在农村自尊量表评价以及自尊与自杀死亡的病例对照研究

山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (7): 159-162.

在农村自尊量表评价以及自尊与自杀死亡的病例对照研究

王欣欣1，贾存显1，2，庄茂强1 ，高琦1，刘丽媛1，刘慧1，韩梅1

山东大学 1.公共卫生学院流行病与卫生统计学研究所，济南 250012； 2.经济学院博士后流动站，济南 250100

收稿日期:2010-09-14 出版日期:2011-07-10 发布日期:2011-07-10
通讯作者: 贾存显 (1970- ),男,副教授,主要从事慢性病流行病学与伤害流行病学研究。 E-mail:jiacunxian@sdu.edu.cn
作者简介:王欣欣(1984- ),女,硕士研究生,主要从事伤害流行病学研究。
基金资助:
山东省博士后创新项目(200703091)。

Psychometric characteristics of the self-esteem scale and association between self-esteem and suicide in the rural population

WANG Xin-xin1， JIA Cun-xian1,2， ZHUANG Mao-qiang1， GAO Qi1， LIU Li-yuan1， LIU Hui1， HAN Mei1

1. Department of Epidemiology and Health Statistics， School of Public Health， Shandong University， Jinan 250012， China;
2. Postdoctoral Work Station, School of Economics， Shandong University， Jinan 250100， China

Received:2010-09-14 Online:2011-07-10 Published:2011-07-10

摘要/Abstract

摘要：

目的检验Rosenberg自尊量表的信度、效度，探讨自尊与农村自杀死亡之间的关系。方法采用配对病例对照研究。在山东省疾病监测点上选取2008年9月1日～2009年8月31日3个县(市)25个乡镇的自杀死亡病例作为自杀死亡组，正常对照组按照性别、年龄(相差3岁以内)、当地居住者1∶1配比选取，共获得200对自杀死亡病例和正常对照的资料。结果自杀死亡组中自尊量表的Cronbach′s α系数为0.880，正常对照组Cronbach′s α系数为0.875，两组中每一条目去除后的α系数波动幅度较小。两组自尊量表评分与特质焦虑量表总分相关系数分别为-0.509、-0.564(P<0.01)；主成分分析显示，两组数据各提取2个公因子，分别解释总变异的61.700%和63.802%。两组在自尊评分上存在统计学差异(t=17.525，P<0.01)，自尊与自杀的OR值为0.880(95%CI=0.818~0.947)。结论自尊量表具有较高的信度、效度，适应于农村自杀死亡研究；自尊是农村自杀死亡的保护因素。

关键词: 自杀；自尊；信度；效度；农村

Abstract:

Objective To test reliability and validity of Chinese version of Rosenberg (1965) SelfEsteem Scale (SES) in rural suicides and their controls, and to explore the relationship between selfesteem and rural suicide. Methods A paired casecontrol study was conducted. 25 towns in 3 counties of Shandong Province were randomly selected. The case group involved suicide cases that happened from 1 September 2008 to 31 August 2009 in the 25 towns. The controls were selected from normal subjects matched with the same age (no more than 3 years differences), same gender, and same or neighbor village as the suicide cases. Data from 200 suicides and 200 paired controls were collected. ResultsThe Cronbach′s α of suicides was 0.880, and the Cronbach′s α of the controls was 0.875. Fluctuation of Cronbach′s α coefficients of SES was slight after each item was deleted. Correlation coefficients between total scores of the SES and Trait Anxiety Inventory (TAI) were -0.509 and -0.564 in suicides and controls, respectively (P<0.01). The factor analysis showed that two common factors extracted from the SES in the two groups could explain 61.700% and 63.802% of the total variance. There was a significant difference in SES scores between suicides and controls(t=17.525, P<0.01). The odds ratio (OR) of selfesteem associated with suicide was 0.880 (95%CI=0.8180.947). Conclusion SES has high reliability and validity, and it is worth applying in rural suicide study in China. Self-esteem is negatively associated with suicide in the rural population.

Key words: Suicide; Self-esteem; Reliability; Validity; Rural

中图分类号:

R749.7

王欣欣1，贾存显1，2，庄茂强1 ，高琦1，刘丽媛1，刘慧1，韩梅1. 在农村自尊量表评价以及自尊与自杀死亡的病例对照研究[J]. 山东大学学报(医学版), 2011, 49(7): 159-162.

WANG Xin-xin1， JIA Cun-xian1,2， ZHUANG Mao-qiang1， GAO Qi1， LIU Li-yuan1， LIU Hui1， HAN Mei1. Psychometric characteristics of the self-esteem scale and association between self-esteem and suicide in the rural population[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(7): 159-162.

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