论文部分内容阅读
目的:分析社区曾经存在自杀意念者中现患的精神卫生问题及影响因素。方法:资料来自2001年浙江省精神疾病流行病学调查,该文利用SPSS 15.0统计分析软件,进行卡方检验,二分类logistic回归分析,复杂抽样统计描述(Complex Samples Crosstab)和logistic回归分析(Complex Samples Logistic Regression Analysis)。结果:调查到的14634人中有615例自报有自杀意念,未调整精神卫生问题(GHQ-12总分≥3)的时点患病率60.33%;调整抽样设计因素后,时点患病率为57.42%(95%CI:52.72%~61.99%)。调整抽样设计因素,复杂抽样logistic回归分析显示精神卫生问题显著并独立地与自我报告躯体健康差、低家庭年收入、低受教育年限和阳性自杀家族史有关。在这些危险因素中,自我报告躯体健康差对自杀意念者中精神卫生问题的影响最大,其次是低家庭年收入和低受教育年限。结论:该结果是初步的、探讨性的而非结论性的,结果中所显示的自杀意念者中精神卫生问题和危险因素的关系已经提示了临床意义并为人群干预提供了可能。
OBJECTIVE: To analyze the mental health problems and the influencing factors in the suicidal ideation in the community. Methods: The data were collected from the epidemiological survey of mental illness in Zhejiang Province in 2001. By using SPSS 15.0 statistical analysis software, the data were analyzed by chi-square test, dichotomous logistic regression analysis, Complex Samples Crosstab and logistic regression analysis Samples Logistic Regression Analysis. Results: Of the 14,634 people surveyed, 615 reported self-suicidal ideation and 60.33% of their unadjusted mental health problems (GHQ-12 total score ≥3). After adjusting for sampling design factors, The rate was 57.42% (95% CI: 52.72% -61.99%). Adjusting sampling design factors, complex sampling logistic regression analysis showed that mental health problems were significantly and independently related to self-reported poor physical health, low family annual income, low schooling years and positive family history of suicide. Among these risk factors, self-reported poor physical health has the greatest impact on mental health problems among suicidal ideation, followed by low family annual income and low schooling years. CONCLUSIONS: This result is preliminary, explorative rather than conclusive, and the relationship between mental health issues and risk factors in the suicidal ideation shown in the results has implications for clinical significance and offers the potential for population intervention.