城市与农村普通人群精神卫生知识知晓率及对精神疾病的态度  

Investigation of the awareness rate for mental health knowledge and attitude about mental illness in urban and rural general population

作　　者：严保平[1] 李建峰[1] 栗克清[1] 张勇[1] 付希光[1] 魏志刚[1] 李冲[1] 孙秀丽[1] 

机构地区：[1]河北省第六人民医院,河北保定071000

出　　处：《现代预防医学》2014年第9期1636-1639,共4页Modern Preventive Medicine

摘　　要：目的比较保定市城市与农村普通人群心理健康和精神疾病预防知识及对精神疾病的态度。方法于2011年3月28日至4月20日采用多阶段、分层、整群随机抽样方法抽取保定市15岁及以上400例城市样本及1 100例农村样本。采用卫生部办公厅精神卫生工作指标调查评估方案制定的《普通人群心理健康知识和精神疾病预防知识知晓率调查问卷》、《病例测验》及《精神疾病有关态度问卷》调查,并进行对比分析。结果实际城市325人,农村1 055人完成调查。城市精神卫生与心理保健知识知晓率高于农村(80.0%vs.64.6%,χ2=27.04,P<0.05),城市对精神疾病有关态度好于农村[(34.93±6.54)vs.(32.83±7.76),t=4.82,P<0.05]。抑郁症知晓率城市高于农村(37.8%vs.29.5%,χ2=13.73,P<0.05);阳性症状为主精神分裂症知晓率城市和农村无差异(31.6%vs.37.2%,χ2=3.18,P>0.05)。结论保定市农村人群心理健康知识知晓率低于城市,对抑郁症知晓率更低,对精神疾病的态度有待提高,应加强对农村的宣传力度。Objectives To investigate the awareness rate for mental health knowledge and attitude about mental illness in urban and rural general population in Baoding city. Methods We extracted 1 100 subjects over the age of 15 in rural of Baoding city and 400 subjects in the urban area by stratified muhi-stage cluster randomization method from March 28 to April 20, 2011. The question- naires including ＂awareness rate of mental health knowledge and mental illness prevention of general population and the attitude to mental illness＂, ＂cases quiz＂ and ＂attitude of mental illness＂, come from Mental Health Indicator Survey Assessment made by Office of Disease Control of Ministry of Health Mental Health. Results 325 subjects in the urban area and 1 055 subjects in rural complet- ed the investigation. The awareness rate for mental health knowledge of urban samples was higher than the rural samples （80.0% vs. 64.6%, ~=-27.04, P〈0.05）. The attitude toward mental illness of urban samples was better than the rural samples[ （34.93 ＋ 6.54） vs. （32.83 ＋ 7.76）, t=4.82, P〈0.05]. The awareness rate of depression of urban samples was higher than the rural samples （37.8% vs. 29.5%, ^--13.73, P〈O.05）. The awareness rate about schizophrenia mainly with positive symptoms had no difference between the urban samples and the rural samples （31.6% vs. 37.2%,x^2=3.18, P〉0.05）. Conclusion The awareness rate of mental health knowl- edge of rural population of Baoding city is lower than urban population. And the awareness rate of depression and the attitude toward mental illness are the same. So the propaganda in the rural should be strengthened.

关 键 词：精神卫生 抑郁症 知晓率 态度 现况调查 

分 类 号：R195[医药卫生—卫生统计学]