西部民族地区特困移民心理健康状况及影响因素分析

发布时间：2017-12-27 22:31

本文关键词：西部民族地区特困移民心理健康状况及影响因素分析　出处：《中国全科医学》2015年13期 　论文类型：期刊论文

【摘要】：目的探讨西部民族地区特困移民心理健康状况及影响因素,为预防和改善移民心理健康问题提供科学依据。方法 2013年6—8月,采用多阶段随机抽样法,在湘西州国家特困移民解困避险试点县抽取特困移民188例为研究对象(其中土家族102例,苗族86例);同时分别抽取土家族常住居民63例和苗族常住居民47例作为对照。运用自编基本情况调查表、症状自评量表(SCL-90)和社会支持评定量表(SSRS)对其进行问卷调查。心理健康状况的影响因素分析采用Logistic回归分析。结果无论土家族还是苗族特困移民,SCL-90总分及人际关系、抑郁、焦虑、精神病性因子得分均高于安置地同民族的常住居民;SSRS总分及主观支持、客观支持、支持利用度得分均低于其常住居民,差异均有统计学意义(P0.05)。女性〔土家族:42.6%(23/54)比20.8%(10/48);苗族:43.2%(19/44)比19.0%(8/42)〕、≥56岁〔土家族:53.3%(16/30)比28.2%(11/39)比18.2%(6/33);苗族:53.8%(14/26)比29.0%(9/31)比13.8%(4/29)〕特困移民心理障碍阳性症状的检出率分别高于男性和36~55、16~35岁组,差异均有统计学意义(P0.05)。Logistic回归分析进一步显示,在两个特困移民和土家族常住居民中,女性和高龄是其心理健康的危险因素;在苗族常住居民中,高龄是其心理健康的危险因素。结论西部民族地区特困移民的心理健康和社会支持状况较当地居民差,尤其是女性和高龄移民容易产生心理健康问题,应作为监测与干预的重点人群。
[Abstract]:Objective to explore the psychological health status and influencing factors of the impoverished immigrants in the western ethnic areas, and to provide scientific basis for the prevention and improvement of the mental health of the immigrants. Methods from 2013 6 to August, using multi stage random sampling method in Xiangxi state poor immigrants pilot county poor immigrants from predicament hedge in 188 cases as the research object (including 102 cases, 86 cases of Tujia and Miao and Tujia) were selected; 63 residents and permanent residents of Miao patients 47 cases as control. The questionnaire was conducted by the self-made basic situation questionnaire, the symptom checklist (SCL-90) and the social support rating scale (SSRS). The analysis of influencing factors of mental health status was analyzed by Logistic regression analysis. Regardless of the outcome of Tujia Miao or poor immigrants, the total score of SCL-90 and interpersonal relationship, depression, anxiety and psychosis factor scores were higher than the resettlement of residents of the same nation; the total score of SSRS and subjective support, objective support and utilization degree scores were lower than that of the residents, the differences were statistically significant (P0.05). Women of Tujia Nationality: 42.6% (23/54) 20.8% (10/48); Miao: 43.2% (19/44) 19% (8/42), more than 56 years old, Tujia: 53.3% (16/30) 28.2% (11/39) 18.2% (6/33); Miao: 53.8% (14/26) 29% (9/31) 13.8% (4/29) was especially poor mental disorder symptom detection immigration rates were higher than that of the male, the age group of 16~35 and 36~55, the differences were statistically significant (P0.05). Logistic regression analysis further showed that in two impoverished immigrants and Tujia residents, women and senior citizens were risk factors for their mental health. Conclusion the mental health and social support of the poverty-stricken immigrants in the western minority areas are worse than those of the local residents, especially the female and the elderly immigrants.
【作者单位】：吉首大学医学院;
【基金】：湖南省民委民族问题研究项目(HNMY2013-022)
【分类号】：R395
【正文快照】： residents.Conclusion Destitute immigrants in west minority areas have worse mental health and social support status thanpermanent residents,and females and the aged among destitute immigrants are more likely to have mental health problems andshould be in

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