攀枝花市市民抑郁症状现状与个体特征关联分析

Analysis on the association between depressive symptom and individual characteristics among residents in Panzhihua City

目的了解当地居民抑郁症状现状及其与个体特征的关联。方法采用分层多阶段随机抽样的方法,在攀枝花市居民中进行抽样,由研究对象自主完成问卷,共回收有效问卷1762份;采用病人健康问卷（PHQ-9）评定抑郁症状;运用单因素χ2检验以及多因素有序Logistic回归分析抑郁症状与个体特征的关联。结果当地居民抑郁症状流行率为52.4%。在调整了其他变量以后,与当地居民抑郁症状有关联的个体特征有：年龄、婚姻状况、居住时间、自评健康状况、参与社团活动的数量。以65～75岁组为对照,抑郁症状流行率总体呈现随着年龄先升高后降低的趋势,其中25～34岁组OR值达3.62（95%CI：2.25～5.81）;以独身者为对照,已婚者组抑郁症状的OR为0.71（95%CI：0.56～0.90）;以自评健康较差组为对照,自评健康为很好者的OR为0.17（95%CI：0.11～0.27）;以居住时间10年以上组为对照,居住时间在5年以下的OR为1.25（95%CI：1.02～1.52）;以参与社团数为3个及以上组为对照,不参与社团活动者的OR为1.52（95%CI：1.21～1.90）。结论当地抑郁症状流行率较高,应重点关注25～34岁年龄段、自评健康状况不佳的居民;并注重增加其社会支持网络和社团活动参与度的推进。

Objective To identify the prevalence of depressive symptom and individual characteristics among residents in Panzhihua City. Methods 1762 valid questionnaires were collected using stratified multistage random sampling method among local residents in Panzhihua City. All questionnaires were completed by self-administered. The depressive symptoms were assessed with Patient Health Questionnaire（ PHQ- 9）. The data were analyzed using the chi-square test and the ordinal logistic regression to analyze factors affecting severity of depressive symptoms by SPSS 16. 0 software. Results The prevalence of depressive symptoms among residents reached 52. 4%. After adjusting for other variables,using the age group 65- 75 as control,OR of group aged 25- 34 was 3. 62（ 95% CI： 2. 25- 5. 81）,OR of the depressive severity increased firstly,then reduced with age. Using single group as control,OR of married group was 0. 71（ 95% CI： 0. 56-0. 90）. Using poor self-reported health status group as control,OR of excellent self-reported group was 0. 17（ 95% CI：0. 11- 0. 27）. Using group of residents who lived in the city more than 10 years as control,OR of groupunder 5 years was1. 25（ 95% CI： 1. 02- 1. 52）. Using group of residents who participated in 3 or more social groups as control,OR of group not participated in any social groups was 1. 52（ 95% CI： 1. 21- 1. 90）. Conclusion We should focus on the depressive symptoms among residents aged 25 to 34 years old and residents with poor self-reported health status,and pay more attention to increase their social support network and the construction of community relations.