宁夏农村高血压病人抑郁与影响因素分析  

Analysis on depression of patients with hypertension and influence factors in rural areas of Ningxia province

作　　者：张波[1] 尚玉秀[1] 张毓洪[1] 王志忠[1] 

机构地区：[1]宁夏医学院公共卫生学院,银川750004

出　　处：《中国公共卫生》2007年第3期325-327,共3页Chinese Journal of Public Health

摘　　要：目的了解农村高血压病人抑郁发生率与影响因素。方法采用Zung氏抑郁自评量表（SDS），由专门培训的调查员进行集中询问调查收集资料。结果206名高血压病人抑郁发生率为69.4％，男性抑郁发生率为54.4％，女性为81．0％，两者间差异有统计学意义（P〈0、01）。抑郁程度轻度50．3％、中度42、7％、重度7.0％。单因素Logistic回归分析结果显示：抑郁与年龄（OR=1．050，95％CI=1．013～1.088）、性别（OR=3.575．95％CI=1.918-6.663）、婚姻状况（OR=1．679，95％CI=1．165～2.420）、文化程度（OR=0.639，95％CI=0.454～0.899）及人均月收入（OR=0.997，95％CI=0.995～0.999）有关。多因素Logistic回归分析结果显示：抑郁与性别（OR：2.742。95％CI=1．402～5．365）、婚姻状况（OR=1.800，95％CI=1.075～3.014）及月收入（OR=0．998，95％CI=0.996—1．000）有关。结论农村高血压病人抑郁发生率较高，女性、文化程度低、收入低及丧偶的高血压病人是抑郁的高发人群。Objective To survey the prevalence rate of depression in patients with hypertension and analyze its influence factors in rural areas. Methods Zung Self- Depression Scale （SDS） was evaluated by our investigation team in 206 patients with hypertension. Results The prevalence rate of depressive symptoms was 69.4 96. The prevalence rate of female depression （81.0 96 ） was higher than that of male（54.4 96 ）, there was a significant difference（P （ 0.01 ）. The prevalence rate of mild, moderate and severe depressive symptoms in patients was 50.3 96,42,7 96,7.0 96 respectively. The Logistic regression analysis results showed：age（（OR = 1.050, 95% CI1.013- 1.088）, gender（OR = 3.575,95% CI1.918-6. 663）, marriage （ OR = 1.679,95 % CI 1.165 - 2. 420 ）, education level（ OR = 0,639, 95 % CI0. 454 - 0.899 ） and economic income （ OR = 0. 997, 95 % CI0.995- 0.999）were associated with the depressive symptoms, The multivariate Logistic regression analysis results showed：gender（ OR = 2. 742, 95 % CI1.402 -5. 365）, marriage（ OR = 1,800, 95 % CI1.075 - 3. 014） and economic income（ OR = 0. 998, 95 96 CI0.996 - 1. 0007） were associated with the depressive symptoms. Conclusion The prevalence rate of depression in patients with hypertension in rural areas is higher. Female patients with, lower education level, low income and losing spouse are vulnerable to depression.

关 键 词：高血压 抑郁 影响因素 

分 类 号：R181.3[医药卫生—流行病学]