城乡心理困扰差异：2007年行为危险因素监测系统的调查结果
Rural-urban variations in psychological distress: findings from the Behavioral Risk Factor Surveillance System, 2007.
作者信息
Dhingra Satvinder S, Strine Tara W, Holt James B, Berry Joyce T, Mokdad Ali H
机构信息
Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway N.E., Atlanta, GA 30341, USA.
出版信息
Int J Public Health. 2009 Jun;54 Suppl 1:16-22. doi: 10.1007/s00038-009-0002-5.
OBJECTIVES
To describe rural and urban differences in the prevalence and correlates of psychological distress in the United States.
METHODS
We analyzed 2007 Behavioral Risk Factor Surveillance System (BRFSS) data from 62,913 respondents residing in 94 counties in 24 states, and District of Columbia that administered the Kessler-6 (K6) psychological distress questionnaire and met the BRFSS weighting criterion. Using the Rural Urban Classification Codes (RUCC), 94 counties fell into four groups (two metropolitan and two non-metropolitan) out of the nine-part RUCC scheme; these levels were collapsed into two distinct categories of urban and rural.
RESULTS
Unadjusted estimates indicate that urban county residents have a 22 % higher likelihood of having either MPD or SPD than rural residence (odds ratio [OR]: 1.22, 95 % confidence interval [CI]: 1.09-1.36). This association was slightly attenuated after adjusting for sociodemographic characteristics 17 % higher (OR: 1.17, 95 % CI: 1.04-1.31).
CONCLUSION
This is the first study to our knowledge reporting rural and urban prevalence of psychological distress derived from population-based, county-level data for 94 counties in the United States.
目标
描述美国农村和城市地区心理困扰患病率及其相关因素的差异。
方法
我们分析了2007年行为危险因素监测系统（BRFSS）的数据，这些数据来自居住在24个州和哥伦比亚特区94个县的62913名受访者，这些地区实施了凯斯勒6项心理困扰问卷（K6）并符合BRFSS加权标准。根据城乡分类代码（RUCC），在九分类的RUCC方案中，94个县分为四组（两个大都市组和两个非大都市组）；这些级别被合并为两个不同的城乡类别。
结果
未经调整的估计表明，城市县居民患中度心理困扰（MPD）或重度心理困扰（SPD）的可能性比农村居民高22%（优势比[OR]：1.22，95%置信区间[CI]：1.09 - 1.36）。在调整社会人口学特征后，这种关联略有减弱，高17%（OR：1.17，95%CI：1.04 - 1.31）。
结论
据我们所知，这是第一项基于美国94个县的县级人口数据报告农村和城市心理困扰患病率的研究。
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