OBJECTIVES Despite the inclusion of hoarding disorder (HD) in the DSM-5, there is little epidemiological data on hoarding from low and middle-income countries. This study, the first from India, examines the prevalence and correlates of HD among primary care patients in the state of Kerala, India. METHODS To assess correlates, the Hoarding Rating Scale-Interview (HRS-I) and other structured instruments were administered to 7,555 subjects selected by stratified random sampling from 71 primary health centers. RESULTS The prevalence of HD was 1.02% (95%CI 0.8-1.3). Those with HD were more likely to be older and live alone. In the binary logistic regression analysis, after controlling for significant sociodemographic variables, subjects with HD had a higher odds of reporting chronic illness, depression, anxiety disorder, alcohol abuse, and tobacco dependence. Subjects with HD had significantly higher disability scores than unaffected individuals. CONCLUSION Although HD is not uncommon in India, this disorder is rarely reported in specialty settings in India, which suggests that awareness and detection should be improved, considering the co-occurring negative correlates and disability among affected individuals.

中文翻译：

---

初级保健患者囤积障碍的患病率

目标 尽管在 DSM-5 中包含了囤积障碍 (HD)，但关于中低收入国家囤积的流行病学数据很少。这项研究是印度的第一项研究，调查了印度喀拉拉邦初级保健患者中 HD 的患病率和相关性。方法 为了评估相关性，对通过分层随机抽样从 71 个初级卫生中心选择的 7,555 名受试者进行了囤积评定量表访谈 (HRS-I) 和其他结构化工具。结果 HD 的患病率为 1.02% (95%CI 0.8-1.3)。那些患有 HD 的人更有可能年纪较大并且独自生活。在二元逻辑回归分析中，在控制了重要的社会人口学变量后，患有 HD 的受试者报告慢性病、抑郁、焦虑症、酗酒、和烟草依赖。HD 受试者的残疾评分明显高于未受影响的个体。结论 尽管 HD 在印度并不罕见，但这种疾病在印度的专业环境中很少报道，这表明考虑到受影响个体中同时发生的负相关和残疾，应该提高认识和检测。