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目的评估广西壮族农民心理健康状况及其影响因素。方法采用多阶段分层整群系统抽样方法进行抽样,使用症状自评量表(SCL-90)、社会支持评定量表(SSRS)对样本人群进行测评,共获有效问卷921份。使用SPSS13.0软件进行统计分析。结果壮族农民SCL-90任一因子分阳性率为45.80%,总分阳性率为21.90%;壮族农民SCL-90分值高于全国常模和3省区(河北、浙江、广西)正常成人(P<0.05);不同性别、年龄、婚姻状况、经济水平、宗教信仰、慢性病史、入睡时间、客观支持、主观支持水平壮族农民的SCL-90分值差异有统计学意义(P<0.05);多因素非条件Logistic回归分析结果显示,性别、宗教信仰、慢性病史、入睡时间和主观支持5个因素进入回归模型。结论性别、宗教信仰、慢性病史、入睡时间和主观支持是广西壮族农民心理健康的主要影响因素。
Objective To evaluate the mental health of Guangxi Zhuang peasants and its influencing factors. Methods Sampling was carried out by using multistage stratified cluster sampling method. The symptom self-rating scale (SCL-90) and social support rating scale (SSRS) were used to evaluate the sample population, and 921 valid questionnaires were obtained. Using SPSS13.0 software for statistical analysis. Results The positive rate of SCL-90 was 45.80% and the positive rate was 21.90% in SCL-90. The SCL-90 score of Zhuang peasants was higher than that of normal norm and 3 provinces (Hebei, Zhejiang and Guangxi) (P <0.05). The SCL-90 scores of Zhuang peasants were significantly different according to gender, age, marital status, economic status, religious belief, chronic medical history, sleep time, objective support and subjective support. Multivariate non-conditional logistic regression analysis showed that gender, religious beliefs, chronic medical history, sleep time and subjective support five factors into the regression model. Conclusions Gender, religious belief, chronic medical history, time to fall asleep and subjective support are the main influencing factors of psychological health of Guangxi Zhuang peasants.