嘉兴市基层公务员抑郁症状现况及影响因素分析  

Prevalence and influencing factors of depression symptoms among grassroots civil servants in Jiaxing city

作　　者：赵玲慧 凌洁[1] 张敬敏 施秀珍[1] 徐漪 ZHAO Linghui;LING Jie;ZHANG Jingmin(Institute of Health Education,Jiaxing Municipal Center for Disease Control and Prevention,Jiaxing,Zhejiang Province 314050,China)

机构地区：[1]嘉兴市疾病预防控制中心健康教育所,浙江314050

出　　处：《中国公共卫生》2023年第4期430-432,共3页Chinese Journal of Public Health

基　　金：嘉兴市科技计划项目(2021AD30012)。

摘　　要：目的了解浙江省嘉兴市基层公务员抑郁症状现况及影响因素,为基层公务员心理干预提供理论依据。方法于2021年11-12月,采用方便抽样方法,由嘉兴市5个县(市、区)的县委组织部随机抽取辖区县级及以下单位进行问卷调查,被抽中单位所有18~60岁5780名公务员参与调查,采用多因素logistic回归模型分析基层公务员抑郁症状影响因素。结果共回收有效问卷5295份,存在抑郁症状1330人,阳性检出率为25.12%。轻度抑郁症状检出率为17.79%,中度抑郁率为6.04%,重度抑郁率为1.28%。不同性别、单位级别、年龄、学历调查对象抑郁症状阳性检出率差异均有统计学意义(均P<0.05)。二元多因素logistic回归分析结果显示,与男性相比,女性出现抑郁症状的风险较低(OR=0.702,95%CI=0.609~0.809);与18~30岁的基层公务员相比,31~40岁者出现抑郁症状的风险更高(OR=1.303,95%CI=1.077~1.577),51~60岁者风险较低(OR=0.592,95%CI=0.451~0.777)。结论嘉兴市基层公务员抑郁症状现况不容乐观,男性、31~40岁者可能是实施干预的重点人群。Objective To investigate the prevalence and impact factors of depressive symptoms among grass-roots civil servants in Jiaxing city for providing evidence to conduct psychological intervention in the staff.Methods Using convenient sampling,an online self-administered survey was carried out among 5780 civil servants(aged 18-60 years)working in government departments at district/county level and below in Jiaxing city,Zhejiang province during November-December 2021,with a self-designed questionnaire and Self-Rating Depression Scale(SDS).Multivariate logistic regression model was adopted in analyses on influencing factors of depressive symptoms among the grass-roots staff.Results Among the 5295 valid participants(91.6%of the civil servants surveyed),1330(25.12%)were assessed as having depressive symptoms and the proportions of the participants having mild,moderate,and severe depression symptoms were 17.79%,6.04%,and 1.28%,respectively.The detection rate of depressive symptoms differed significantly by gender,administrative rank of working entity,age,educational background and annual income(P<0.05 for all).Binary multivariate logistic regression analysis showed that the middle-aged participants(31-40 years)had a higher risk of depressive symptoms(odds ratio[OR]=1.303,95%confidence interval[95%CI]:1.077-1.577)but the elder participants(51-60 years)had a lower risk(OR=0.592,95%CI:0.451-0.777)compared to the young participants aged 18-30 years and that female participants had a lower risk of depressive symptoms(OR=0.702,95%CI:0.609-0.809)in contrast to male participants.Conclusion Depressive symptoms are prevalent among grass-roots civil servants,especially among the male and middle-aged civil servants,in Jiaxing city.

关 键 词：基层公务员 抑郁 嘉兴市 

分 类 号：R195.1[医药卫生—卫生统计学] R395.6[医药卫生—卫生事业管理]