北京某医院门诊患者及家属抑郁症病耻感调查

Stigma against depression among patients and their family members in a clinic of community hospital in Beijing

目的研究北京某社区医院门诊就诊患者及家属抑郁症病耻感现状及其影响因素。方法采用偶遇抽样法对2008年6月1日—9月1日在北京某社区医院门诊就诊的患者及家属进行问卷调查,采用SPSS 13.0软件进行单因素χ2检验和多因素logistic回归分析。结果共调查3 071人,收回有效问卷2 789份,问卷有效率为90.8%;调查对象抑郁症病耻感总检出率为21.5%(600/2 789);不同年龄、居住状况、户口所在地及抑郁程度调查对象抑郁症病耻感检出率差异均有统计学意义(P<0.05);经多因素logistic回归分析发现,55～64岁(OR=1.875,95%CI=1.090～3.224)、≥65岁(OR=2.638,95%CI=1.497～4.647)、离异或丧偶(OR=0.547,95%CI=0.301～0.992)、独居者(OR=1.660,95%CI=1.194～2.308)、外地户口(OR=0.726,95%CI=0.572～0.921)、轻度抑郁(OR=0.680,95%CI=0.532～0.870)与患者及其家属的抑郁症病耻感相关(P<0.05)。结论年龄、婚姻状况、居住方式、户口所在地及抑郁情况是门诊就诊患者及其家属抑郁症病耻感的影响因素。

Objective To study the status of stigma against depression and their influencing factors among patients and their family members in a clinic of a community hospital in Beijing. Methods A cross-sectional study was adopted together with accidental sampling in the study to select patients and their family members who came to the clinic of the hospital from June to September,2008 for a questionnaire survey.Chi-square test and binary logistic regression were used in the analyses. Results Totally 2 789 valid questionnaires were collected in the survey with a response rate of 90.8%.The prevalence rate of stigma against depression was 21.5%.The prevalence in the participants of different ages,marriage status,born place,living status,and the status of depression were significantly different（P〈0.05）.Binary logistic regression analyses showed that at age of more than 55 years（odds ratio [OR]=1.875,95% confidence interval [95%CI]：1.090-3.224）,divorced or widowed（OR=2.638,95%CI：1.497-4.647）,living alone（OR=1.660,95%CI：1.195-2.308）,immigration（OR=0.726,95%CI：0.572-0.921）,and mild depression（OR=0.680 95%CI：0.532-0.870）were factors affecting the stigma. Conclusion The prevalence rates of stigma in the participants of the study was 21.5% and age,marriage status,born place,living status,and the status of depression were the influencing factors of stigma against depression.