目的：探讨西安地区常住人口功能性胃肠病( fanctional gastrointestinal diseases, FGIDs)发病率及其危险因素,明确社会心理因素与FGIDs发病的关系。方法采用流行病学现况调查的方法,同时应用根据罗马Ⅲ标准制定的功能性胃肠道疾病调查表和症状自评量表SCL-90、艾森克人格问卷调查表、生活事件量表以及早期负性生活事件量表,对西安地区常住成年人群中720人进行调查。结果共检出FGIDs患者103例,患病率为14.3%(103/720)；经单因素分析,饮酒、吸烟、生活事件、性格、早期负性生活事件及SCL-90检测的各个因子与FGIDs的发病有相关性；经Logistic回归分析显示,生活事件、早期负性生活事件、躯体化症状及敌对情绪与FGIDs发病有相关性(P<0.05)。结论生活事件及心理因素是诱发FGIDs的危险因素。%Objective To investigate the prevalence and risk factors of functional gastrointestinal diseases ( FGIDs) , assess the association between FGIDs and social-psychological factors in Xi’ an. Methods Seven hundred and twenty cases in Xi’ an were selected for the epidemiological survey through using a cluster sampling method. All subjects were asked to complete five questionnaires, the Chinese version of ROME Ⅲ FGIDs Questionnaire, the Symptom Check-List-90 (SCL-90), the Eysenck’s Personality Questionnaire (EPQ), the life event scale (LES) and the childhood adversity questionnaire. Results Prevalence of FGIDs was estimated to be 14. 3% (103/720). Uni-variate analysis showed that prevalence of FGIDs was significantly associated with smoking, drinking and psychological health status including life event, character, early negative life event, and every factors of SCL-90 test ( P< 0 . 05 ) . Multiplicity analysis showed that the potential risk factors were life event, early negative life events, somatization sym-toms and hostility ( P<0 . 05 ) . Conclusion Life event and psychological factors are risk factors of the onset and pro-gression of FGIDs.
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