某市三城区生活环境对居民抑郁症状的影响

发布时间：2018-02-20 21:43

本文关键词： 居民生活环境抑郁症状病人健康问卷横断面研究　出处：《环境与职业医学》2014年11期 　论文类型：期刊论文

【摘要】：[目的]了解攀枝花市居民抑郁症状,探索当地生活环境对居民抑郁症状的影响。[方法]采用分层多阶段随机抽样的方法,在攀枝花市居民中进行抽样,由研究对象自主完成自拟调查问卷《攀枝花市居民健康评估调查表》,共回收有效问卷1 762份。问卷包括一般人口学特征、抑郁测量工具以及生活环境评估工具等。调查表中的抑郁测量工具采用病人健康问卷(PHQ-9)中文版,分别检测过去两周抑郁症状发生的频率、社会功能受损情况。生活环境评估包括周边公共场所便利程度、当地公共服务水平、社区公共安全、社区环境质量4个子量表。运用卡方检验与多因素logistic回归分析人口学特征和生活环境对抑郁症状的影响。[结果]共调查居民1 762人,调查对象年龄为(37.4±15.8)岁,男性占42.4%,女性占57.6%。当地居民抑郁症状检出率为52.4%。多因素分析结果显示,在调整人口学特征后,以公共场所便利程度较差组为对照,较好组抑郁症状阳性的OR为0.56(95%CI:0.43~0.72);以公共安全问题较大组为对照,无问题组抑郁症状阳性的OR为0.53(95%CI:0.39~0.71);以社区环境质量较差组为对照,较好组抑郁症状阳性的OR为0.48(95%CI:0.35~0.65)。[结论]当地居民抑郁症状检出率较高;生活环境会影响居民抑郁症状,良好的生活环境可能是抑郁症状的保护因素。
[Abstract]:[objective] to understand the depression symptoms of Panzhihua residents, and to explore the influence of local living environment on the depression symptoms of the residents. [methods] the stratified multi-stage random sampling method was used to sample the residents of Panzhihua city. The self-designed questionnaire "Panzhihua City residents Health Assessment questionnaire" was completed by the subjects. A total of 1,762 valid questionnaires were collected. The questionnaire included general demographic characteristics. Depression measurement tools and living environment assessment tools were used to measure the frequency of depressive symptoms in the past two weeks, using PHQ-9, a Chinese version of the patient Health questionnaire. The living environment assessment includes the convenience of the surrounding public places, the level of local public services, the public safety of the community, Community environmental quality 4 subscales. The demographic characteristics and the effect of living environment on depressive symptoms were analyzed by chi-square test and multivariate logistic regression analysis. [results] A total of 1 762 residents were investigated, the age of the subjects was 37.4 卤15.8 years old. Male 42.4 and female 57.6. The prevalence of depression in local residents was 52.4. The results of multivariate analysis showed that, after adjusting the demographic characteristics, the group with poor convenience in public places was the control. The OR of depression symptom positive in the better group was 0.5695 CI: 0.430.72%; in the public safety problem group, the OR was 0.5395%; in the no problem group, the OR was 0.5395%; in the poor community environment group, the OR was 0.5395%. The OR of positive depression in better group was 0.4895 CI: 0.350.650.Conclusion the positive rate of depression in local residents is higher, and living environment may be the protective factor of depression.
【作者单位】：复旦大学公共卫生学院/公共卫生安全教育部重点实验室;四川省攀枝花市卫生局;
【基金】：WHO合作中心双年资助项目(编号:S03-68)
【分类号】：R749.4

【参考文献】