Public Mental Health
The burden of disability associated with mental disorders in China by province between 1990 and 2019
Xinlei Gao, Ainan Jia, Min Liu, Peng Yin, Maigeng Zhou, Ning Ji, Yamin Bai
Published 2023-02-05
Cite as Chin J Psychiatry, 2023, 56(1): 40-46. DOI: 10.3760/cma.j.cn113661-20220903-00249
Abstract
ObjectiveTo analyze the changes in the prevalence and disability burden of mental disorders in the Chinese population from 1990 to 2019 and to provide a reference for reducing the health hazards of mental disorders.
MethodsBased on the results of the Global Burden of Disease Study 2019 (GBD 2019)in China, the burden of mental disorders and disabilities in different age, gender, and provinces of the Chinese population in 2019 was analyzed. The changes in prevalence and years of life lived with disability(YLDs) of mental disorders between 1990 and 2019 were compared.
ResultsIn 2019, the prevalence rate of mental disorders in the 50-69 age group in China was the highest (13.2%, 48.53 million patients), and the 0-14 age group was the lowest (7.3%, 16.456 million patients); the overall number of YLDs in women was higher than that in men (10.910/9.382 million person-years). In 2019, the number of patients with depressive disorders, anxiety disorders, and schizophrenia were 50.056 million, 47.842 million, and 5.499 million, respectively. The standardized prevalence of the three disorders was 2.7%, 3.2%, and 0.3%, respectively. Compared with 1990, the standardized prevalence of depressive disorders and anxiety disorders decreased by 9.1% and 9.8%, respectively, and the standardized prevalence rate of schizophrenia increased by 3.1%. In 2019, the top three provinces with standardized prevalence of mental disorders in China were Hunan (12.2%), Gansu (12.1%), and Ningxia (11.8%), and the number of people with mental disorders in these three provinces 8.901 million, 3.364 million, and 873 000, respectively. Three provinces with the top standardized YLDs rate were Shandong (1 470.0/105), Gansu (1 415.6/105), and Hunan (1 399.3/105).
ConclusionMental disorders are essential disease threatening the Chinese population's physical and mental health.In 2019, the disability burden of mental disorders in China remained high. The burden of mental disorders and disabilities in women is more serious. Early intervention measures should be taken to reduce the disability burden of mental disorders.
Key words:
Mental disorders; Cost of illness; Prevalence; Disease burden
Contributor Information
Xinlei Gao
School of Public Health, Baotou Medical College, Baotou 014040, China
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Ainan Jia
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Min Liu
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Peng Yin
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Maigeng Zhou
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Ning Ji
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Yamin Bai
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
