云南不明原因猝死病区人群心理健康状况及影响因素

Determinants and status on mental health among the persons living in Yunnan Unexpected Sudden Death Areas

目的了解云南不明原因猝死病区人群心理健康状况,探索主要影响因素。方法用焦虑和抑郁自评量表进行横断面入户调查。结果病区组728人,焦虑得分为(44.15±9.69)分,有28.7%的人发生不同程度的焦虑;抑郁得分(43.69±8.85)分,有16.2%的人发生不同程度的抑郁。病区组焦虑、抑郁得分,焦虑、抑郁阳性率以及中重度焦虑、抑郁构成与对照组差异均有统计学意义(均有P<0.05)。Logistic回归分析后,病区组焦虑和抑郁阳性率分别是对照组的3.34倍和2.51倍。结论云南不明原因猝死病区人群焦虑和抑郁水平高,心理健康状况差,应引起社会关注。

Objective To understand the determinants and status on mental health among the persons living in Yunnan Unexpected Sudden Death Areas. Methods A cross-sectional survey was conducted. Results The scores and prevalence rates of 728 person with anxiety or depression in endemic group were 44. 15 ± 9.69, 43.69 ± 8. 85, 28. 7%, and 16. 2%, respectively. The scores, prevalence rate and constitution of moderate-severe disease of the persons with anxiety or depression among the endemic group were all significantly higher than the control. After controlling confounding factors by Logistic regression, the risk of the persons with anxiety or depression among the endemic group were 3.34 or 2. 51 times than those among the control, respectively. Conclusions The problems of mental health among the persons living in the endemic areas of Yunnan Unexpected Sudden Death is severe, which should be paid attention.