Abstract
The management of severe mental disorder (SMD) patients in communities is an important initiative of healthcare reform in China. Yet the effects in terms of risk behavior of patients are unclear, particularly in rural areas. This study aims to examine high risk behaviors, changing trends, and possible associated factors among SMD patients in the rural areas of western China. This analysis examined incidence rate (IR) of high risk behavior of 121,830 managed SMD patients in rural area of Sichuan province, based on data from the national system from 2006 to 2013. Register rate, high risk behavior IR, and time distribution and area distribution of high risk behavior were described. Two-level Poisson regression model was used to analyze associates of high risk behavior of patients, which include demographic characteristics at individual level, socio-economic condition and health system indicators at region level. It was revealed that 6804 (5.58%) of managed patients were involved in 17,220 high risk behavior events, which gave an overall IR of 0.0998 (per person year) on the basis of 172,564 person years of follow-up. The IR varied widely across municipalities, in the range of 0.0305-0.3397. The IR of high risk behavior in the coho...Continue Reading
References
Jun 1, 1990·The British Journal of Psychiatry : the Journal of Mental Science·D V JamesR G Priest
Oct 1, 2005·Mental Health Services Research·Ligia M ChávezSue Hoppe
Mar 7, 2007·Health Affairs·Aaron S Kesselheim, Michelle M Mello
Sep 7, 2007·Lancet·D ChisholmM Tomlinson
Sep 7, 2007·Lancet·Shekhar SaxenaHarvey Whiteford
Jun 16, 2009·Lancet·Michael R PhillipsZhiqing Wang
Aug 8, 2009·Psychiatry and Clinical Neurosciences·Yan Gu, Zeqing Hu
Dec 5, 2009·Schizophrenia Bulletin·Seena Fazel, Rongqin Yu
Jul 2, 2011·Journal of Pain and Symptom Management·Jane B HopkinsonJulia M Addington-Hall
Oct 13, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Jin LiuXin Yu
Nov 8, 2011·International Journal of Health Services : Planning, Administration, Evaluation·Wei Zhang
Jun 12, 2013·Lancet·Gonghuan YangChristopher J L Murray
Jun 12, 2014·Acta Psychiatrica Scandinavica·J LongL Su
Jan 21, 2015·International Journal of Mental Health Systems·Wei Zhou, Shuiyuan Xiao
Apr 2, 2015·The American Journal of Psychiatry·Wei Zhou, Shuiyuan Xiao
Jun 26, 2015·Journal of Global Health·Kit Yee ChanEvropi Theodoratou