宁夏55岁及以上回族朝觐人群抑郁及其影响因素分析

发布时间：2018-06-29 01:07

本文选题：朝觐 + 回族　；参考：《宁夏医科大学》2016年硕士论文

【摘要】：目的:了解宁夏55岁及以上朝觐人群抑郁状况及影响因素,探讨宗教信仰与抑郁症的关系,为国际社会更好的理解宗教信仰与精神健康提供跨文化证据。方法:第一部分研究是从宁夏地区2013参加朝觐体检的回族中,选择55及以上朝觐人群进行问卷调查,并与当地社区人群进行比较,调查内容包括:一般人口学特征、杜克信仰指数量表。第二部分研究按20%的比例从宁夏地区2013至2015年参加朝觐体检的回族中,按照体检顺序选择55及以上人群进行调查,并与当地社区人群进行比较。调查内容包括问卷调查和临床检查两部分。问卷调查由统一培训的医学生在体检现场进行一对一调查,问卷现场收回。临床检查包括:体格检查(血压、身高、体重等)、血糖、尿、心电图检查、B超检查、X线片检查,由专科临床医生完成。抑郁的测量采用老年抑郁量表(geriatric depression scale,GDS)。结果:第一部分调查共收回完整问卷809份,男403人(49.8%),女406人(50.2%);第二部分调查共收回完整问卷1597份,男769人(48.2%),女828人(51.8%)。其中:1、DUREL量表检测发现,各维度ORA、NORA、IR、及总分评分在三组人群间比较差异有统计学意义(F=2540.03、3775.24、4613.48、7038.98,P㩳0.001)。2、朝觐人群抑郁检出率显著低于同地区社区人群(3.2%vs32,9%),并且在控制了一般人口学特征(年龄、性别、文化程度、职业、婚姻及独居情况)、生活习惯(吸烟、饮酒)、及各种疾病(高血压、糖尿病、心电图异常、脂肪肝)等相关因素后,进行两人群多因素比较分析发现朝觐人群抑郁患病风险仍显著低于社区人群(OR=0.09,95%CI0.05~0.21,P㩳0.001)。3、朝觐人群单因素分析发现,肺部疾病者抑郁的检出率高于无肺部疾病者(x~2=4.59,p=p㩳0.05)、心电图异常者检出率高于心电图正常者(x~2=28.16,p㩳0.001)、独居者抑郁的检出率高于非独居者(x~2=19.81,p㩳0.05)、2次及以上婚姻者检出率高于1次婚姻者(x~2=4.19,p㩳0.05);4、多因素logistic回归分析提示,肺部疾病(OR=2.969,95%=1.126~7.826,p㩳0.05)、婚姻次数是朝觐人群郁发生的影响因素(OR=0.264,95%CI=0.070~0.995,p㩳0.05)。结论:宁夏55岁及以上回族朝觐人群抑郁的检出率显著低于社区人群,回族宗教信仰可能对人群精神健康具有积极作用。
[Abstract]:Objective: to explore the relationship between religious beliefs and depression and to provide cross-cultural evidence for better understanding of religious beliefs and mental health in the Hajj population aged 55 and above in Ningxia. Methods: in the first part of the study, we selected 55 or more pilgrims from 2013 Hui people who took part in Hajj physical examination in Ningxia, and compared them with the local community. The contents of the survey included: general demographic characteristics. Duke belief Index scale. In the second part of the study, 55 or more people were selected according to the order of physical examination from 2013 to 2015 in Ningxia area, and compared with the local community population, according to the proportion of 20% of the Hui people who took part in the Hajj physical examination from 2013 to 2015. The investigation includes two parts: questionnaire survey and clinical examination. A one-to-one survey was conducted on the physical examination site by the unified training medical students, and the questionnaire was collected on the spot. Clinical examinations include: physical examination (blood pressure, height, weight, etc.), blood sugar, urine, electrocardiogram, B ultrasound examination X ray examination, by a specialist clinician. The depression was measured by (geriatric depression scale. Results: a total of 809 complete questionnaires were collected in the first part, 403 males (49.8%) and 406 females (50.2%), and 1597 questionnaires (769 males (48.2%) and 828 females (51.8%) were collected in the second part. Among them, there were significant differences among the three groups in the different dimensions of ORAA NORARAIRI and the total score (FF2540.033.3775.24, 4613.488.98P0.001). The prevalence of depression in pilgrims was significantly lower than that in the community in the same area (3.2vs3229%), and the general demographic characteristics (age, sex, sex) were controlled. Related factors such as education, occupation, marriage and living alone, lifestyle (smoking, drinking), and various diseases (hypertension, diabetes, abnormal electrocardiogram, fatty liver), The risk of depression in the Hajj population was still significantly lower than that in the community population (ORO 0.09 95 CI 0.05 0.21 P0. 001). The univariate analysis of the Hajj population showed that the risk of depression was still significantly lower than that of the community population. The positive rate of depression in patients with pulmonary diseases was higher than that in patients without pulmonary diseases (x2 / 2, 4.59%), in patients with abnormal electrocardiogram (ECG) was higher than that in those with normal electrocardiogram (x / 22 / 28. 16 / p0. 001), the rate of depression in patients living alone was higher than that in those who were not living alone (x2 / 2 / 19. 81 / 0. 05). The detection rate of depression in patients with abnormal ECG was higher than that in those with 2 or more marriages. The results of multivariate logistic regression analysis showed that there was no significant difference between the two groups (P < 0. 05). Pulmonary diseases (OR 2.96995) and the number of marriages were the influencing factors of Hajj depression (OR0.26495 CI 0.0700.995p0.05). Conclusion: the prevalence of depression in Hui pilgrimage population aged 55 and above is significantly lower than that in community population. The religious belief of Hui nationality may play a positive role in the mental health of the population.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R749.4

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