郑州市二七区城镇职工抑郁症状及影响因素分析

发布时间：2018-03-14 02:19

本文选题：城镇职工　切入点：抑郁症状　出处：《郑州大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的抑郁是一种以显著而持久的心境低落为主要症状的情感性精神障碍,致病原因包括环境、生化、社会及心理等多种因素。抑郁症状包括情绪低落、不合群、离群、躯体不适、食欲不振及睡眠障碍等,严重者可有自杀想法或行为。WHO(世界卫生组织)将抑郁症列为21世纪威胁人类身心健康的主要疾病之一。抑郁症状严重影响个人心身健康和社会发展。郑州市作为河南省省会以及华中地区的政治经济中心,城镇职工抑郁症状流行病学基础资料仍是空白。本文通过对郑州市城镇职工抑郁症状调查,分析抑郁症状的影响因素等,为深入开展精神疾病的诊治、精神卫生防治及社会居民抑郁症状调查提供数据支持。方法本研究采用随机整群抽样法从郑州市二七区中随机抽取12个社区,对社区内在职城镇职工进行调查,调查时间为2015年4月至2016年4月,调查工具采用由自制基本情况问卷和流调中心用抑郁量表(Center for Epidemiologic Studies Depression Scale,CES-D)组成的调查问卷,调查前对参加调查人员进行统一规范化培训,就问卷填写方法及调查语言沟通方法进行标准化指导,并进行预调查,现场发放问卷自填后回收。采用Epidata3.1软件建立数据库,双人录入并核对,使用SPSS19.1和Excel2007进行描述统计、卡方检验、秩和检验、Logistic回归分析等数据处理,检验水准a=0.05。结果1、郑州市二七区城镇职工抑郁症状检出率为35.83%。2、城镇职工抑郁症状检出率与年龄、婚姻状况、居住状况、文化程度、月收入情况、职业、饮酒、体育锻炼、慢性疾病及家庭暴力等因素有显著相关性,与性别、吸烟、近期躯体不适及宗教信仰之间无显著相关性。结果显示,46~55岁、离婚、住所经常变动、月收入高、存在家庭暴力或患有慢性疾病的城镇职工更易存在抑郁症状,而25岁以下、已婚、与家人住在一起、月收入低、不饮酒且经常进行体育锻炼的职工检出率相对较低。3、经多因素分析,存在抑郁症状概率的对数值=0.013×性别+0.009×年龄+0.023×婚姻状况-0.139×居住状况+0.123×文化程度+0.085×收入+0.031×职业-0.074×吸烟程度+0.227×喝酒程度+0.220×锻炼程度+0.039×是否有身体不适+0.177×是否有慢性病-0.039×是否有宗教信仰+1.557×是否有家暴。居住情况、喝酒程度及是否有家暴与抑郁症状情况显著相关(P0.05)。结论1、郑州市二七区城镇职工的抑郁症状检出率为35.83%。2、影响城镇职工抑郁症状检出率的因素有年龄、婚姻状况、居住状况、文化程度、月收入情况、职业、饮酒、体育锻炼、慢性疾病及家庭暴力等因素。3、与家人居住在一起、不饮酒、无家庭暴力的城镇职工存在抑郁症状的可能性更小。
[Abstract]:Objective Depression is a kind of affective mental disorder with significant and lasting depression as its main symptom. The causes of depression include environmental, biochemical, social and psychological factors. Physical discomfort, loss of appetite and sleep disorders, Severe cases may have suicidal thoughts or behaviors. WHO (World Health Organization) lists depression as one of the major diseases threatening human physical and mental health in 21th century. Depressive symptoms seriously affect personal psychosomatic health and social development. The provincial capital of Henan Province and the political and economic centers of central China, The basic epidemiological data of depressive symptoms of urban workers are still blank. This article analyzes the influencing factors of depressive symptoms through investigation of depressive symptoms of urban workers in Zhengzhou, in order to further develop the diagnosis and treatment of mental illness. Methods A random cluster sampling method was used to select 12 communities randomly from Erqi District of Zhengzhou to investigate the urban workers in the community. The investigation was conducted from April 2015 to April 2016. The questionnaire consisted of self-made basic information questionnaire and Center for Epidemiologic Studies Depression scale CES-D, and the participants were trained standardized before the survey. The questionnaire filling method and language communication method were standardized, and pre-investigation was carried out. The questionnaire was collected from the field. The database was set up with Epidata3.1 software, the data was entered and checked in two pairs, and the description and statistics were carried out by SPSS19.1 and Excel2007. Data processing of chi-square test, rank sum test and logistic regression analysis showed that the test level was a0.05.Results 1. The prevalence rate of depressive symptoms of urban workers in Erqi District of Zhengzhou was 35.833.2. The detection rate of depressive symptoms and age, marital status, living condition, and education level of urban workers and staff were 35.833.2, respectively. Monthly income, occupation, alcohol consumption, physical exercise, chronic illness and domestic violence were significantly correlated, but there was no significant correlation with sex, smoking, recent physical discomfort and religious beliefs. Urban workers with family violence or chronic disease are more likely to suffer from depression, while those under the age of 25, who are married, live with their families, and earn less than their monthly income. The detection rate of workers who do not drink alcohol and exercise regularly is relatively low. Logarithmic value of probability of depression: 0.013 脳 sex 0.009 脳 age 0.023 脳 marital status -0.139 脳 living condition 0.123 脳 educational level 0.085 脳 income 0.031 脳 occupation -0.074 脳 smoking degree 0.227 脳 drinking degree 0.220 脳 exercise level 0.039 脳 physical discomfort. 0.177 脳 whether there is chronic disease -0.039 脳 whether there is religious belief 1.557 脳 whether there is domestic violence. Conclusion 1. The prevalence rate of depressive symptoms of urban workers in Erqi District of Zhengzhou is 35.833. 2. The factors influencing the detection rate of depressive symptoms of urban workers are age, marital status, living status, etc. Education level, monthly income, occupation, drinking, physical exercise, chronic disease and domestic violence, and other factors. 3, living with their families, do not drink, the urban workers without domestic violence are less likely to have depression symptoms.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R749.4

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