青海省农牧区居民心理健康现状调查分析

Investigation and Analysis on Mental Health Status of Residents in Agricultural and Pastoral Areas of Qinghai Province

调查青海省农牧区居民心理健康现状,为农牧区居民心理健康服务提供实证研究的依据。采用随机整群抽样的方法,抽取互助土族自治县、大通回族土族自治县、果洛藏族自治州、黄南藏族自治州等地1046名居民作为调查对象,采用《个人基本情况问卷》《凯斯勒心理压力量表》(K10量表)进行问卷调查。利用SPSS20.0统计软件包对有效数据进行整理与分析。结果:被调查的1046名居民中心理健康状况良好的288人,占27.53%;一般的391人,占37.38%;较差的256人,占24.47%;差的111人,占10.61%。K10量表上的得分在性别间差异有统计学意义(P<0.05);在文化水平、婚姻状况、夫妻关系、自评健康状况、身体是否易患病、对生活的满意度、对人生的态度、对基本公共卫生服务知晓度和满意度、自评家庭经济状况、是否贫困(低保户)、生活在农村和牧区间差异均有统计学意义(P<0.001)。多元逐步回归分析显示自评健康状况、是否易患病、文化程度等是影响心理健康的主要因素。结论:社会和各级政府要重视农牧区居民心理健康状况,并采取有效措施提高他们的心理健康水平。

Objective:To investigate the mental health status of the residents in agricultural and pastoral areas of Qinghai Province,and to provide evidence for the mental health service.Methods:A random cluster sampling method was used to select 1,046 residents from Huzhu Tu Autonomous County,Datong Hui Tu Autonomous County,Guoluo Tibetan Autonomous Prefecture,Huangnan Tibetan Autonomous Prefecture and other places as the survey subjects.The"Basic Personal Information Questionnaire"and"Kessler's Psychological Stress"were selected.Table”(K10 scale)to conduct a questionnaire survey SPSS20.0 statistical software package was used to collate and analyze the valid data.Results:Among the 1046 residents surveyed,288 people have good mental health status,accounting for 27.53%;the average(391 people)accounting for 37.38%;the poor(256 people)accounting for 24.47%;the poorer(111 people)accounting for 10.61%.The scores on the K10 scale have statistically significant differences between genders(P<0.05);in terms of education level,marital status,husband and wife relationship,self-rated health status,whether the body is susceptible to disease,satisfaction with life,and life Attitudes,awareness and satisfaction with basic public health services,self-assessment of family economic status,poverty(minimal insurance households),living in rural areas and pastoral areas were statistically significant(P<0.001).Multiple stepwise regression analysis showed that self-rated health status,susceptibility to disease,educational level are the main factors affecting mental health.Conclusion:The society and governments at all levels should pay attention to the mental health status of the residents in agricultural and pastoral areas and take effective measures to improve their mental health level.