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西班牙 COVID-19 大流行期间心理困扰的相关健康因素。

Related Health Factors of Psychological Distress During the COVID-19 Pandemic in Spain.

机构信息

Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain.

Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil 092301, Ecuador.

出版信息

Int J Environ Res Public Health. 2020 Jun 2;17(11):3947. doi: 10.3390/ijerph17113947.

Abstract

Measures to prevent and contain the COVID-19 health crisis include population confinement, with the consequent isolation and interruption of their usual activities. The aim of the study is to analyse psychological distress during the COVID-19 pandemic. For this, a cross-sectional observational study with a sample of 4180 people over the age of 18 during quarantine was developed. Variables considered were sociodemographic variables, physical symptoms, health conditions, COVID-19 contact history and psychological adjustment. The data were collected through a self-developed questionnaire and the General Health Questionnaire (GHQ-12). Bivariate analyses were performed, including Chi-Squared test and Student's T-test. Predictive ability was calculated through logistic regression. Results obtained showed a high level of psychological distress (72.0%), with a higher percentage in women and people of lower middle age. Statistically significant differences were found in the variable working situation (χ² = 63.139, 0.001, V = 0.123) and living with children under the age of 16 (χ² = 7.393, = 0.007, V = 0.042). The predictive variables with the highest weight were sex (OR = 1.952, 95% IC = (1.667, 2.286)), presence of symptoms (OR = 1.130, 95% CI = (1.074, 1.190)), and having had close contact with an individual with confirmed COVID-19 (OR = 1.241, 95% CI = (1.026, 1.500)). These results could enrich prevention interventions in public health and, in particular, in mental health in similar pandemic situations.

摘要

预防和控制 COVID-19 健康危机的措施包括人口隔离,随之而来的是他们的日常活动的隔离和中断。本研究旨在分析 COVID-19 大流行期间的心理困扰。为此,开展了一项横断面观察性研究,样本为隔离期间的 4180 名 18 岁以上的人群。考虑的变量包括社会人口学变量、身体症状、健康状况、COVID-19 接触史和心理调整。数据通过自行设计的问卷和一般健康问卷(GHQ-12)收集。进行了双变量分析,包括卡方检验和学生 t 检验。通过逻辑回归计算预测能力。结果显示,心理困扰程度较高(72.0%),女性和年龄较低的中年人比例更高。在工作情况(χ² = 63.139, 0.001,V = 0.123)和与 16 岁以下儿童同住(χ² = 7.393, = 0.007,V = 0.042)变量方面存在统计学显著差异。具有最高权重的预测变量是性别(OR = 1.952,95%CI =(1.667,2.286))、存在症状(OR = 1.130,95%CI =(1.074,1.190))和与确诊 COVID-19 患者有过密切接触(OR = 1.241,95%CI =(1.026,1.500))。这些结果可以丰富公共卫生预防干预措施,特别是在类似大流行情况下的心理健康干预措施。

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