Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1901-1904
LU Chu-hong, CHENG Juan, QING Li, LIU Cheng-feng, SU Hai-yun, LIN Wei-quan. Characteristics and community management status of middle-aged and older adults with severe mental disorders in Baoan district, Shenzhen[J]. Chinese Journal of General Practice, 2022, 20(11): 1901-1904. doi: 10.16766/j.cnki.issn.1674-4152.002731
Citation: LU Chu-hong, CHENG Juan, QING Li, LIU Cheng-feng, SU Hai-yun, LIN Wei-quan. Characteristics and community management status of middle-aged and older adults with severe mental disorders in Baoan district, Shenzhen[J]. Chinese Journal of General Practice, 2022, 20(11): 1901-1904. doi: 10.16766/j.cnki.issn.1674-4152.002731
shu

Characteristics and community management status of middle-aged and older adults with severe mental disorders in Baoan district, Shenzhen

doi: 10.16766/j.cnki.issn.1674-4152.002731
  • 1.

    Department of Mental Health, Shenzhen Bao'an District Hospital for Chronic Disease Prevention and Cure, Shenzhen, Guangdong 518000, China

Funds:

 72104061

  • Received Date: 2022-03-15
    Available Online: 2022-12-30
    Abstract
  •   Objective  To investigate the characteristics and community management status of middle-aged and elderly patients with severe mental disorders (SMDs) in Bao'an District, Shenzhen City, and explore the related factors affecting management status.  Methods  The data of middle-aged and elderly patients with severe mental disorders aged ≥ 45 years under management in Bao'an District were extracted from Shenzhen Mental Health Prevention and Control Information Management System as of September 30, 2021. Logistic regression models were used to explore the difference in management indicators (medication compliance and high-risk behaviour) of middle-aged and older adults with SMD.  Results  A total of 2 096 middle-aged and elderly patients were included in the analysis. Most of the middle-aged and older adults (≥45 years) in Bao'an District, Shenzhen were female, accounting for 59.54% (1 248 cases). Their educational level was low, 76.00%(1 593 cases) of them had a junior high school education or below. Most patients were married, accounting for 77.58% (1 626 cases). Most of them were taken care of by immediate family, accounting for 91.27% (1 913 cases). The main disease type was schizophrenia, accounting for 67.32% (1 411 cases). The rate of regular medication was 74.81% (1 568 cases), and the incidence of high-risk behaviour was 8.78% (184 cases). Low-income (OR=1.608, 95% CI: 1.150-2.249), immediate relatives (OR=2.060, 95% CI: 1.178-3.600) and mental disorders caused by epilepsy (OR=14.012, 95% CI: 5.964-32.923) were positive factors for medication compliance of middle-aged and older adults with SMD. Less than 60 years of age (OR=1.913, 95% CI: 1.275-2.871), being unmarried (OR=1.868, 95% CI: 1.310-2.663), being Low-income (OR=1.607, 95% CI: 1.071-2.411) and being diagnosed with other serious mental disorders (OR=47.838, 95% CI: 10.846-210.986) were risk factors for high-risk behaviours.  Conclusion  Measures should be adopted according to the characteristics of patients in the management of urban middle-aged and older patients, focusing on middle-aged and elderly patients less than 60 years old, Low-income and unmarried.

     

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