上海市农村外来务工人员心理健康现况调查  

Survey on mental health status of rural-to-urban migrant workers in Shanghai

作　　者：王天浩[1] 潘志刚[1] 吴玉苗[2] 杨华[1] 刘瑶[1] 龚剑[1] 戴维[1] 周敬[1] 沈瑶[1] 祝墡珠[1] 

机构地区：[1]复旦大学附属中山医院全科医学科,上海,200032 [2]上海市普陀区长征社区卫生服务中心

出　　处：《中华全科医师杂志》2014年第6期444-447,共4页Chinese Journal of General Practitioners

基　　金：上海市公共卫生重点学科建设项目（12GWZX1001）

摘　　要：目的探讨上海市农村外来务工人员的心理健康现况。方法采取多阶段分层整群抽样方法选取5626名在上海的农村外来务工者，应用症状自评量表（ SCL-90）对其心理健康状况进行横断面调查。结果5626名上海市农村外来务工人员心理健康问题检出率为18.8％（1058/5626）。 SCL-90总分为（114.86±31.21）分，9项因子得分中前3位因子为强迫、人际关系敏感和敌对，分别为（1.37±0.43）、（1.31±0.43）和（1.30±0.41）分；SCL-90总分、各项因子分，均低于1986年的全国常模[ SCL-90总分为（129.96±38.76）分，t值为-15.34，-3.84～-24.08，均P＜0.01]，心理健康状况在不同年龄段、文化程度、婚姻状况、居住情况及行业者间差异有统计学意义（均P＜0.05）。结论上海市农村外来务工人员存在较多心理健康问题，年龄、文化程度、婚姻状况、居住情况及行业对心理健康有影响。Objective To survey the mental health status of rural-to-urban migrant workers in Shanghai.Methods The survey subjects were selected from migrant workers in Shanghai with a multi-stage stratified cluster sampling method.The Symptom Check List （ SCL-90 ） scores were used for evaluation of metal health status.Results The prevalence of mental health problem of 5 626 rural-to-urban migrant workers in Shanghai was 18.8% （ 1 058/5 626 ）.The mean total score of SCL-90 was 114.86 ±31.21.Compulsive-obsessive, interpersonal sensitivity, hostility ranked the top three among 9 factors, with scores of 1.37 ±0.43, 1.31 ±0.43 and 1.30 ±0.41 respectively.The mean total scores and scores of 9 factors of rural-to-urban migrant workers in Shanghai were lower than those of Chinese adults norm the mean total scores（129.96 ±38.76） （ t =-15.34, -3.84 --24.08 respectively, all P 〈0.01） .There were significant differences in mental health among migrant workers with different age , education , marital status , living conditions and occupation （all P〈0.05）.Conclusion The prevalence of mental health problems in Shanghai rural-to-urban migrant workers is high, with are related to their age, education, marital status, living conditions and occupation.

关 键 词：外来务工人员 精神卫生 问卷调查 横断面研究 

分 类 号：R193[医药卫生—卫生事业管理]