失地农民心理健康状况不同模型评价比较  

Evalution of mental health status in farmers losing farmland with different models

作　　者：黄薇[1] 黄水平[1] 卓朗[1] 张训保[1] 

机构地区：[1]徐州医学院公共卫生学院流行病与卫生统计学教研窒,江苏徐州221002

出　　处：《中国公共卫生》2010年第5期563-565,共3页Chinese Journal of Public Health

基　　金：江苏省科技厅社会科学基金项目(BS2005018)

摘　　要：目的了解失地农民心理健康状况,分析其影响因素,并对多水平模型与Logistic回归模型分析结果进行比较。方法采用随机整群抽样方法选取江苏省徐州市金山桥和茶棚社区,对其失地农民进行问卷调查,并建立多水平模型与Logistic回归模型。结果失地农民主要为中青年女性(<65岁占82.0%,女性占63.4%),且文化程度较低(初中以下占73.3%);Logistic回归模型显示,无商业保险(OR=3.073)、有慢性病(OR=2.414)、无家人满意帮助(OR=2.003)、无养老保险(OR=1.664)等是影响失地农民心理健康的危险因素;下棋打牌(OR=0.688)、无医疗保险(OR=0.532)等是保护因素;多水平模型显示有慢性病(OR=3.518)、无商业保险(OR=3.016)、无家人满意帮助(OR=2.022)等是危险因素;无医疗保险(OR=0.614)和≥65岁(OR=0.506)等是保护因素;在研究资料有层次结构时,多水平模型与Logistic回归模型相比,获得的结果更加准确可靠。结论完善基础医疗制度和社会保障制度可以改善失地农民的心理健康状况。Objective To investigate mental health status and its influencing factors in farmers losing farmland with multi-level model and logistic regression model.Methods Farmers losing farmland in two communities of Xuzhou city were randomly selected with stratified cluster sampling method and the data collected with qnestionnaire survey were ana-lyzed with multi-level model and logistic regression model.Results The majority of the farmers losing farmland were young women（65 years：82.0%,women：63.4%） and with less education（under junior middle school：73.3%）.Without commercial insurance（OR=3.073）,with chronic disease（OR=2.414）,less help from family members（OR=2.003）,elder age（OR=1.818）,and without endowment insurance（OR=1.664） were risk factors for mental health of the farmers.Playing cards（OR=0.688） and without medical insurance（OR=0.532） were the protective factors of mental health with logistics model.With chronic disease（OR=3.518）,with out commercial insurance（OR=3.016）,and less help from family members（OR=2.022） were the risk factor and wtihout medical insurance（OR=0.614）,at age of ≥65 years（OR=0.506） were the protective factors when multi-level model was adopted.Conclusion The improvement of social security system and medical system can promote mental health in farmers losing farmland.

关 键 词：多水平模型 LOGISTIC回归模型 失地农民 心理健康 

分 类 号：R395.6[哲学宗教—心理学]