BJPsych：欧洲六国中青年精神健康预期的性别差异

　　3月7日《英国精神病学杂志》（The British Journal of Psychiatry) 登载的一项研究比较了欧洲六国年龄分别为25岁及55岁的男性与女性普通精神障碍相关的精神健康预期。结果显示，年龄较长并不意味着精神疾病患病年限越长。女性的普通精神疾病患病年限较长，在总生命预期的占有比例较高，同时女性也具有更长的生命预期。

　　精神健康预期的计算综合了来自种群生命表的死亡数据，及从欧洲精神障碍流行病学研究（ESEMeD）中挑选得到的特定年龄段普通精神障碍流行情况资料。综合各国结果，25岁男性的生命预期为52年，其中普通精神障碍预期为1.8年（95% CI 0.7-2.9），相当于总生命预期的3.4%。相比之下，25岁女性的生命预期更长，为57.9年，其中普通精神障碍预期为5.1年（95% CI 3.6-6.6）占总生命预期的8.8%。55岁人群的普通精神障碍一区缩短到0.7年（男性）及2.3年（女性）。

与性别相关的拓展阅读：

• 睡眠呼吸暂停综合征患者脑损伤有性别差异
• Circulation：年龄性别对容量负荷后血流动力学影响
• 儿童过敏风险与同性别家长趋同
• 高龄心血管病患者中心血管危险因子的性别差异：PROTEGER研究
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Gender differences in mental health expectancies in early- and midlife in six European countries

Background

Health expectancies, taking into account both quality and quantity of life, have generally been based on disability and physical functioning.

Aims

To compare mental health expectancies at age 25 and 55 based on common mental disorders both across countries and between males and females.

Method

Mental health expectancies were calculated by combining mortality data from population life tables and the age-specific prevalence of selected common mental disorders obtained from the European Study of the Epidemiology of Mental Disorders (ESEMeD).

Results

For the male population aged 25 (all countries combined) life expectancy was 52 years and life expectancy spent with a common mental disorder was 1.8 years (95% CI 0.7–2.9), 3.4% of overall life expectancy. In comparison, for the female population life expectancy at age 25 was higher (57.9 years) as was life expectancy spent with a common mental disorder (5.1 years, 95% CI 3.6–6.6) and as a proportion of overall life expectancy, 8.8%. By age 55 life expectancy spent with a common mental disorder had reduced to 0.7 years (males) and 2.3 years (females).

Conclusions

Age and gender differences underpin our understanding of years spent with common mental disorders in adulthood. Greater age does not mean living relatively more years with common mental disorder. However, the female population spends more years with common mental disorders and a greater proportion of their longer life expectancy with them (and with each studied separate mental disorder).