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工作压力、家庭压力与自杀意念:一项在中国深圳的职业女性的横断面调查。

Work stress, family stress, and suicide ideation: A cross-sectional survey among working women in Shenzhen, China.

机构信息

Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, China.

Department of Women Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, China.

出版信息

J Affect Disord. 2020 Dec 1;277:747-754. doi: 10.1016/j.jad.2020.08.081. Epub 2020 Sep 1.

Abstract

BACKGROUND

This study aimed to explore the associations of work characteristics, work stress, and family stress with suicide ideation among working women, further to detect potential joint effects between different types of stress.

METHODS

From March to June in 2015, a cross-sectional survey on working women were conducted in Shenzhen, China. Demographic and work characteristics, work stress, family stress, and suicide ideation were collected. Multivariate logistic regression models were applied to assess possible associations by calculating the odds ratios (OR) and 95% confident intervals (CI).

RESULTS

Totally 968 working women were included with a mean age of 31.62 (standard deviation: 7.43) years. The prevalence of suicide ideation was 19.4%. We found that night shift work, sickness absence, work stress, and family stress were positively associated with suicide ideation, after adjusting for age, education level, marital status, and occupation type. None joint effect on multiplicative or additive scale of work stress and family stress on suicide ideation was found (P for multiplicative and additive interaction: 0.736 and 0.595, respectively), however, women with both high work stress and high family stress appeared more than five-time odds of suicide ideation (OR: 5.253, 95%CI: 2.982∼9.252).

LIMITATIONS

We did not collect information on other psychosocial profiles and failed to explore potential mediated effects within current associations.

CONCLUSIONS

This study lends support to suicide prevention that immediate relief allocated to working women with both high level of work stress and family stress is warranted of necessity.

摘要

背景

本研究旨在探讨工作特征、工作压力和家庭压力与职业女性自杀意念的关系,进一步检测不同类型压力之间的潜在联合效应。

方法

2015 年 3 月至 6 月,采用横断面调查方法在中国深圳对职业女性进行调查。收集人口统计学和工作特征、工作压力、家庭压力和自杀意念等资料。采用多变量 logistic 回归模型,通过计算比值比(OR)及其 95%置信区间(CI)来评估可能的关联。

结果

共纳入 968 名职业女性,平均年龄为 31.62(标准差:7.43)岁。自杀意念的发生率为 19.4%。校正年龄、教育程度、婚姻状况和职业类型后,我们发现夜班工作、病假、工作压力和家庭压力与自杀意念呈正相关。未发现工作压力和家庭压力在乘法或加法尺度上对自杀意念有联合效应(乘法和加法交互作用的 P 值分别为 0.736 和 0.595),然而,同时面临高工作压力和高家庭压力的女性自杀意念的可能性增加了五倍以上(OR:5.253,95%CI:2.982∼9.252)。

局限性

我们未收集其他社会心理特征的信息,也未能在当前关联中探讨潜在的中介效应。

结论

本研究支持对职业女性进行自杀预防,需要立即为同时面临高工作压力和家庭压力的女性提供缓解压力的支持。

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