新型冠状病毒肺炎疫情下北京市居民焦虑状态分析  

Analysis of anxiety status among Beijing residents during the coronavirus disease 2019 outbreak

作　　者：闫芳 李玉青[3] 齐涵[1] 屈威 谭淑平 任艳萍[1,2] YAN Fang;LI Yu-qing;QI Han;QU Wei;TAN Shu-ping;REN Yan-ping(The National Clinical Research Center for Mental Disorders&Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China;不详)

机构地区：[1]首都医科大学附属北京安定医院,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,北京100088 [2]首都医科大学,人脑保护高精尖创新中心 [3]北京市疾病预防控制中心 [4]北京大学回龙观临床医学院

出　　处：《首都公共卫生》2020年第3期140-144,共5页Capital Journal of Public Health

摘　　要：目的了解新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)疫情期间北京市居民焦虑状态的发生率及其影响因素。方法采用方便抽样的方法,通过微信等自媒体平台在线发放焦虑自评工具(GAD-7),居民依据指导语自愿填写。使用SPSS 23.0软件包进行统计分析。结果6000名北京市居民填写问卷,其中5302名18~65岁居民的问卷有效,问卷有效率88.37%。焦虑状态阳性检出率为43.47%,其中男性39.33%,女性44.89%。多因素分析显示不同性别、年龄、居住地、对COVID-19的担心程度和目前的健康状态是焦虑状态发生的影响因素。其中,危险因素为女性(OR=1.19,95%CI:1.04~1.35)、对COVID-19的担心程度[与一点也不担心比较,有点担心、有些担心、担心和非常担心的OR(95%CI)分别为1.71(1.41~2.06)、3.57(2.79~4.55)、3.00(2.39~3.77)和5.76(4.56~7.28)]和目前的健康状态[与非常好比较,健康状态好、不太好和差的OR(95%CI)分别为2.59(2.24~2.99)、6.89(4.30~11.04)和2.90(1.06~7.91)];保护因素为居住在郊区(OR=0.86,95%CI:0.76~0.97)和高龄与18~20岁组比较,51~60岁组和61~65岁组OR(95%CI)分别为0.50(0.34~0.73)和0.24(0.13~0.45)。结论COVID-19疫情下居民发生焦虑状态的比率较高,应及早进行心理测评和必要的心理援助。Objective To evaluate the prevalence of anxiety disorder among Beijing residents during the outbreak of coronavirus disease 2019(COVID-19).Methods An online self-reported 7-item generalized anxiety disorder(GAD-7)survey was administered on the WeChat platform in a convenience sample.Totally,6000 Beijing residents participated in the survey.SPSS version 23.0 software was used to perform the statistical analysis.Results 5302 participants aged 18-65 submitted valid answers to the questionnaire,and the prevalence of anxiety was 43.47%(total score≥5),39.33%in male 44.89%in female.Multivariate analyses showed that being female(OR=1.19,95%CI:1.04-1.35),level of concern about COVID-19[as compared with people who felt no worry,those who felt a little worried,somewhat worried,worreid,and very worried showed OR(95%CI)=1.71(1.41-2.06),3.57(2.79-4.55),3.00(2.39-3.77),and 5.76(4.56-7.28),respectively],current health status[as compared with people with very good health,OR of those who reported good,not bad,and bad health was 2.59(2.24-2.99),6.89(4.30-11.04),2.90(1.06-7.91)respectivley]were associated with increased risk of anxiety.Protective factors included living in rural area(OR=0.86,95%CI:0.76-0.97),older age[as compared with people aged 18-20,thoses aged 51-60 and 61-65 showed OR(95%CI)=0.50(0.34-0.13),and 0.24(0.13-0.45)]were associated with decreased risks of anxiety.Conclusions Considering the high prevalence of Canxiety in Beijing residents,effective mental support measures should be provided.

关 键 词：突发性公共卫生事件 新型冠状病毒感染肺炎 焦虑状态 现况调查 北京 

分 类 号：R511[医药卫生—内科学]