凤城市农村妇女抑郁现况及影响因素

Prevalence and inflnencing factors of depression among rural women in Fengcheng

目的了解农村妇女抑郁症状流行情况及其影响因素。方法采用整群抽样方法抽取辽宁省丹东凤城市800名18-65岁农村妇女进行问卷调查并填写抑郁自评量表（SDS）,分析农村妇女抑郁症状分布及其影响因素。结果农村妇女抑郁症状发生率为54.3%。病例组负性生活事件均分为（4.79±13.3055）分,正常组均分为（2.34±8.4930）分,2组差异有统计学意义（U=72 296.000,P〈0.05）。在对其他因素进行调整后,Logistic逐步回归分析表明,文化程度（OR=0.768,95%CI=0.638-0.926）、添加新成员（OR=0.147,95%CI=0.028-0.763）、患心脏病（OR=2.939,95%CI=1.603-5.390）、与公婆不和（OR=14.938,95%CI=1.554-143.555）、欠债＆gt;500元（OR=1.861,95%CI=1.091-3.173）等因素与抑郁症状关联差异有统计学意义。结论农村妇女抑郁病症状的发生受生理、社会多种因素影响。

Objective To investigate the prevalence of depression among rural women and to analyze the association between the prevalence of depression and related factors. Methods With cluster sampling,800 women of 18-65 years old were selected. The Zung Self-Rating Depression Scale （SDS） was applied to assess the extent and severity of depressive symptoms, and an SDS score of 50 was set as the cut-off score. Student＇ s t-test, chi-square test and logistic regression were utilized in the study. The analysis were performed with SPSS13.0 software. Results The prevalence rate of depression was 54. 3% among the rural women. The negative living event scores significantly differed between case group （4. 79 ± 13. 3055 ） and control group （ 2.34 ± 8.4930）. The results of logistic regression showed that significant related factors of de- pression symptom were with high education （ OR = 0. 768,95 % CI = 0. 638-0. 926 ）, having new family members （ OR = 0. 147,95 % CI = 0. 028-0. 763 ）, having heart disease （ OR = 2. 939,95 % CI = 1.603-5. 390 ）, having conflict with motherin-law （ OR = 14. 938,95% CI = 1.554-143. 55 ）, and having a debt （ OR = 1. 861,95% CI = 1.091-3. 173 ）. Conclusion The prevalence of depression among rural women is influenced by physical and social factors.