城市低保人员心理异常的危险因素分析

Study on the risk factors for psychological abnormality among urban residents living on minimum subsistence allowances

目的了解城市低保人员心理异常的发生情况并分析其影响因素,为制定提高该人群心理健康水平的措施提供参考。方法采用系统和整群抽样的方法抽取徐州市低保人员445人,以面对面询问方式进行入户调查。结果低保人员心理异常发生率较高,占59.10%。单因素χ2检验显示不能得到家人满意帮助、不常联系朋友、健康自评差、患慢性病以及没有社会保险等8个因素与心理异常有关。logistic回归分析显示不能得到家人满意帮助、健康自评差、患慢性病、没有社会保险以及孩子未参加工作是低保人员心理异常的危险因素。结论低保人员心理健康状况较差,应针对危险因素采取综合性措施以提高其健康水平。

Objective To understand the status quo of psychological abnormality and its risk factors among the urban residents living on minimum subsistence allowances and explore a suitable intervention strategy to enhance their psychological health.Methods 445 people living on minimum subsistence allowances in Xuzhou were selected by the method of systematic and cluster sampling with face to face inquiry and household survey.Results There was a high（59.10%） prevalence of psychological abnormality among the urban residents living on minimum subsistence allowance.χ2 analyses revealed that their psychological abnormality was related to eight risk factors including lack of satisfactory help from family members,little contact with friends,low self-evaluation of health,chronic diseases,lack of social insurance,etc.Data from multivariate logistic regression analyses showed that risk factors for psychological abnormality included lack of satisfactory help from family members,low self-evaluation of health,chronic diseases,lack of social insurance and lack of jobs for their children.Conclusion The urban residents living on minimum subsistence allowances are in poor psychological health and general intervention aimed at the risk factors should be enforced in order to improve their psychological health.