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Prevalence, pattern and determinants of mental disorders in rural Bangladesh.

机译:孟加拉国农村地区精神障碍的患病率,特征和决定因素。

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OBJECTIVES: Very few studies have examined mental health morbidity in Bangladesh. This community-based study of rural Bangladesh in 2000-2001 estimated the burden of mental morbidity among rural people of working age. STUDY DESIGN AND METHODS: Community surveys were conducted with one respondent from each household of three selected villages in the service provision area of a non-profit public health organization. General Health Questionnaire 60 (GHQ-60) was used as a screening tool in Stage I, and clinical examination by a Western-trained psychiatrist was undertaken for concurrent validation in Stage II. RESULTS: The overall prevalence of psychiatric disorders in this rural area was 16.5%. Depressive disorders and anxiety disorders constituted about one-half and one-third of the total cases, respectively. A significantly higher prevalence of mental disorders was found in the economically poor respondents, those over 45 years of age, and women from large families. CONCLUSION: There is a high prevalenceof psychiatric disorders in rural Bangladesh. These findings should aid the planning of locally relevant and appropriate mental healthcare programmes. There is an urgent need for a national mental healthcare policy that strengthens primary mental healthcare services.
机译:目的:很少有研究检查孟加拉国的心理健康发病率。这项基于社区的2000-2001年农村孟加拉国研究估计了劳动年龄农村人口的精神疾病负担。研究设计与方法:社区调查是在一个非营利性公共卫生组织的服务提供区域内,从三个选定村庄的每个家庭的一名受访者中进行的。一般健康问卷60(GHQ-60)被用作第一阶段的筛查工具,并由西方训练的精神病医生进行了临床检查,以同时进行第二阶段的验证。结果:该农村地区精神疾病的总体患病率为16.5%。抑郁症和焦虑症分别约占总病例的一半和三分之一。在经济上较贫穷的受访者,45岁以上的受访者和大家庭的妇女中,发现精神障碍的患病率明显更高。结论:孟加拉国农村地区的精神疾病患病率很高。这些发现应有助于规划当地相关和适当的精神保健计划。迫切需要一项旨在加强基本精神保健服务的国家精神保健政策。

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