合肥市城乡居民心理健康素养水平及影响因素分析  

Analysis of mental health literacy level of urban and rural residents in Hefei City and its influencing factors

作　　者：闫军伟[1] 刘勇[1] 徐小童 王宏宇[1] YAN Junwei;LIU Yong;XU Xiaotong;WANG Hongyu(Affiliated Psychological Hospital of Anhui Medical University,Anhui Mental Health Centre,Hefei Fourth People's Hospital,Anhui Clinical Medical Research Center ofMental Disorder,Hefei,Anhui 230022,China)

机构地区：[1]安徽医科大学附属心理医院、安徽省精神卫生中心、合肥市第四人民医院、安徽省精神心理疾病临床医学研究中心

出　　处：《中国预防医学杂志》2024年第2期198-203,共6页Chinese Preventive Medicine

基　　金：安徽省中央引导地方科技发展资金项目(2020b07030004);合肥市卫生健康应用医学研究项目(Hwk2021zd011)。

摘　　要：目的开展合肥市城乡居民心理健康素养(mental health literacy,MHL)水平调查,为提升居民心理健康,采取有针对性的干预措施提供科学依据。方法采用分层系统随机抽样的方法,使用《居民心健康素养问卷》为调查工具入户调查。居民MHL水平影响因素分析采用logistic回归分析,当多重比较存在时进行Bonferroni校正。结果本研究共收集有效问卷7375份,合肥市城乡居民MHL水平16.11%(95%CI:15.27%~16.95%)。年龄、文化程度和个人月收入对居民MHL水平有影响。40~<60岁组MHL水平(20.42%)和≥60岁组MHL水平(9.09%)分别是18~<40岁组MHL水平(13.80%)的1.09倍(95%CI:0.94~1.27)和0.46倍(95%CI:0.30~0.69),大专/本科及以上人群MHL水平(11.92%)和高中/职高/中专人群MHL水平(26.96%)分别是初中及以下人群MHL水平(18.62%)的0.51倍(95%CI:0.42~0.61)和1.41倍(95%CI:1.16~1.71),个人月收入1500~<3000元、3000~<5000元、5000~<8000元和≥8000元人群MHL水平(17.55%、16.59%、16.18%、15.72%)分别是0~<1500元(11.70%)的人群的1.56倍(95%CI:1.24~1.96)、1.61倍(95%CI:1.28~2.20)、1.72倍(95%CI:1.31~2.26)和1.80倍(95%CI:1.27~2.55)。结论2021年合肥市城乡居民MHL水平尚未达到国家规划的2022年20%的目标,建议针对老年人、高学历和低收入群体等重点人群开展心理健康素养促进活动,全面提升居民心理健康水平。Objective To conduct a survey on the level of mental health literacy(MHL)among urban and rural residents in Hefei City and to provide a scientific basis for targeted interventions to improve residents'mental health.Methods A stratified systematic random sampling method was used for sampling,and the Resident Mental Health Literacy Questionnaire was used as the survey instrument for the household survey.Logistic regression analysis was used to analyze the factors influencing residents'MHL levels,with a test level ofα=0.05 and Bonferroni correction when multiple comparisons existed.Results A total of 7375 valid questionnaires were collected in this study,and the MHL level of urban and rural residents in Hefei City was 16.11%(95%CI:15.27%-16.95%).Age,education level,and personal monthly income had an effect on MHL levels.The MHL levels of the 40-<60 age group(20.42%)and the≥60 age group(9.09%)were 1.09(95%CI:0.94-1.27)times and 0.46(95%CI:0.30-0.69)times higher than those in the 18-<40 years group(13.80%),respectively,and the MHL levels of individuals with a college degree or above(11.92%)and those with a high school/vocational school/technical school degree(26.96%)was 0.51 times(95%CI:0.42-0.61)and 1.41 times(95%CI:1.16-1.71)that of individuals with a junior high school education or below(18.62%)respectively.The MHL levels for those with monthly personal income of 1500-<3000 yuan,3000-<5000 yuan,5000-<8000 yuan and≥8000 yuan(17.55%,16.59%,16.18%,15.72%)were 1.56 times(95%CI:1.24-1.96),1.61 times(95%CI:1.28-2.20),1.72 times(95%CI:1.31-2.26)and 1.80 times(95%CI:1.27-2.55)for those with 0-<1500 yuan(11.70%),respectively.Conclusions The MHL level of urban and rural residents in Hefei City in 2021 has not reached the nationally planned target of 20%by 2022,and people aged≥60 years,people with a college degree or higher education,and people with monthly personal income O-<1500 yuan are the groups that need to be focused on to improve the MHL level of residents.

关 键 词：心理健康素养 个人月收入 老年人 文化程度 

分 类 号：R181.37[医药卫生—流行病学] G479[医药卫生—公共卫生与预防医学]