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中国农村-城市男性流动人口的心理健康状况及相关特征。

Mental health status and related characteristics of Chinese male rural-urban migrant workers.

机构信息

Center for Tobacco Control Research, Zhejiang University School of Medicine, Yuhangtang Road, Hangzhou, China.

出版信息

Community Ment Health J. 2012 Jun;48(3):342-51. doi: 10.1007/s10597-011-9395-8. Epub 2011 Mar 11.

DOI:10.1007/s10597-011-9395-8
PMID:21394472
Abstract

To explore mental health status and related characteristics in a sample of Chinese male rural-urban migrants. Subjects were 1,595 male rural-urban migrant workers selected though a multi-stage sample survey conducted in two cities (Hangzhou and Guangzhou). Data were collected by means of a self-administered questionnaire. Both life and work stressors were examined. Stress and mental health status were measured by the Chinese Perceived Stress Scale (CPSS) and the Chinese Health Questionnaire (CHQ), respectively. Unconditional logistic regression analysis was performed to identify factors associated with probable mental disorders. There are approximately 120 million rural-urban migrants in China. The prevalence of probable mental disorders in the sample population was 24.4% (95% CI: 23.3-25.5%), which was higher than among urban residents (20.2%, 95% CI: 18.8-21.7%). Logistic regression analysis revealed that five characteristics were positively associated with risk for probable mental disorders: originating in the South (OR = 2.00; 95% CI = 1.02, 4.00), higher life stress (OR = 7.63; 95% CI = 5.88, 10.00), staying in the city for 5-9 months each year (OR = 2.56; 95% CI = 1.67, 3.85), higher work stress (OR = 2.56; 95% CI = 1.96, 3.33), and separation from wife (OR = 2.43; 95% CI = 1.61, 3.57). Employment in machinery and transportation (OR = 0.54; 95% CI = 0.36, 0.81) and higher self-worth (OR = 0.42; 95% CI = 0.28, 0.62) were negatively associated. Findings support an urgent need to develop specific policies and programs to address mental health problems among Chinese rural-urban migrants.

摘要

目的

探讨中国男性农村到城市移民样本的心理健康状况及相关特征。

对象

通过在两个城市(杭州和广州)进行的多阶段抽样调查,选择了 1595 名男性农村到城市移民工人作为研究对象。

方法

采用自填式问卷收集数据,研究人员检查了生活和工作压力源。使用中国感知压力量表(CPSS)和中国健康问卷(CHQ)分别测量压力和心理健康状况。采用非条件逻辑回归分析识别与可能的精神障碍相关的因素。

结果

中国约有 1.2 亿农村到城市移民。样本人群中可能患有精神障碍的比例为 24.4%(95%CI:23.3-25.5%),高于城市居民(20.2%,95%CI:18.8-21.7%)。逻辑回归分析显示,五个特征与可能患有精神障碍的风险呈正相关:来自南方(OR=2.00;95%CI=1.02,4.00)、生活压力较高(OR=7.63;95%CI=5.88,10.00)、每年在城市停留 5-9 个月(OR=2.56;95%CI=1.67,3.85)、工作压力较高(OR=2.56;95%CI=1.96,3.33)和与妻子分离(OR=2.43;95%CI=1.61,3.57)。在机械和运输业就业(OR=0.54;95%CI=0.36,0.81)和自我价值感较高(OR=0.42;95%CI=0.28,0.62)与可能患有精神障碍的风险呈负相关。

结论

研究结果支持迫切需要制定针对中国农村到城市移民心理健康问题的具体政策和方案。

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