Disability Attributed to Mental Disorders in China

Yueqin Huang, Zhaorui Liu, Yuntao Liu, Ning Ji, Tingting Zhang, Yongshi Wang, Wen-Tung Wu, Yang Li
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Abstract

Objectives: The objective of the study was to describe the prevalence and characteristics of disabilities attributed to mental disorders and their distributions in China, and to explore the determinants of disabilities attributed to the mental disorders. Methods: The current study is secondary data analysis for the Second National Sample Survey on Disability. The determinants of disability were assessed by applying the univariate and multivariable regression analysis. Results: Among 2,526,145 participants sampled in the survey, 15,928 participants were diagnosed as having disabilities attributed to mental disorders. The prevalence of disability attributed to mental disorders was 0.63%. Among 46,886 participants with single physical disability, 446 had comorbid mental disability, and the rate of physical disability with comorbid mental disability was 0.94%. The risk factors associated with coexisting mental disability in persons with physical disability included female gender, 30–44 and 45–59 years age groups, being unmarried, widowed or divorced, and urban background. Schizophrenia, autism spectrum disorder, and mental and behavioral disorders due to psychoactive substance were the main disorders associated with mental disability. Conclusions: Disabilities attributed to mental disorders in China should receive more attention. It is important to treat mental disorders for preventing the associated disability and develop related rehabilitation in China.
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中国精神障碍导致的残疾
目的:了解中国精神障碍致残的患病率、特征及其分布,探讨精神障碍致残的影响因素。方法:本研究为第二次全国残疾人抽样调查的二次资料分析。通过单变量和多变量回归分析评估残疾的决定因素。结果:在接受调查的2526145名参与者中,15928名参与者被诊断为因精神障碍而残疾。精神障碍致残率为0.63%。在46,886名单一身体残疾的参与者中,有446名同时患有精神残疾,身体残疾合并精神残疾的比例为0.94%。女性、30-44岁和45-59岁年龄组、未婚、丧偶或离婚、城市背景等因素与肢体残疾者并存精神障碍相关。精神分裂症、自闭症谱系障碍和精神活性物质所致的精神和行为障碍是与精神残疾相关的主要障碍。结论:精神障碍导致的残疾在中国应得到更多的关注。在中国,治疗精神障碍对预防相关残疾和开展相关康复具有重要意义。
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