三峡库区农村外迁山东移民心理健康及影响因素研究

发布时间：2017-12-30 17:26

本文关键词：三峡库区农村外迁山东移民心理健康及影响因素研究　出处：《潍坊医学院》2009年硕士论文　论文类型：学位论文

【摘要】：目的:了解三峡库区农村外迁山东移民的社会心理健康现状,分析影响移民心理健康的相关因素,通过构建影响移民心理健康的结构方程模型,探讨各因素在影响移民心理健康中的作用机制。科学评价各因素的作用特点,探索相应的干预对策,为政府部门进行后期移民扶持工作提供科学依据。方法:本研究采用多阶段抽样,分层、整群抽样选取重庆市开县外迁到山东、分散安置的农村移民320例,当地居民320例。采用居民自编一般情况调查表、团体用心理社会应激调查表(PSSG)、症状自评量表(SCL-90)和社会支持评定量表(SSRS)进行测查。首先对移民心理健康状况进行描述性分析和回归分析,再采用验证性因子分析建立初始模型,对移民心理健康的影响因素进行结构方程模型拟合。结果:(1)移民与当地居民团体用心理应激各指标得分差异均有显著统计学差异(P0.001),生活事件、消极情绪、消极应对得分高于当地居民,而积极情绪、积极应对得分低于当地居民;移民主观支持、客观支持、支持利用度及社会支持总分均显著低于当地居民得分和移民前得分(P0.001)。(2)移民SCL-90自评结果显示,移民筛查阳性率为19.7%,当地居民为5.0%。移民SCL-90总分及各因子分均显著高于当地居民(P0.001);与常模相比,移民人际敏感、敌意因子分低于常模,差异有统计学意义(P0.05),而躯体化、恐怖、抑郁、焦虑、精神病性、症状总分高于常模(P0.05)。(3)影响移民心理健康的因素有心理应激、对安置地政府信任、健康状况、饮食适应、风俗适应、性别、与周围邻居比较经济状况等因素。(4)移民心理健康的结构方程模型分析表明,安置满意度、社会支持、心理应激三个因子直接影响移民的心理健康,作用大小分别为-0.169、-0.224、0.524;生活水平改变、社会适应、社会地位三个因子对移民心理健康起到间接的影响。结论:通过本次调查研究,我们发现外迁移民心理健康状况不容乐观,他们不同程度的存在一些心理健康问题。移民搬迁这一生活事件对移民心理健康的影响具有长期性、滞后性和影响因素的复杂性。对此,有关政府部门要加强对移民的后期扶持工作,并进行积极的系统的心理干预,这对维护移民的心身健康、实现移民“搬得出,稳得住,逐步能致富”的目标具有重要意义。
[Abstract]:Objective : To understand the status quo of the social psychological health of immigrants in the rural areas of the Three Gorges Reservoir area and analyze the factors influencing the mental health of migrants , and to explore the mechanism of influencing the mental health of migrants by constructing the structural equation model which influences the mental health of migrants . Methods : Based on multi - stage sampling , stratified sampling and cluster sampling , 320 rural migrants and 320 local residents were randomly selected from Kaixian County of Chongqing . The survey was carried out by using self - compiled general situation questionnaire , Symptom Check List ( SCL - 90 ) and Social Support Rating Scale ( SSRS ) . Results : ( 1 ) There was significant difference in the scores of psychological stress among immigrants and local residents ( P0.001 ) , life events , negative emotions , negative coping scores were higher than those of local residents , while positive emotion and positive coping styles were significantly lower than those of local residents ( P0.001 ) . Conclusion : Through the investigation and research , we find that the mental health status of migrant workers is not optimistic . There are some mental health problems in different degrees . In response , the government departments should strengthen the post - support work of immigrants and take active systemic psychological intervention , which is of great significance to the goal of maintaining the physical and mental health of the migrants and realizing the migration of the immigrants .

【学位授予单位】：潍坊医学院
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R395.1

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