PDF(Pubmed)
Abstract：
National mental health surveys play a critical role in determining the prevalence of mental disorders in a population and informing service planning. However, current surveys have important limitations, including the exclusion of key vulnerable groups and increasing rates of non-response. This review aims to synthesise information on excluded and undersampled groups in national mental health surveys. We conducted a targeted review of nationally representative adult mental health surveys performed between 2005 and 2019 in high-income OECD countries. Sixteen surveys met our inclusion criteria. The response rate for included surveys ranged between 36.3% and 80.0%. The most frequently excluded groups included people who were homeless, people in hospitals or health facilities and people in correctional facilities. Males and young people were the most commonly underrepresented groups among respondents. Attempts to collect data from non-responders and excluded populations were limited, but suggest that mental health status differs among some of these cohorts. The exclusion of key vulnerable groups and high rates of non-response have important implications for interpreting and using the results of national mental health surveys. Targeted supplementary surveys of excluded or hard-to-reach populations, more inclusive sampling methodologies, and strategies aimed at improving response rates should be considered to strengthen the accuracy and usefulness of survey findings.
摘要：
国家心理健康调查在确定人群中精神障碍的患病率和为服务计划提供信息方面起着至关重要的作用。然而,目前的调查有重要的局限性，包括排除关键弱势群体和增加不回应率。这篇评论旨在综合国家心理健康调查中被排除和样本不足的群体的信息。我们对2005年至2019年在高收入经合组织国家进行的具有全国代表性的成人心理健康调查进行了有针对性的审查。16项调查符合我们的纳入标准。纳入调查的应答率在36.3%至80.0%之间。最经常被排斥的群体包括无家可归的人，医院或卫生设施中的人和惩教设施中的人。男性和年轻人是受访者中最常见的代表性不足群体。从无应答者和被排除的人群中收集数据的尝试是有限的，但表明这些队列中的一些人的心理健康状况不同。排除关键弱势群体和高无反应率对于解释和使用国家心理健康调查结果具有重要意义。对被排斥或难以接触的人群进行有针对性的补充调查,更具包容性的抽样方法，应考虑采取旨在提高答复率的战略，以加强调查结果的准确性和有用性。
