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科索沃米特罗维察冲突后地区的社交网络与心理健康

Social networks and mental health in post-conflict Mitrovica, Kosova.

作者信息

Nakayama Risa, Koyanagi Ai, Stickley Andrew, Kondo Tetsuo, Gilmour Stuart, Arenliu Aliriza, Shibuya Kenji

机构信息

Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.

出版信息

BMC Public Health. 2014 Nov 17;14:1169. doi: 10.1186/1471-2458-14-1169.

Abstract

BACKGROUND

To investigate the relation between social networks and mental health in the post-conflict municipality of Mitrovica, Kosovo.

METHODS

Using a three-stage stratified sampling method, 1239 respondents aged 16 years or above were recruited in the Greater Mitrovica region. Social network depth was measured by the frequency of contacts with friends, relatives and strangers. Depression and anxiety were measured using the Hospital Anxiety and Depression Scale (HADS). Multivariate logistic regression was used to examine the association between social network depth and mental health.

RESULTS

The analytical sample consisted of 993 respondents. The prevalence of depression (54.3%) and anxiety (64.4%) were extremely high. In multiple regression analysis, a lower depth of social network (contact with friends) was associated with higher levels of both depression and anxiety.

CONCLUSIONS

This study has shown that only one variety of social network--contact with friends--was important in terms of mental health outcomes in a population living in an area heavily affected by conflict. This suggests that the relation between social networks and mental health may be complex in that the effects of different forms of social network on mental health are not uniform and may depend on the way social networks are operationalised and the particular context in which the relationship is examined.

摘要

背景

调查科索沃米特罗维察冲突后城市中社交网络与心理健康之间的关系。

方法

采用三阶段分层抽样方法,在大米特罗维察地区招募了1239名16岁及以上的受访者。社交网络深度通过与朋友、亲戚和陌生人的接触频率来衡量。使用医院焦虑抑郁量表(HADS)测量抑郁和焦虑。采用多因素逻辑回归分析社交网络深度与心理健康之间的关联。

结果

分析样本包括993名受访者。抑郁(54.3%)和焦虑(64.4%)的患病率极高。在多元回归分析中,社交网络深度较低(与朋友的接触)与抑郁和焦虑水平较高相关。

结论

本研究表明,在生活在受冲突严重影响地区的人群中,仅一种社交网络形式——与朋友的接触——在心理健康结果方面具有重要意义。这表明社交网络与心理健康之间的关系可能很复杂,因为不同形式的社交网络对心理健康的影响并不一致,可能取决于社交网络的运作方式以及考察这种关系的特定背景。

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