Tian Guojiao,Gao Ru,Zou Kaiqing,Yi Hong,Peng Shurong,Bai Jingzhen,Li Jiazhong,Li Guobo,Yu Shenye,Wang Chengying,Zhang Xia,Zhang Bingzhi,Study on the medical visits of patients with mental disorders in Ya'an and its influencing factors[J].SICHUAN MENTAL HEALTH,2020,33(5):446-450

Study on the medical visits of patients with mental disorders in Ya'an and its influencing factors

DOI：10.11886/scjsws20200627001

English keywords:Mental disorders Utilization of health services Medical visits rate

Fund projects:四川医事卫生法治研究中心项目（项目名称：基于我国现行法律规定下非自愿住院精神分裂症患者出院模式探讨，项目编号：YF17-Y04）；雅安市科技计划项目（项目名称：芦山4.20地震五年后雅安地区精神障碍现况调查及干预对策研究，项目编号：2018yyjskf04）

Author Name	Affiliation	Postcode
Tian Guojiao	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Gao Ru	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Zou Kaiqing	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Yi Hong	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Peng Shurong	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Bai Jingzhen	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Li Jiazhong	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Li Guobo	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Yu Shenye	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Wang Chengying	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Zhang Xia	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000
Zhang Bingzhi	The Fourth People's Hospital of Ya'an， Ya'an 625000， China	625000

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English abstract:

Objective To analyze the medical visit status of patients with mental disorders in Ya'an and its influencing factors， so as to improve the utilization of mental health services.Methods A total of 9 000 residents in 6 counties and 2 districts of Ya'an city were selected by stratified cluster random sampling method， of which 8 876 people completed the investigation， and 1 106 patients met the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5）. Mental health service utilization questionnaire was adopted to investigate the medical visits of patients with mental disorders， and the influencing factors were analyzed by χ² test and Logistic binary regression.Results Of 1 106 patients with mental disorders， 173 had visited professional institutions， and the medical visits rate was 15.64% （the standardized rate was 15.62%）. The bottom three diseases with low medical visit rate were substance-related and addictive disorder （7.92%）， posttraumatic stress disorder （6.12%） and obsessive-compulsive and related disorder （0.00%）. A total of 42 patients， including 28 cases of Han nationality and 14 cases of minority nationality chose self-help （praying to Buddha， consulting relatives or friends， etc.） rather than medical treatment.Living in urban areas （OR=2.36， P<0.01） had a positive effect on the medical visit of patients with mental disorders， negative family history （OR=0.49， P<0.01） and willingness towards treatment （OR=0.07， P<0.01） had a negative effect on the medical visit of patients.Conclusion The medical visit rate of patients with mental disorders in Ya'an is low， and medical consultations in psychiatric inpatient and outpatient departments are the main treatment methods. Living areas， family history and willingness towards treatment affect the medical visit status of patients with mental disorders.

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