三峡库区后靠移民与外迁移民心理健康状况比较分析  

Comparison of mental health of three-gorge migrants: latter resettled migrants versus outside moving migrants

作　　者：刘琴[1] 汪洋[1] 王宏[1] 张专[1] 

机构地区：[1]重庆医科大学公共卫生学院,重庆400016

出　　处：《第四军医大学学报》2009年第18期1811-1813,共3页Journal of the Fourth Military Medical University

基　　金：国家自然科学基金(30671792)

摘　　要：目的:比较分析三峡后靠移民与外迁移民心理健康状况的差异及其相关因素.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、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314名外迁移民进行问卷调查.结果:①外迁移民的SCL-90总分以及躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖、偏执、精神病性症状等因子分均高于后靠移民(P<0.05);②外迁移民的应激总分、生活事件得分、消极情绪体验得分和消极应对得分均高于后靠移民(P<0.01);③外迁移民客观支持、主观支持、对支持的利用度及支持总分均低于后靠移民(P<0.01);④多重线性逐步回归分析,进入模型的变量包括应激总分、主观支持、生活事件、家庭人均年收入和性别.结论:与后靠移民相比,外迁移民心理健康问题更加突出,应针对影响移民心理健康的因素,如心理应激,生活事件,经济因素,社会支持等方面采取相应的措施,改善移民的心理健康状况.AIM：To compare the mental health status of threegorge migrants, latter resettled migrants versus outside moving migrants. METHODS： A total of 319 latter resettled migrants （resettling near the three gorges reservoir area） and 314 outside moving migrants selected by a cluster sampling were required to complete the questionnaire of general status and three mental health scales, including Symptom Checklist 90 （SCL-90）, Psychosocial Stress Survey for Groups （PSSG）, and Social Support Rating Scale （SSRS）. The results were analyzed and compared. RESULTS：The SCL-90 results showed that the total score and eight factor scores of somatization, obsessive, interpersonal sensitivity, depression, anxiety, photic anxiety, paranoid ideation and psychoticism in outside moving migrants were significantly higher than those of latter resettled migrants （ P 〈 0.05 ）. The PSSG total score and scores of life event, negative emotion and negative response in outside moving migrants were significantly higher than those of latter resettled migrants （P 〈 0.01 ）. The scores of objective support, subjective support, utilizaiton of support and the total level of social support in outside moving migrants were significantly lower than those of latter resettled migrants （ P 〈 0.01 ）. Multiple linearity stepwise regression analysis revealed that the main factors relevant to migrants＇ mental health were total stress, subjective support, life events, annual income per person and gender. CONCLUSION： In comparison with latter resettled migrants, outisde moving migrants had poorer mental health status. Measures aiming to improve the mental health for the out- side moving migrants should be developed based on the main factors relevant to their mental health, including total stress, life events, economic status and social support.

关 键 词：三峡移民 心理健康 安置方式 心理量表 

分 类 号：R19[医药卫生—卫生事业管理]