湖南省围绝经期女性抑郁症状现况及相关因素

Related factors of depressive symptoms among perimenopause women in Hunan Province

目的:调查湖南省围绝经期女性抑郁症状现况并分析其相关因素。方法:横断面研究,选取湖南省妇女健康需求专项调研项目招募的3513名围绝经期女性作为调查对象。调查对象年龄在(40~55)岁之间。于2018年1月-9月开展入户调查,使用病人健康问卷抑郁量表筛查围绝经期女性的抑郁症状。量表总分≥5分提示调查对象有抑郁症状。结果:围绝经期女性标化后的抑郁症状检出率为19.8%。年龄大、受教育程度高、吸烟、身体状况较差、较重的围绝经期症状是抑郁症状的危险因素(OR=1.17~2.39,P<0.05),而近6个月有性生活是保护因素(OR=0.80,P<0.05)。结论:年龄大、受教育程度高、吸烟、健康状况差及无性生活可能与抑郁症状筛查阳性相关。

Objective:To determine the prevalence and related factors of depressive symptoms among perimenopause women in Hunan Province.Methods:The data of perimenopause women were obtained from the Hunan Province Women’s Health Needs Program.The program was conducted from January to September 2018 among 3513 perimenopause women aged 40-55 years old via the household survey.Depressive symptoms were assessed with the Patient Health Questionnaire Depression Module(PHQ-9).The total scores≥5 were considered as having depressive symptoms.Results:The standardized detection rate was 19.8%.Older age,higher education,smoking,self-reported in bad physical condition and heavier perimenopause symptoms were risk factors for depressive symptoms(OR=1.17-2.39,P<0.05)while having sexual life in the past six months was a protective factor(OR=0.80,P<0.05).Conclusion:It suggests that older age,higher education,smoking and poor physical health are associated with depressive symptoms.