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首页> 外文期刊>Nepal Journal of Epidemiology >Psychiatric illnesses among Dalit Nepalese population
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Psychiatric illnesses among Dalit Nepalese population

机译：达利特尼泊尔人口中的精神疾病

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Background Nepalese population includes a wide variety of ethnic groups namely, the Brahmin, Chettri, Dalit, Gurung, Newar, Puns, Magar Dalits population in Nepal are a traditionally victimised, underprivileged community who have been obliged to lag at the base of the public constitution in Nepal. Dalits Nepalese has poor income, education and other human development indicators. They are often landless and much poorer than the dominant caste population like the Brahmins, chetris, newars. The main objective of the study was to find out the commonest psychiatric disorder found in the poor Dalit Nepalese population in western development region of Nepal for which hospitalization is required. Method The study was a cross sectional study carried out between 1st October- 31st March 2010 at Psychiatric ward in Manipal Teaching hospital. The diagnosis of the disease was based on ICD-10 (Tenth revision) Classification of mental and behavioral disorders, Diagnostic Criteria for Research.. Results Among all the psychiatric diseases Schizophrenia, Schizotypal and Delusion Disorders 30.6% was the commonest disease seen in the Dalit Population followed by Mental and behavioral disorder due to Psychoactive Substance abuse 20.8%. Psychiatric diseases were more common in male patients 52.8%. 87.5% of the cases were <40 yrs of age, 72.2% of the patients were Hindus by religion followed by Christian 27.8%. 87.5% of the patients were unemployed and 84.7% of the patients were having monthly income <10000/month. 45.8% of the patients were students followed by housewife 34.7%. Mental and behavioural disorder due to Psychoactive Substance abuse F10-19 was found more prevalent in males [OR 8.320,95%(CI(1.717, 40.311)] as compared to female patients among the Dalit patients Conclusion Among the low socio-economic class Dalits Schizophrenia was the commonest psychiatric disorder followed by Mental and behavioral disorder due to Psychoactive Substance abuse. Psychiatric illnesses are mediated by poverty, unemployment and dearth of family income which leads to psychiatric illness among dalit Nepalese population. Interventions should target these factors to minimise the load of various psychiatric illness among poor Dalit Nepalese population.?DOI: http://dx.doi.org/10.3126je.v4i3.10667 Nepal Journal of Epidemiology 2014; 4(3): 370-377
机译：背景信息尼泊尔人口包括各种各样的种族，即婆罗门，切特里，达利特，古隆，纽瓦，双关语，玛加尔。尼泊尔的达利特人是传统上受害的弱势社区，他们不得不落后于公共宪法的基础。在尼泊尔。达利特人尼泊尔人的收入，教育水平和其他人类发展指标都很差。他们通常没有土地，而且比婆罗门人，切特里斯人和纽瓦尔人等占统治地位的种姓人口贫穷得多。该研究的主要目的是找出在尼泊尔西部开发地区需要住院治疗的最贫穷的达利特尼泊尔人中发现的最常见的精神病。方法该研究是一项横断面研究，于2010年10月1日至3月31日在Manipal教学医院的精神病房进行。该疾病的诊断基于精神和行为障碍的ICD-10（第十修订版），研究的诊断标准。结果在所有精神疾病中，精神分裂症，精神分裂症和妄想症占30.6％，是达利特人中最常见的疾病。人口其次是精神活性物质滥用造成的精神和行为障碍20.8％。精神疾病在男性患者中更为常见，占52.8％。 87.5％的患者年龄小于40岁，按宗教信仰印度教徒占72.2％，其次是基督教徒27.8％。 87.5％的患者失业，并且84.7％的患者月收入<10000 /月。患者中有45.8％是学生，其次是家庭主妇，占34.7％。在达利特人中，与女性相比，由于滥用精神活性物质而导致的精神和行为障碍在男性中更为普遍[OR 8.320,95％（CI（1.717，40.311）]。结论精神分裂症是最常见的精神疾病，其次是精神活性物质滥用引起的精神和行为障碍，精神疾病是由贫困，失业和家庭收入缺乏引起的，这导致尼泊尔人的精神疾病，干预措施应针对这些因素，以最大程度地减少负担DOI：http：//dx.doi.org/10.3126je.v4i3.10667尼泊尔流行病学杂志2014; 4（3）：370-377

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