 95% CI 2.84–13.77], had monthly family income below 10,000 INR [OR=3.33, 95% CI 1.54–7.20], had any chronic physical illness [OR=8.28, 95% CI 3.70–18.56] and had a family history of any psychiatric illness [OR=5.56, 95% CI 1.52–19.42]. Conclusion: The burden of CMDs was quite high among adults in rural North India. The presence of CMDs was closely associated with sociodemographic characteristics. Primary care and community-based settings need to screen for, diagnose, and manage CMDs to address this growing problem.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"68 8","pages":"49 - 56"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence and sociodemographic determinants of common mental disorders (CMDs) symptoms in a rural adult population of Haryana, North India\",\"authors\":\"MD. Abu Bashar, A. Mehra, Arun Kumar Aggarwal\",\"doi\":\"10.2185/jrm.2023-013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives: Common mental disorders (CMDs), including depression, anxiety, and somatoform disorders, affect all stages of life and impact individuals, families, and communities. This study aimed to determine the magnitude of CMDs and their sociodemographic determinants in the adult population of a rural block in North India. Material and Methods: A cross-sectional, quantitative, community-based study was conducted among adult residents of a rural block in Haryana, North India, using a multistage random sampling technique. The Hindi version of the General Health Questionnaire (GHQ-12), a well-validated tool, was used to screen participants for CMDs. Scores of 4 or above denoted the presence of CMDs. Bivariate analyses were performed to determine the associations between CMDs and sociodemographic characteristics. Results: Of the 180 residents selected for the study, most were women (60.0%) and aged between 31 and 50 years (52.3%). The prevalence of CMDs symptoms in the study population was 20.0%. The presence of CMDs symptoms was significantly higher among those who were aged 60 years or older [OR=12.33, 95% CI 3.21–47.38], widowed, divorced or separated [OR=7.50, 95% CI 1.09–51.52], illiterate [OR= 6.25, 95% CI 2.84–13.77], had monthly family income below 10,000 INR [OR=3.33, 95% CI 1.54–7.20], had any chronic physical illness [OR=8.28, 95% CI 3.70–18.56] and had a family history of any psychiatric illness [OR=5.56, 95% CI 1.52–19.42]. Conclusion: The burden of CMDs was quite high among adults in rural North India. The presence of CMDs was closely associated with sociodemographic characteristics. Primary care and community-based settings need to screen for, diagnose, and manage CMDs to address this growing problem.\",\"PeriodicalId\":73939,\"journal\":{\"name\":\"Journal of rural medicine : JRM\",\"volume\":\"68 8\",\"pages\":\"49 - 56\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of rural medicine : JRM\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2185/jrm.2023-013\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of rural medicine : JRM","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2185/jrm.2023-013","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目标:常见精神障碍(CMDs),包括抑郁症、焦虑症和躯体形式障碍,影响人生的各个阶段,并对个人、家庭和社区造成影响。本研究旨在确定印度北部一个农村地区成年人中常见精神障碍的严重程度及其社会人口学决定因素。材料和方法:采用多阶段随机抽样技术,对印度北部哈里亚纳邦一个农村街区的成年居民进行了一项横断面定量社区研究。研究使用印地语版《一般健康问卷》(GHQ-12)这一经过充分验证的工具来筛查参与者是否患有慢性阻塞性肺病。得分在 4 分或以上者表示患有慢性阻塞性肺病。对 CMD 与社会人口学特征之间的关系进行了双变量分析。研究结果在被选中进行研究的 180 名居民中,大多数为女性(60.0%),年龄在 31 至 50 岁之间(52.3%)。研究人群中出现 CMDs 症状的比例为 20.0%。60 岁或以上[OR=12.33,95% CI 3.21-47.38]、丧偶、离婚或分居[OR=7.50,95% CI 1.09-51.52]、文盲[OR=6.25,95% CI 2.84-13.77]、家庭月收入低于 10,000 印度卢比[OR=3.33,95% CI 1.54-7.20]、有任何慢性身体疾病[OR=8.28,95% CI 3.70-18.56]、有任何精神病家族史[OR=5.56,95% CI 1.52-19.42]。结论北印度农村地区成年人的慢性精神疾病负担相当高。CMD的存在与社会人口特征密切相关。基层医疗机构和社区需要筛查、诊断和管理慢性阻塞性肺病,以解决这一日益严重的问题。
Prevalence and sociodemographic determinants of common mental disorders (CMDs) symptoms in a rural adult population of Haryana, North India
Objectives: Common mental disorders (CMDs), including depression, anxiety, and somatoform disorders, affect all stages of life and impact individuals, families, and communities. This study aimed to determine the magnitude of CMDs and their sociodemographic determinants in the adult population of a rural block in North India. Material and Methods: A cross-sectional, quantitative, community-based study was conducted among adult residents of a rural block in Haryana, North India, using a multistage random sampling technique. The Hindi version of the General Health Questionnaire (GHQ-12), a well-validated tool, was used to screen participants for CMDs. Scores of 4 or above denoted the presence of CMDs. Bivariate analyses were performed to determine the associations between CMDs and sociodemographic characteristics. Results: Of the 180 residents selected for the study, most were women (60.0%) and aged between 31 and 50 years (52.3%). The prevalence of CMDs symptoms in the study population was 20.0%. The presence of CMDs symptoms was significantly higher among those who were aged 60 years or older [OR=12.33, 95% CI 3.21–47.38], widowed, divorced or separated [OR=7.50, 95% CI 1.09–51.52], illiterate [OR= 6.25, 95% CI 2.84–13.77], had monthly family income below 10,000 INR [OR=3.33, 95% CI 1.54–7.20], had any chronic physical illness [OR=8.28, 95% CI 3.70–18.56] and had a family history of any psychiatric illness [OR=5.56, 95% CI 1.52–19.42]. Conclusion: The burden of CMDs was quite high among adults in rural North India. The presence of CMDs was closely associated with sociodemographic characteristics. Primary care and community-based settings need to screen for, diagnose, and manage CMDs to address this growing problem.