Prevalence and influencing factors of generalized anxiety disorder among disabled people in Shanghai Jing'an district
10.3760/cma.j.issn.1671-7368.2018.11.010
- VernacularTitle:上海市静安区残疾人广泛性焦虑障碍状况及影响因素分析
- Author:
Yanyan ZHOU
1
;
Yahong BI
;
Yao LIU
;
Limin LAO
;
Sunfang JIANG
Author Information
1. 200032上海,复旦大学附属中山医院全科医学科
- Keywords:
Disabled person;
Questionnaires;
Generalized anxiety disorder
- From:
Chinese Journal of General Practitioners
2018;17(11):905-909
- CountryChina
- Language:Chinese
-
Abstract:
Objective To survey the status of generalized anxiety disorder (GAD) among disabled people in Shanghai Jing'an district and to investigate the influencing factors.Methods A cross-sectional study was conducted in January to March 2016 among the disabled residents in Shanghai Jing'an district.The general information was collected with questionnaire;the GAD status was rated with the Chinese version of 7-item Generalized Anxiety Disorder Scale;the influencing factors related to GAD was examined with Logistic regression analysis.Results Among 1 417 participants there were 713 males (50.3％) and 704 females (49.7％).The highest proportion of disability was disabled limb (n=742,52.4％).The grade 4 disability (mild) accounted for 45.9％ (650/1 417),and the grade 1 and 2 disability (severe) accounted for 13.6％ (190/1 417) and 15.2％ (212/1 417),respectively.There were 347 participants positive for GAD screening (GAD≥5) with a positive rate of 24.5％:24.3％ for males and 24.1％ for females (x2=0.007,P=0.960).The rates of mild,moderate and severe GAD were 19.1％,3.5％ and 1.1％,respectively.Multi-factor analysis showed that subjects with severe disability (vs.mild disability,/β=0.575,P=0.003),those unable activities of daily living (ADL) (vs.normal ADL,β=0.034,P=0.000)were nore likely to lead to GAD.There was a lower risk of GAD for people with high school or junior college education than those with bachelor degree or above (P＜0.05).The frequency of GAD in the disables aged 18-40 years was lower (P＜0.05).Conclusion The GAD positive rate of disabled people in Shanghai Jing'an district is relatively high.Severe disability,ADL disorder,educational level and age are the factors affecting the prevalence of GAD.
