宜昌市常住居民心理健康状况及影响因素  

Mental health status and influencing factors of permanent residents in Yichang,Hubei Province

作　　者：林红 王迎[2] 许宝华 孟坤 童皓 秦夷星 刘忠纯[2] LIN Hong;WANG Ying;XU Baohua;MENG Kun;TONG Hao;QIN Yixing;LIU Zhongchun(Yichang Mental Health Center/Yichang Clinical Research Center for Mental Health,Yichang,Hubei 443005,China;Renmin Hospital of Wuhan University,Wuhan,Hubei 430060,China)

机构地区：[1]湖北省宜昌市精神卫生中心,宜昌市精神心理疾病临床医学研究中心,湖北宜昌443005 [2]武汉大学人民医院,湖北武汉430060

出　　处：《公共卫生与预防医学》2024年第2期114-118,共5页Journal of Public Health and Preventive Medicine

基　　金：湖北省重点实验室开放项目“湖北省新冠肺炎常态化防控下精神卫生服务需求与对策研究”(2021KFY068)。

摘　　要：目的 了解湖北省宜昌市常住居民心理健康状况的特点及影响因素。方法 于2022年6月至10月采用多阶段随机抽样抽取全市18岁以上常住居民9 576人进行心理健康状况调查,用患者健康问卷(Patient Health Questionnaire-9,PHQ-9)评估其抑郁症状,广泛性焦虑障碍量表(Generalized Anxiety Disorder-7,GAD-7)评估其焦虑症状,失眠严重程度指数量表(Insomnia Severity Index, ISI)评估其失眠情况,PTSD检查量表(Posttraumatic Stress Disorder Checklistfor DSM-5,PCL-5)评估其应激状况,并采用χ^(2)检验和logistic回归分析抑郁和焦虑的影响因素。结果 9 122人完成调查,抑郁、焦虑、失眠和应激症状检出率分别为29.98%、19.03%、11.97%和1.58%。性别、文化程度、自评健康状况、PHQ-9总分、GAD-7总分、ISI总分、PCL-5总分是引发居民抑郁和焦虑症状的主要因素。结论 宜昌市常住居民抑郁、焦虑检出率较高,而失眠及应激情况较好,可有针对性进行心理健康教育。Objective To investigate the characteristics and influencing factors of mental health status of permanent residents in Yichang,Hubei Province.Methods A total of 9576 permanent residents aged 18 years and older from Yichang City were selected by a multistage random sampling method between June and October 2022.The PHQ-9 was used to assess the residents′depressive symptoms,the GAD-7 was used to assess their anxiety symptoms,the ISI was used to assess their insomnia status,and the PCL-5 was used to assess their stress status.The influence factors of depression and anxiety were analyzed using 2 test and logistic regression.Results A total of 9122 valid questionnaires were completed.The detection rate of depression,anxiety,insomnia,and stress symptoms were 29.98%,19.03%,11.97%and 1.58%,respectively.Gender,education level,monthly family income,self-rated health status,mental health literacy level,total GAD-7 score,total ISI score,and total PCL-5 score were the main factors that caused residents′anxiety symptoms,while gender,education level,self-rated health status,total PHQ-9 score,total ISI score,and total PCL-5 score were the main factors that caused residents′anxiety symptoms.Conclusion The prevalence of depression and anxiety is high among the permanent residents in Yichang,while the situation of insomnia and stress is relatively good.Measures such as improving the level of mental health literacy can be taken to improve mental health level of residents in Yichang.

关 键 词：心理健康 抑郁 焦虑 失眠 应激 

分 类 号：R181[医药卫生—流行病学]