三峡库区后靠移民心理健康状况及其相关因素  

Mental Health and Related Factors in Migrants Resettled nearby the Three Gorges Reservoir Area

作　　者：刘琴[1] 汪洋[1] 王宏[1] 黄炳花[1] 黄睿睿[1] 曾缓[1] 

机构地区：[1]重庆医科大学公共卫生学院,重庆400016

出　　处：《中国心理卫生杂志》2009年第1期48-51,共4页Chinese Mental Health Journal

基　　金：国家自然科学基金(30671792)

摘　　要：目的:分析三峡后靠移民的心理健康问题及其影响因素。方法:采用整群随机抽样,应用自编的基本情况调查问卷、症状自评量表(SCL-90)、团体用心理社会应激调查表及社会支持评定量表对319名三峡后靠移民和327名当地居民进行问卷调查。结果:(1)后靠移民SCL-90总分及躯体化、人际关系敏感、抑郁、敌对和偏执因子分均高于当地居民[(123.5±37.0)vs.(117.4±26.0),(1.8±0.7)vs.(1.7±0.7),(1.3±0.4)vs.(1.2±0.3),(1.4±0.6)vs.(1.3±0.4),(1.3±0.4)vs.(1.2±0.3),(1.2±0.4)vs.(1.1±0.3);P=0.016,0.038,0.028,0.024,0.001,0.012];(2)移民的应激总分、生活事件得分、消极情绪体验得分和消极应对得分均高于当地居民[(36.3±19.2)vs.(29.9±17.1),(2.9±2.0)vs.(2.4±1.8),(2.7±2.6)vs.(2.0±2.2),(2.42.2)vs.(1.92.0);均P<0.01];(3)多重线性逐步回归分析,进入模型的变量包括应激总分、主观经济状况、生活事件、社会支持总分和健康状况,后靠移民心理健康的主要相关因素是应激总分、主观经济状况、生活事件、社会支持总分和健康状况(β=0.198,0.152,0.256,-0.151,0.117)。结论:三峡后靠移民的心理健康状况比当地居民差,应针对影响后靠移民心理健康的因素,如应激总分、主观经济状况、生活事件、社会支持总分和健康状况等采取相应措施,提高移民心理健康水平。Objectives： To study the mental health problems of migrants resettled nearby the Three Gorges Reservoir area and their related factors, so as to provide evidence for policy making. Methods： A total of 319 migrants and 327 local residents were selected by a cluster sampling method and completed a self-made questionnaire for general status and completed three mental scales including the Symptom Checklist 90 （ SCL-90 ） , Psyehosocial Stress Survey for Groups （ PSSG ） and Social Support Rating Scale （ SSRS ） . Results ： （ 1 ） The total scores and five factor scores of SCL- 90 including somatization, interpersonal sensitivity, depression, hostility and paranoid ideation in the migrants were significantly higher than that in the local residents [ （123.5 ± 37.0 ） vs. （ 117.4 ± 26.0 ）, （ 1.8 ± 0. 7 ） vs. （1.7±0.7）, （1.3±0.4） vs. （1.2±0.3）, （1.4±0.6） vs. （1.3±0.4）, （1.3±0.4） vs. （1.2±0.3）, （1.2 ± 0. 4 ） vs. （ 1.1 ± 0. 3 ）, respectively ; all P 〈 0.05 ] . （ 2 ） PSSG total score and scores of life event, negative emotion and negative coping in mgrants were significantly higher than that in local residents [ （ 36. 3 ± 19. 2 ） vs. （ 29.9 ± 17.1）, （2.9±2.0） vs. （2.4±1.8）, （2.7 ±2.6） vs. （2.0±2.2）, （2.42.2） vs. （1.92.0）; all P〈0.01] . （ 3 ） Multiple linearity stepwise regression analysis revealed that main factors relevant to migrants＇mental health included total stress, economic status, life events, social support and health status （ β= 0. 198, 0. 152, 0. 256, -0. 151 and 0. 117, respectively） . Conclusion： In general, migrants resettled nearby the reservoir area have worse mental health than their local counterparts. Measures aiming to promote mental health care for the migrants should be devel- oped based on the main factors influencing on their mental health including total stress, economic status, life events, social support and health status.

关 键 词：心理健康 心理量表 三峡移民 影响因素 横断面调查 

分 类 号：B845.61[哲学宗教—心理学]