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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Prevalence of psychological distress: How do Australia and Canada compare?
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Prevalence of psychological distress: How do Australia and Canada compare?

机译：心理困扰的患病率：澳大利亚和加拿大如何比较？

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Objective: To compare equivalent population-level mental health indicators in Canada and Australia, and articulate recommendations to support equitable mental health services. These are two somewhat similar resource-rich countries characterized by extensive non-metropolitan and rural regions as well as significant areas of socioeconomic deprivation. Methods: A cross-national epidemiology and equity study: primary outcome was Kessler Psychological Distress Scale (K10) in recent national surveys. A secondary outcome was mental disorders rate since these surveys were 5-years apart. Results: Elevated distress, defined by K10 scores (0–40 range) of 12 and over, affected 11.1% Australians and 12.0% Canadians. Elevated distress in both countries affected more people in the lowest income quintile (21–27%) compared to the richest (6%). In the lowest income quintile, 1-in-4 Australians and 1-in-5 Canadians reported elevated distress – twice the national average in both countries. Australians in the lowest income quintile (over 5 million people) have a significantly higher risk by over a 5% for elevated distress compared to their low-income Canadian counterparts. After adjusting for effects of age and gender, the relative odds in the lowest quintile compared to richest was 6.4 for Australians and 3.5 for Canadians, which remained significantly different thus confirming greater inequity in Australia. Mental disorders affected approximately 1-in-10 people in both countries. Conclusions: This adds to the mental health prevalence monitoring in these two countries by supporting an overall prevalence of elevated distress in approximately 1-in-10 people. It supports large-scale public health interventions that target elevated distress in people with low incomes to order to achieve the biggest impact, and, to reduce the greater inequity in mental health indicators in Australians, policy-makers should consider eliminating gap-fees as they are illegal in Canada. As encouraged by World Health Organization, we highlight the importance of such population-level studies so that cross-national results can be reliably compared.
机译：目的：比较加拿大和澳大利亚等效人口级心理健康指标，并阐明建议，以支持公平的心理健康服务。这些是两个类似的资源丰富的国家，其特点是广泛的非大都会和农村地区以及社会经济剥夺的重要领域。方法：跨国流行病学与股权研究：近期国家调查中的主要结果是Kessler心理痛苦（K10）。次要结果是精神障碍率，因为这些调查分开5年。结果：由12岁及以上的K10分数（0-40级）定义，影响11.1％澳大利亚人和12.0％加拿大人。与最富有的（6％）相比，这两个国家的升高都会影响更多的人数（21-27％）。在最低的收入五分之一，1英寸澳大利亚人和5 in-5 in-5ian的加拿大人报告了升高的痛苦 - 两次国家平均水平。与他们的低收入加拿大同行相比，澳大利亚人在最低的收入五分之一在调整年龄和性别效果后，与最富裕相比最低五分之一的相对赔率为澳大利亚人和加拿大人3.5的6.4，这仍然显着不同，从而确认澳大利亚的更大不公平。精神障碍影响了两国约1英寸的人。结论：这增加了这两个国家的心理健康普遍监测，通过支持大约10英寸的人的升高的痛苦普遍存在。它支持大规模的公共卫生干预措施，以降低收入的人们为实现最大的影响而定位升高的痛苦，并且为了减少澳大利亚人心理健康指标的更大不公平，政策制定者应考虑消除差距费用在加拿大是违法的。受世界卫生组织的鼓励，我们突出了这些人口级研究的重要性，以便可以可靠地比较跨国业绩。

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