College of Geography and Environmental Sciences, Hainan Normal University, Haikou 571158, China.
Institute of Applied Ecology, Chinese Academy of Sciences, Shenyang 110016, China.
Int J Environ Res Public Health. 2021 Nov 15;18(22):11995. doi: 10.3390/ijerph182211995.
A scientific understanding of the impact of COVID-19 on the psychological status of residents is important for improving medical services and responding to public health emergencies. With the help of some of the most popular network communication tools (including Wechat and Weiboand QQ), online questionnaires were completed by South China citizens during the early stage of the COVID-19 pandemic based on psychological stress theory and using a comprehensive sampling method. Through cooperation with experts from other institutions, the content of the questionnaire was designed to include interviewees' spatial locations and individual information, identify whether negative emotions were generated, and determine the level of psychological stress and the degree of perception change, etc. According to the data type, mathematical statistics and multiple logistic regression methods were used to examine regional differentiation and influencing factors regarding the psychological stress of residents using 1668 valid questionnaires from 53 municipal administrative units in South China. The results firstly showed that over the whole area there was typical regional differentiation in South China, especially in relation to negative expression and psychological stress, with this feature reflecting the dual urban-rural structure. Secondly, regional differences were obvious. Residents of Hainan showed stronger change of psychological stress than those of the other two provinces. In contrast, Guangdong residents were the least psychological stress, and the concept of a harmonious relationship between human beings and nature was not accepted as well as in the other two provinces. Thirdly, in each province the capital city acted as the regional pole, with greater psychological status. This polarization effect decreased with greater distance, reflecting the theory of growth poles in human geography. Fourthly, gender, education level, occupation, informational correction, and the possibility of infection were notable factors that affected the psychological status of interviewees facing COVID-19. However, the functions were different and were decided by the dependent variable. Lastly, based on conclusions summarized from three perspectives, it was found that regional differentiation, public information, and social structure need to focused upon in order to handle sudden major health issues.
科学认识 COVID-19 对居民心理状态的影响，对于改善医疗服务、应对突发公共卫生事件具有重要意义。本研究基于心理应激理论，采用综合抽样方法，利用微信、微博、QQ 等最受欢迎的网络通信工具，在华南地区疫情初期，由华南地区居民在线完成问卷。通过与其他机构专家合作，设计问卷内容，包括受访者的空间位置和个人信息，确定是否产生负性情绪，判断心理应激水平和感知变化程度等。根据数据类型，采用数理统计和多因素逻辑回归方法，使用 1668 份来自华南地区 53 个市级行政单位的有效问卷，对居民心理应激的区域性差异及其影响因素进行分析。结果表明：①华南地区整体上存在典型的区域分化特征，尤其是在负性表达和心理应激方面，这种特征反映了城乡二元结构。②区域差异明显，海南居民的心理应激变化程度强于广东和广西，而广东居民的心理应激程度最低，人与自然和谐共生的观念接受程度也低于广西和海南。③在每个省份中，省会城市都作为区域极点，具有更大的心理地位。这种极化效应随着距离的增加而减弱，反映了人类地理学中的增长极理论。④性别、受教育程度、职业、信息修正和感染可能性是影响受访者 COVID-19 心理状态的显著因素，但功能因因变量而异。⑤最后，基于三个角度的结论，发现区域分化、公共信息和社会结构需要在处理突发重大卫生事件时加以关注。
