3295名海南省居民心理健康状况调查分析

Investigation and analysis on mental health status among 3 295 residents in Hainan Province

目的了解海南省15岁及以上居民心理健康状况,分析其影响因素,为提高人群心理健康水平提供科学依据。方法采用多阶段随机抽样方法抽取3 295名海南省居民进行心理健康状况卷调查。结果 (1)被调查的3 295名居民中410名有心理疾病,占调查总人数的12.44%。海南省居民SCL-90总分低于全国常模(t=14.647,P=0.000)。(2)不同性别间心理疾病患病率差异无统计学意义(waldχ~2=0.27,P=0.60),婚姻状况、对环境满意度、家庭和睦情况间心理疾病患病率差别均有统计学意义(waldχ~2=46.53,P=0.00;waldχ~2=51.97,P=0.00;waldχ~2=89.47,P=0.00)。(3)非条件Logistic回归分析,结果显示进入回归方程的影响因素有婚姻(OR=0.52)、家庭类型(OR=0.57;0.53)、对环境满意度(OR=1.26)、家庭和睦情况(OR=1.31)、健康自我检查(OR=0.72)、急需时2d内借到5 000元(OR=1.31)、总体幸福感(OR=0.86)。结论影响居民心理疾病的因素是多方位的,应采取综合措施进行预防。

Objective To understand the mental health status of residents aged 15 years old or above in Hainan Province,and and to analyze its influencing factors to provide a scientific basis for improving the psychological health level of populations. Methods A multistage random sampling method was used to extract＂ 3 295 residents in Hainan Province and perform the investi- gate on the mental health status. Results Among 3 295 surveyed residents, 410 respondents had mental disease, accounting for 12.44% of respondents total number. The total score of SCL-90 in the residents of Hainan Province was lower than that of the na- tional norm（t=14.65,P=0.00）. （2）The morbidity of mental disease had no statistical difference between different genders（wald ）C2 =0. 27, P= 0. 60） ; which had statistical difference among marital status, environmental satisfaction and family harmony （wald Xz = 46.53, P = 0.00 ; wald x2= 51.98, P = 0.00 ; wald Z2 = 89.47, P = 0.00）. （3） The non-conditional Logistic regression analysis results showed that the influencing factors entering the regression equation were marital status（OR = 0. 52）, family type（OR= 0.57 ; 0.53）, environment satisfaction（OR = 1.26）, family harmony （OR = 1.31 ）, health self-examination （OR = 0.72）, borrowing 5 000 yuan within 2 d when urgent need（OR= 1.31） and general well-being（OR=0.86）. Conclusion The factors influencing mental illness in residents are multiple, so synthetic measures should be taken for its prevention.