上海市村居公共卫生应急联防联控人员焦虑、抑郁现况及影响因素分析

Anxiety,depression and influencing factors of workers engaged in public health emergency prevention and control in villages of a town in Shanghai

目的 了解疫情期间基层村居公共卫生应急联防联控人员焦虑、抑郁现状及其影响因素,为完善基层村居公共卫生联防联控人员的心理服务体系提供依据。方法 采用随机整群抽样法抽取上海市某镇19个村居委开展调查。使用广泛性焦虑量表(GAD-7)和抑郁症状群量表(PHQ-9)对研究对象开展调查,并对结果进行多因素非条件logistic回归分析。结果 421名村居公共卫生应急联防联控人员参加了调查,其中村居人员、警务人员、医务人员分别占42.76%、25.65%和31.59%。村居公共卫生应急联防联控人员焦虑发生率为60.6%,抑郁发生率为61.8%,均以轻度为主;合并焦虑、抑郁阳性率为56.3%。logistic回归分析结果显示:村居人员发生焦虑、抑郁,以及合并焦虑、抑郁的风险分别是医务人员的0.371、0.424、0.486倍(P均<0.05);生活压力较小的调查对象发生焦虑、抑郁,以及合并焦虑、抑郁症状的风险分别是生活压力较大的调查对象的0.218、0.286、0.301倍(P均<0.05);工作压力较小的调查对象发生抑郁、合并焦虑、抑郁症状的风险分别是工作压力较大的0.286、0.194倍(P均<0.05);主观健康评价良好的调查对象发生合并焦虑、抑郁症状的风险是主观健康评价较差的0.219倍(P <0.05)。结论 上海市某镇村居公共卫生应急联防联控人员存在一定的焦虑、抑郁症状,但症状较轻微。应在村居建立相应的心理服务体系,提供必要的心理保健服务。

Objective To understand the current situation and influencing factors of anxiety and depression of workers engaged in public health emergency prevention and control in grass-roots village of a town in Shanghai,and to provide basis for providing the psychological service system for them. Methods A random cluster sampling method was used to investigate workers engaged in public health emergency prevention and control in 19 village neighborhood committees of a town in Shanghai. The subjects were surveyed with generalized anxiety scale(GAD-7) and depression symptom group scale(PHQ-9). The data were analyzed by multivariate non-conditional logistic regression. Results Totally 421 subjects were studied and among them village residents,police officers and medical personnel account for 42.76%,25.65% and 31.59% respectively. The positive rate of anxiety of these subjects was 60.6%,and the positive rate of depression was 61.8%,which were mainly mild;The positive rate of anxiety and depression was 56.3%. Logistic regression analysis showed that the risk of anxiety,depression,and combined anxiety and depression of village residents were 0.371,0.424 and 0.486 times higher than that of medical personnel,respectively(P < 0.05);the risk of anxiety,depression,and combined anxiety and depression symptoms of the respondents with low life pressure were 0.218,0.286,and 0.301 times higher than those with high life pressure,respectively(P < 0.05);the risk of depression,combined anxiety and depressive symptoms was 0.286 times and 0.194 times higher in the subjects with less work pressure(all P < 0.05);the risk of anxiety and depression was 0.219 times higher in subjects with good subjective health evaluation than in subjects with poor subjective health evaluation(P < 0.05). Conclusions The workers engaged in public health emergency prevention and control in villages of a town in Shanghai had some anxiety and depression symptoms,but the symptoms were mild. Corresponding psychological service system should be established in the village to provide necessary psychological health care services.