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山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (7): 96-99.

• 公共卫生与管理 • 上一篇    下一篇

莱芜农村居民抑郁症状发生水平及其影响因素调查

常学润1,2,孙秀彬1,刘言训1,袁中尚1,张敬悬2,薛付忠1   

  1. 1.山东大学公共卫生学院流行病与卫生统计学研究所, 济南 250012;
    2.山东省精神卫生中心检验科, 济南 250014
  • 收稿日期:2012-11-09 出版日期:2013-07-10 发布日期:2013-07-10
  • 通讯作者: 薛付忠, E-mail:xuefzh@sdu.edu.cn
  • 基金资助:

    国家科技支撑计划项目(2008BAI52B03)

Prevalence of depression symptoms and its risk factors in the rural residents of Laiwu City

CHANG Xue-run1,2, SUN Xiu-bin1, LIU Yan-xun1, YUAN Zhong-shang1, ZHANG Jing-xuan2, XUE Fu-zhong1   

  1. 1. Institute of Epidemiology and Biostatistics, School of Public Health, Shandong University, Jinan 250012, China;
    2. Clinical Laboratory, Shandong Mental Health Center, Jinan 250014, China
  • Received:2012-11-09 Online:2013-07-10 Published:2013-07-10

摘要:

目的   调查山东省莱芜市部分农村居民抑郁症状发生水平,探讨其危险因素,为早期预警和社区干预提供依据。方法   对山东省莱芜市农村居民采用随机整群抽样方法,利用美国国立卫生研究院流调用抑郁自评量表(CES-D)和自制的个人危险因素调查表作为调查问卷,进行抑郁状况评分。结果   所调查居民抑郁症状发生率为12.15%,抑郁发生在各年龄段间、居住状况、婚姻状况、文化程度方面差异均有统计学意义(P<0.01)。多因素Logistic逐步回归分析发现,与家人或他人合住、家人支持照顾、经常活动为抑郁的保护性因素;而躯体疾病、中毒性疾病、颅脑病史、强体力劳动、用脑过度、精神疾病史、心理伤害为抑郁的危险因素。结论   所调查农村居民抑郁发生水平较高,应采取干预措施控制危险因素,改善农村居民的心理卫生状况。

关键词: 农村居民;抑郁;危险因素;心理伤害;精神疾病史

Abstract:

Objective   To study the prevalence of depression symptoms in the partial rural residents in Laiwu city of Shandong province of China and the influencing factors, and provide the basis for subsequent early warning and community intervention. Methods   The residents in Laiwu City of Shandong province were randomly selected as investigation subjects by using cluster sampling  approach.Both Center for Epidemiological Survey Depression Scale (CES-D) and selfdesigned questionnaire about risk factors were used to assess depression patients. Results   The total occurrence rate of the depression symptoms in the partial rural residents in Laiwu city was 12.15%. The age, dwelling condition, marital status, educational level showed higher levels of depression symptoms compared with their demographic counterparts (P<0.01). Through Logistic stepwise regression analysis about the multiple factors, the factors with statistical significance were screened out: cohabitation with family members or others, support from family members, and regular social activities were protective factors; while physical disease, toxic disease, the history of cerebral disease, strenuous manual labor, excessive use of the brain, the history of mental illness, and psychological damage were the risk factors for depression symptoms. Conclusion   The prevalence of depression symptoms of partial rural residents in Laiwu city of Shandong province is relatively high. Positive and effective interventions should be taken to improve the mental health status of rural residents.

Key words: Rural residents; Depression; Risk factors; Psychological damage; History of mental illness

中图分类号: 

  • R181
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