中学女教师心理健康状况及影响因素Logistic回归方程构建  

Status of mental health and its influencing factors among female teachers in middle schools

作　　者：李雪霏 徐茗[1] 王姿欢[2] 俞文兰[1] 于常艳[1] LI Xue-fei;XU Ming;WANG Zi-huan;YU Wen-lan;YU Chang-yan(National Institute of Occupational Health and Poison Control,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心职业卫生与中毒控制所,北京100050 [2]北京市疾病预防控制中心,北京100013

出　　处：《中国健康教育》2024年第1期8-14,26,共8页Chinese Journal of Health Education

基　　金：社科基金人口学项目《现代职业模式对妇女生育力的影响及对策研究》(18BRK038)。

摘　　要：目的分析中学女教师心理健康状况并构建影响因素Logistic回归方程。方法于2020年6—10月采取分层随机整群抽样方法抽取12所中学的1899名中学女教师纳入研究,采用电子问卷的方式进行调查,筛选中学女教师焦虑、抑郁的影响因素,建立Logistic回归方程并验证。结果1754例中学女教师发生焦虑487例,抑郁463例,焦虑率为27.77%、抑郁率为26.40%。多因素Logistic分析结果显示,年龄>45岁、周均工作时间>40 h、合并慢性疾病、职业压力中或重的中学女教师焦虑发生率高于年龄≤45岁、周均工作时间≤40 h、未合并慢性疾病、职业压力轻者,OR值分别为2.248(95%CI:1.625~3.110)、3.838(95%CI:2.828~5.209)、3.860(95%CI:2.831~5.262)、3.004(95%CI:2.132~4.233),积极参与心理健康讲座和团体心理辅导的中学女教师焦虑发生率低于未积极参与者,OR值为0.248(95%CI:0.181~0.339);周均工作时间>40 h、兼任行政职务、合并慢性疾病、职业压力中或重的中学女教师抑郁发生率高于周均工作时间≤40 h、未兼任行政职务、未合并慢性疾病、职业压力轻,OR值分别为3.259(95%CI:2.414~4.398)、2.273(95%CI:1.672~3.089)、2.857(95%CI:2.102~3.883)、3.451(95%CI:2.415~4.931),积极参与心理健康讲座和团体心理辅导的中学女教师抑郁发生率低于未积极参与者,OR值为0.302(95%CI:0.223~0.410);以上P均<0.05。根据训练集构建Logistic回归方程,在验证集预测焦虑、抑郁曲线下面积分别为0.786、0.736。结论中学女教师焦虑、抑郁发生率较高,受多种因素影响,据此建立影响因素Logistic回归方程,预测价值较高,可对高危人员采取相应预防对策。Objective To understand the mental health status among female middle school teachers and analyze its influencing factors by logistic regression equation.Methods 1899 female middle school teachers from 12 middle schools were selected by stratified random cluster sampling method from June to October,2020.An electronic questionnaire was used for investigation.The influencing factors of anxiety and depression in female middle school teachers were screened,and logistic regression equations were established and verified.Results Among 1754 female middle school teachers,487 cases of anxiety and 463 cases of depression were found,the rate of anxiety was 27.77%and the rate of depression was 26.40%.Multivariate logisticanalysis showed that the anxiety rate of female middle school teachers with aged above 45 years old,average weekly working hours above 40h,combined chronic diseases,moderate or heavy occupational stress was higher than that of female teachers with age≤45 years old,average weekly working hours≤40 h,no combined chronic diseases,and light occupational stress.OR values were 2.248(95%CI:1.625-3.110),3.838(95%CI:2.828-5.209),3.860(95%CI:2.831-5.262),3.004(95%CI:2.132-4.233),respectively.The incidence of anxiety of female middle school teachers who actively participated in mental health lectures and group psychological counseling was lower than that of those who did not.OR value was 0.248(95%CI:0.181-0.339),and all P<0.05.The incidence of depression of female middle school teachers with average weekly working hours>40 h,concurrent administrative posts,combined with chronic diseases,moderate or heavy occupational stress was higher than that of female teachers with average weekly working hours≤40 h,no concurrent administrative posts,combined with chronic diseases,and light occupational stress.OR values were 3.259(95%CI:2.414-4.398),2.273(95%CI:1.672-3.089),2.857(95%CI:2.102-3.883),3.451(95%CI:2.415-4.931),respectively,and all P<0.05.The incidence of depression of female middle school teachers who actively partic

关 键 词：中学 女教师 心理健康 影响因素 LOGISTIC回归 

分 类 号：R193[医药卫生—卫生事业管理]