基于有调节的中介模型分析突发公共卫生事件中信息疫情对社会焦虑的影响  

Impacts of information outbreaks on social anxiety based on a moderated mediation model

作　　者：王群凯 孟楠 王可欣 刘欢 诸葛瑞倩 王雨璇 马云霞 高珊珊 刘沼悦 许峤 吴群红[1] WANG Qun-kai;MENG Nan;WANG Ke-xin;LIU Huan;ZHU GE Rui-qian;WANG Yu-xuan;MA Yun-xia;GAO Shan-shan;LIU Zhao-yue;XU Qiao;WU Qun-hong(School of Health Service Management,Harbin Medical University,Harbin,Heilongjiang 150081,China;不详)

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150081 [2]南方医科大学第五附属医院

出　　处：《现代预防医学》2024年第6期1105-1111,共7页Modern Preventive Medicine

基　　金：黑龙江省公共健康安全及医改策略高端智库研究项目(ZKWT10131)。

摘　　要：目的研究通过有调节的中介模型干预信息疫情对公众焦虑的影响过程,旨在探究信息疫情与焦虑情绪之间的关系及其作用机制,以期更好的解决其带来的难题,消弭突发公共卫生事件下信息疫情笼罩的公众焦虑氛围,进一步扼杀社会风险危机产生的可能性。方法采用方便抽样和滚雪球抽样相结合的方法,在全国范围内调查有效问卷1580份,进行描述性统计分析、回归分析和有中介的调节效应分析。结果信息疫情对焦虑程度有正向预测作用(β=0.14,P<0.001);心理韧性在信息疫情与焦虑程度间起部分中介效应,中介效应值为0.30(95%CI:0.10~0.52),间接效应占总效应的15.4%;受教育程度在前述中介模型的后半路径起到调节作用(β=-0.36,P<0.001)。结论突发公共卫生事件背景下,建议通过提升公众心理韧性及受教育程度来缓解信息疫情造成的不良冲击,继而降低社会公众焦虑的负性情绪。Objective To intervene in the process of the information epidemic's impact on public anxiety through a mediated model with moderation,and to explore the relationship between information epidemic and anxiety and its mechanism of action,with a view to better solving the difficulties it poses,eliminating the atmosphere of public anxiety shrouded by the information epidemic under the public health emergencies,and further stifling the possibilities of the generation of social risk crises.Methods Using a combination of convenience sampling and snowball sampling,1580 valid questionnaires were surveyed nationwide,and descriptive statistical analyses,regression analyses,and mediated moderated effects analyses were conducted.Results Information epidemic had a positive predictive effect on anxiety level(β=0.14,P<0.001),mental toughness partially mediated the relationship between information epidemic and anxiety level 0.30(95%CI:0.10-0.52),with the indirect effect accounting for 15.4%of the total effect;and education level played a moderating role in the second half of the pathway of the aforementioned mediation model(β=-0.36,P<0.001).Conclusion In the context of public health emergencies,it is recommended to improve the public's mental toughness and education level to mitigate the adverse impacts of information outbreaks,and then reduce the negative emotions of public anxiety.

关 键 词：信息疫情 焦虑情绪 心理韧性 中介效应 调节效应 

分 类 号：R181.8[医药卫生—流行病学]