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中国汶川地震中老年男性和女性心理困扰的患病率及危险因素

The prevalence and risk factors for psychological distress in older men and women affected by the Wenchuan, China earthquake.

作者信息

Cao Xiaoyi, Jiang Xiaolian, Pang Samantha, Li Sijian, Cheng Yijuan, Tian Lang

机构信息

School of Nursing, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

出版信息

Australas J Ageing. 2014 Sep;33(3):E20-6. doi: 10.1111/ajag.12039. Epub 2013 May 15.

Abstract

AIMS

The aim of this study was to examine the prevalence of psychological distress in survivors aged 60 years old and older by sex and analyse risk factors for psychological distress in male and female older survivors 2 years after the Wenchuan earthquake.

METHODS

This was a cross-sectional study. Two hundred and fifty-seven older people were involved and a multistage random sampling method was utilised. Logistic regression analysis was used to determine risk factors for psychological distress among older men and women.

RESULTS

A higher prevalence of psychological distress was observed in older women than in older men. Loss of family members and displacement from pre-earthquake residence were significant risk factors for psychological distress in older men. Significant risk factors for psychological distress in older women were low educational level, chronic diseases, loss of family members, and displacement from original residence.

CONCLUSIONS

Health-care providers should develop gender-based strategies to improve mental health among older survivors in a long-term post-disaster recovery programme.

摘要

目的

本研究旨在按性别调查60岁及以上幸存者心理困扰的患病率,并分析汶川地震两年后老年男性和女性幸存者心理困扰的风险因素。

方法

这是一项横断面研究。共纳入257名老年人,采用多阶段随机抽样方法。采用逻辑回归分析确定老年男性和女性心理困扰的风险因素。

结果

观察到老年女性心理困扰的患病率高于老年男性。家庭成员死亡和震前住所变迁是老年男性心理困扰的重要风险因素。老年女性心理困扰的重要风险因素是低教育水平、慢性病、家庭成员死亡和原住所变迁。

结论

在长期的灾后恢复计划中,医疗服务提供者应制定基于性别的策略,以改善老年幸存者的心理健康。

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