CAJ | 학술논문

目的探讨浙江省社区一般人群心理障碍水平及其影响因素,为相关决策和干预提供依据.方法利用浙江省15岁以上人群精神病流行病学调查数据,对14 632名调查对象的相关变量拟合包括县(市)、乡镇(街道)、村(居委会)和个体等4个水平的多水平模型;心理障碍评定采用一般健康问卷(GHQ-12).结果浙江省社区人群心理障碍平均得分为(1.54±2.15),低于广州、重庆、太原、杭州等4个城市的平均水平(U=11.08,P<0.01);浙江省社区心理障碍在县(市)水平具有聚集性(χ~2=3.94,P<0.05),组内相关系数ρ=0.043;心理障碍相关因素还有年龄、婚姻状况、居住方式、受教育年数、职业、年家庭人均收入等,并发现随着家庭人均收入的增加,社区人群的心理障碍会减轻.结论浙江省社区人群心理障碍水平较低,且存在着县(市)地域集聚性;离婚、丧偶、离退休、无业或失业和低收入人群需要重点关注.
목적 탐토절강성사구일반인군심리장애수평급기영향인소,위상관결책화간예제공의거.방법 이용절강성15세이상인군정신병류행병학조사수거,대14 632명조사대상적상관변량의합포괄현(시)、향진(가도)、촌(거위회)화개체등4개수평적다수평모형;심리장애평정채용일반건강문권(GHQ-12).결과 절강성사구인군심리장애평균득분위(1.54±2.15),저우엄주、중경、태원、항주등4개성시적평균수평(U=11.08,P<0.01);절강성사구심리장애재현(시)수평구유취집성(χ~2=3.94,P<0.05),조내상관계수ρ=0.043;심리장애상관인소환유년령、혼인상황、거주방식、수교육년수、직업、년가정인균수입등,병발현수착가정인균수입적증가,사구인군적심리장애회감경.결론 절강성사구인군심리장애수평교저,차존재착현(시)지역집취성;리혼、상우、리퇴휴、무업혹실업화저수입인군수요중점관주.
Objective To investigate the prevalence of mental. disorder through the 12-item general health questionnaire ( GHQ-12 ) survey and its related factors in community settings in Zhejiang Province. Methods A muti-level model was analyzed using data of 14 632 respondents nested in counties ( cities ) , townships ( urban districts ) , villages ( urban neighborhoods ) from the epidemiological. survey of mental. illnesses above 15 years old. Results The mean score measured by GHQ-12 was (1. 54 ±2. 15),which was lower than that of samples from four cities of Guangzhou, Chongqing, Taiyuan and Hangzhou ( U =11.08,P<0. 01). The mental. disorder clustered within county (city) level,which represented 4. 3% (χ~2 =3. 94 ,P <0. 05 )of the total. variance including four levels. After controlling for the county level, the mental disorder was associated with age, marital. status, residency patterns, education, occupation and household incoming. In particular,it was reported that higher household incoming was significantly associated with better mental. disorder among population in community settings. Conclusion The prevalence of mental. disorder clustered at the county ( city ) level is relatively lower with vulnerable groups including divorced, widowed, unemployed, retired, lower-income ones in community settings in Zhejiang Province.