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岳川, 王培玉, 刘宝花, 刘薇薇, 张志红. 卫生服务利用人群抑郁及焦虑影响因素分析[J]. 中国公共卫生, 2009, 25(9): 1063-1065. DOI: 10.11847/zgggws2009-25-09-24
引用本文: 岳川, 王培玉, 刘宝花, 刘薇薇, 张志红. 卫生服务利用人群抑郁及焦虑影响因素分析[J]. 中国公共卫生, 2009, 25(9): 1063-1065. DOI: 10.11847/zgggws2009-25-09-24
YUE Chuan, WANG Pei-yu, LIU Bao-hua, . Influence factors of depression and anxiety among users of community health service[J]. Chinese Journal of Public Health, 2009, 25(9): 1063-1065. DOI: 10.11847/zgggws2009-25-09-24
Citation: YUE Chuan, WANG Pei-yu, LIU Bao-hua, . Influence factors of depression and anxiety among users of community health service[J]. Chinese Journal of Public Health, 2009, 25(9): 1063-1065. DOI: 10.11847/zgggws2009-25-09-24

卫生服务利用人群抑郁及焦虑影响因素分析

Influence factors of depression and anxiety among users of community health service

  • 摘要: 目的 了解北京市某社区卫生服务利用人群抑郁和焦虑状况,探讨抑郁和焦虑的影响因素及其与无望的关系.方法 使用一般情况调查表、Beck抑郁量表、Beck焦虑量表和Beck无望量表,对2 883名研究对象进行问卷调查.结果 多因素Logistic回归分析显示,抑郁的影响因素为:无望(OR为71.58,4.08和2.96),自己前来看病(OR为1.81),外地人(OR为1.27),文化程度大学及大学以上(OR为0.70),体育锻炼(OR为0.44,0.64和0.72),最近无不顺心的事(OR为0.26);焦虑的影响因素为:无望(OR为21.73,8.09和2.64),自己前来看病(OR为3.24),家庭人均月收入(OR为0.48),无慢性病(OR为0.58),无家庭精神病史(OR为0.44),最近无不顺心的事情(OR为0.30).抑郁和焦虑、抑郁和无望、焦虑和无望得分的Spearman相关系数为0.59,0.41和0.33.结论 无望增加抑郁和焦虑水平,可以根据抑郁和焦虑的主要危险因素进行心理健康教育.

     

    Abstract: Objective To unde rstand the status of depression and anxiety among the users of community health service in Beijing,and to explore influence factors of depression and anxiety and relationship between depression,anxiety and hope-lessness.Methods Overall 2883 subjects were investigated with an essential information questionnaire,Beck Depression Inventory(BDI),Beck Anxiety Inventory(BAI)and Beck Hope lessness Scale(BHS).Results The multivariate Logistic regression analys is showed that the influence factors of depression were hope lessnes(ORs=70.58,4.08,2.96 for severe,mild and light hope lessness,respectively),seeing a doctor(OR=1.81),outlander(OR=1.27),with college education or upper(OR=0.70),physical exercise(ORs=0.44,0.64,0.72 for frequent,sometime and seldom excercise,respectively),without negative life event(OR=0.26).The influence factors of anxiety were hopelessness(ORs=21.73,8.09 and 2.64 for severe,mild and light hope lessness,respectively),seeing a doctor(OR=3.24),average family income per month(OR=0.48),without chronic disease(OR=0.58),without family mental disease history(OR=0.44),without negative life event(OR=0.30).The correlation coefficient of depression and anxiety,depression and hope lessness,anxiety and hope lessness was 0.59,0.41,and 0.33,respectively.Conclusion Hopelessness can increase the level of dep ression and anxiety.The development of mental health education could based on the influence factors of the depression and anxiety.

     

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