天津市社区人群精神疾病病耻感调查

发布时间：2019-01-08 18:57

【摘要】：目的:了解天津市社区人群精神疾病病耻感的现状及其相关因素。方法:采用多阶段整群随机抽样,于2011年7月-12月抽取天津市18岁及以上居民1609名,用自编的社会人口学因素调查表、贬低-歧视感知量表(PDD)及心理健康知识问卷进行调查。比较贬低-歧视感知量表总分及分量表分与量表中点分的差异;用多元线性回归分析方法分析精神疾病感知病耻感的相关因素。结果:贬低-歧视量表总分和歧视感知分量表得分均高于量表中点分[(3.1±0.6),(3.2±0.6)vs.3,均P0.001],贬低感知分量表的得分低于量表中点分[(2.8±0.7)vs.3,P0.001];多元逐步回归分析显示,贬低-歧视感知量表总分与心理健康知识问卷得分呈负相关(β=-0.43,P0.001),与患有精神疾病呈正相关(β=0.91,P0.001);贬低感知与心理健康知识问卷得分(β=-0.30,P0.001)、收入水平(β=-0.01,P0.001)呈负相关,与年龄(β=0.01,P0.01)和无业/失业(β=0.70,P=0.007)呈正相关;歧视感知仅与心理健康知识问卷得分呈负相关(β=-0.12,P=0.003)。结论:天津市居民精神疾病公众病耻感水平较高,社区居民在工作、社交和婚恋等方面对精神疾病患者的区别对待非常突出。较低心理健康知识水平、患有精神疾病的居民更可能有较高的精神疾病感知病耻感水平。
[Abstract]:Objective: to understand the present situation and related factors of mental illness in community population in Tianjin. Methods: 1609 residents aged 18 years and above in Tianjin were selected from July to December 2011 by multi-stage cluster random sampling. (PDD) and mental health knowledge questionnaire were investigated. To compare the difference between the total score and subscale score of demeaning and discrimination perception scale and the point score in the scale, and to analyze the related factors of stigma of mental illness perception by multivariate linear regression analysis. Results: the total score and discrimination perception score of belittling discrimination scale were higher than those of the middle point of the scale [(3.1 卤0.6), (3.2 卤0.6) vs.3, P 0.001]. The score of the demeaning perceptual component was lower than that of the middle point of the scale [(2.8 卤0.7) vs.3,P0.001]. Multiple stepwise regression analysis showed that the total score of demeaning and discrimination perception scale was negatively correlated with the score of mental health knowledge questionnaire (尾 = -0.43P 0.001), and positively correlated with mental illness (尾 = 0.91g / P0.001). The scores of psychological health knowledge questionnaire (尾 = -0.30g / P0.001) and income level (尾 = -0.01g / P0.001) were negatively correlated with age (尾 = 0.01) and unemployed / unemployed (尾 = 0.70). P0. 007); Discrimination perception was negatively correlated with the score of mental health knowledge questionnaire (尾 = -0.12 P 0.003). Conclusion: the level of stigma of mental illness among residents in Tianjin is high, and the difference between community residents in terms of work, social intercourse, marriage and love and so on is very prominent. The residents with mental illness are more likely to have a higher level of stigma of mental illness.
【作者单位】：天津市精神卫生中心;
【分类号】：R749

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