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中国移民中潜在创伤性事件、抑郁、酒精使用及社会网络支持的患病率:一项在中国广州的流行病学研究

Prevalence of potentially traumatic events, depression, alcohol use, and social network supports among Chinese migrants: an epidemiological study in Guangzhou, China.

作者信息

Hall Brian J, Chen Wen, Wu Yan, Zhou Fangjing, Latkin Carl

机构信息

Department of Psychology, University of Macau, Taipa, Macau (SAR), People's Republic of China;

Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China; School of Public Health, Sun Yat-sen Center for Migrant Health Policy, Guangzhou, People's Republic of China.

出版信息

Eur J Psychotraumatol. 2014 Dec 9;5:26529. doi: 10.3402/ejpt.v5.26529. eCollection 2014.

Abstract

BACKGROUND

Addressing the health needs of Chinese migrants is a critical public health concern. Epidemiological studies are needed to establish the prevalence of potentially traumatic events (PTEs) and common mental disorders among Chinese migrants and identify protective community and social resources.

METHOD

Utilizing random household sampling, we are in the process of recruiting a representative sample of Chinese adults (N=1,000) in two districts home to a large number of internal migrants. Data are collected using face-to-face interviews and participant self-report methods. Chinese versions of the Life Events Checklist, Alcohol Use Disorders Identification Test, Patient Health Questionnaire and the Social Support Rating Scale measured exposure to PTEs, alcohol use disorder, depression, and social support networks.

RESULTS

Preliminary results indicate a high proportion (68%) of the sample was exposed directly or indirectly to at least one PTE. The most commonly reported events were transportation accidents (43%), natural disasters (39%), and physical assault (26%). A total of 17% of the sample reported drinking consistent with having an alcohol use disorder. Moderate or severe depression was reported by 9% of the sample. The majority (75%) reported having three or more people to rely on for support, and 41% reported active participation in civic groups. Despite these strengths, only half the sample reported having trust in their community.

CONCLUSION

Preliminary evidence from this population-level survey indicates high exposure to PTEs and a high potential burden of alcohol use disorders. The role of social networks will be explored as potentially useful for community-based intervention development.

摘要

背景

满足中国移民的健康需求是一个关键的公共卫生问题。需要开展流行病学研究,以确定中国移民中潜在创伤性事件(PTEs)和常见精神障碍的患病率,并确定具有保护作用的社区和社会资源。

方法

我们采用随机家庭抽样方法,正在两个有大量国内移民的地区招募1000名具有代表性的中国成年人样本。通过面对面访谈和参与者自我报告的方法收集数据。使用中文版的生活事件清单、酒精使用障碍识别测试、患者健康问卷和社会支持评定量表来衡量PTEs暴露情况、酒精使用障碍、抑郁和社会支持网络。

结果

初步结果表明,样本中有很大比例(68%)的人直接或间接暴露于至少一次PTEs。最常报告的事件是交通事故(43%)、自然灾害(39%)和身体攻击(26%)。共有17%的样本报告饮酒情况符合酒精使用障碍的标准。9%的样本报告有中度或重度抑郁。大多数人(75%)报告有三个或更多可以依靠获得支持的人,41%的人报告积极参与公民团体。尽管有这些优势,但只有一半的样本表示对其社区有信任。

结论

这项人群水平调查的初步证据表明,PTEs暴露率高,酒精使用障碍的潜在负担大。社会网络的作用将被探索,可能对基于社区的干预发展有用。

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