北京市计划生育困难人群不良情绪状况及相关因素

Prevalence of bad mood and its related factors among family planning disadvantaged people in Beijing

目的了解北京市计划生育困难人群不良情绪特点及相关影响因素,为有针对性进行干预提供依据。方法采用方便抽样法抽取北京市人口计划生育委员会登记的"计划生育困难家庭"295人和一般对照家庭112人进行一般情况和不良情绪问卷调查。结果计划生育困难组焦虑、抑郁、孤独、生理不良和总体不良情绪维度得分分别为(2.66±0.75)、(2.64±0.88)、(2.02±0.95)、(2.25±0.80)和(2.29±0.75)分,高于正常对照组的(2.37±0.91)、(2.35±0.89)、(1.64±0.71)、(1.92±0.58)和(2.01±0.54)分,差异均有统计学意义(均P<0.05);不孕组焦虑、抑郁、敌对、恐惧、不良生理和总体不良情绪维度得分高于子女重病伤残组,不孕组抑郁维度得分高于失独组,失独组恐惧和生理不良维度得分高于子女重病伤残组(均P<0.05);经济状况较差组和经济状况一般组焦虑、抑郁、孤独、不良生理和总体不良情绪维度得分高于经济状况较好组,差异均有统计意义(均P<0.05),但在恐惧维度上,经济状况一般组[(2.39±1.14)分]高于较好组[(1.99±0.97)分],差异有统计学意义(P<0.05);计划生育困难组中,女性抑郁和敌对维度得分分别为(2.79±1.10)和(2.12±1.04)分,高于男性的(2.51±1.06)和(1.97±1.03)分,高中及以下学历者焦虑和孤独维度得分分别为(2.73±2.64)和(2.08±0.95)分,高于大专及以上学历者的(2.50±1.12)和(1.86±0.93)分,差异均有统计学意义(均P<0.05)。结论计划生育困难人群不良情绪较一般人群突出,不同生育创伤、性别、经济状况、学历计划生育困难人群的不良情绪表现及程度有差异。

Objective To explore the prevalence of bad mood and related factors among some people with accident death or severe disability of the only child or apogeny related to family planning for effective health intervention in the population.Methods Totally 295 cases with family planning disadvantaged status were conveniently recruited from the registry list of Beijing Municipal Family Planning Commission,and a questionnaire survey was carrried out among the cases and 112 controls with the Bad Mood Qestionnaire.Results The score for anxiety,depression,loneliness,physiology unwell,and overall bad mood of the case group were 2.66±0.75,2.64±0.88,2.02±0.95,2.25±0.80,and 2.29±0.75,respectively,and were statistically higher than those of the control group（2.37±0.91,2.35±0.89,1.64±0.71,1.92±0.58,and 2.01±0.54）.The scores of the infertility group for anxiety,depression,hostility,fear,adverse physiological,and overall bad mood were higher than those of cases with death or severe disability of the only-one child（P〈0.05 for all）.The scores for anxiety,depression,loneliness,poor physiological condition,and overall bad mood dimension of the subjects with poor economic status were 2.83±1.07,2.87±1.07,2.14±0.93,2.35±0.78,and 2.40±0.69 and those of the subjects with moderate economic status were 2.79±1.07,2.66±1.44,2.07±1.08,2.35±0.78,and 2.40±0.69,respectively,and all the scores of the two groups were higher than those of the subjects with better economic staus（2.31±0.92,2.33±0.97,1.80±0.86,2.02±0.78,and 2.06±0.71）,with statistically significant differences（P〈0.05 for all）.But the score for fear in the moderate economic status group（2.39±1.14）was higher than that of the group with better economic status（1.99±0.97）（P〈0.05）.The female subjects had higher scores for depression（2.79±1.10）and hostility（2.12±1.04）than male subjects.The cases with low education level had higher scores in anxiety（2.73±2.64）and loneliness（2.08±0.95）than the cases with high education level,with statistically significant differences（P〈0.05 for all）.Conclusion The people with family planning difficulties tend to have more negative emotions than normal people.Negative pregnancy outcome,gender,economic conditions may affect the prevalence of bad emotion among the people with family planning-related difficulty.