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农民工常见心理健康问题的患病率:一项系统评价与荟萃分析。

Prevalence of common mental health issues among migrant workers: A systematic review and meta-analysis.

作者信息

Hasan Siti Idayu, Yee Anne, Rinaldi Ariyani, Azham Adlina Aisya, Mohd Hairi Farizah, Amer Nordin Amer Siddiq

机构信息

Nicotine Addiction Research Group, Wisma R & D Universiti Malaya, University of Malaya Centre of Addiction Sciences, Kuala Lumpur, Malaysia.

Universiti Malaya Centre for Community & Sustainability, University of Malaya, Kuala Lumpur, Malaysia.

出版信息

PLoS One. 2021 Dec 2;16(12):e0260221. doi: 10.1371/journal.pone.0260221. eCollection 2021.

Abstract

Previous literature has shown that migrant workers manifested higher common mental issues (especially depressive symptom) compared to local workers due to stressors such as financial constraint and lack of access to healthcare. The aim of this systematic review and meta-analysis is to summarize the current body of evidence for the prevalence of depression and anxiety among migrant workers as well as exploring the risk factors and the availability of social support for migrant workers. Seven electronic databases, grey literature and Google Scholar were searched for studies from 2015 to 2021 related to mental health, social support and migrant workers. Study quality was assessed using the Newcastle Ottawa Scale and the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). Study heterogeneity was evaluated using I2 statistics. Random effects meta-analysis results were presented given heterogeneity among studies. The search returned 27 articles and only seven studies were included in meta-analysis, involving 44 365 migrant workers in 17 different countries. The overall prevalence of depression and anxiety among migrant workers was 38.99% (95% CI = 0.27, 0.51) and 27.31% (95% CI = 0.06, 0.58), respectively. Factors such as age, biological (health issue, family history of psychiatric disorder), individual (poor coping skills), occupational (workplace psychosocial stressors, poor working condition, salary and benefits issue, abuse), environmental (limited access towards healthcare, duration of residence, living condition) and social factor (limited social support) were associated with a mental health outcome in migrant workers. The availability of social support for migrant workers was mainly concentrated in emotional type of support. A high prevalence of depression and anxiety was found among migrant workers across the globe. This finding warrants a collective effort by different parties in providing assistance for migrant workers to promote their mental well-being.

摘要

以往文献表明,由于经济拮据和难以获得医疗保健等压力源,与本地工人相比,农民工表现出更高的常见心理问题(尤其是抑郁症状)。本系统评价和荟萃分析的目的是总结当前关于农民工抑郁和焦虑患病率的证据,并探讨农民工的风险因素和社会支持的可获得性。检索了七个电子数据库、灰色文献和谷歌学术,以查找2015年至2021年期间与心理健康、社会支持和农民工相关的研究。使用纽卡斯尔渥太华量表和乔安娜·布里格斯研究所定性评估与评审工具(JBI-QARI)评估研究质量。使用I²统计量评估研究异质性。鉴于研究之间存在异质性,给出了随机效应荟萃分析结果。检索返回27篇文章,只有七项研究纳入荟萃分析,涉及17个不同国家的44365名农民工。农民工抑郁和焦虑的总体患病率分别为38.99%(95%CI = 0.27,0.51)和27.31%(95%CI = 0.06,0.58)。年龄、生物学因素(健康问题、精神疾病家族史)、个人因素(应对技能差)、职业因素(工作场所心理社会压力源、工作条件差、薪资福利问题、虐待)、环境因素(获得医疗保健的机会有限、居住时间、生活条件)和社会因素(社会支持有限)等因素与农民工的心理健康结果相关。农民工社会支持的可获得性主要集中在情感支持类型。全球农民工中抑郁和焦虑的患病率较高。这一发现需要不同方面共同努力为农民工提供援助,以促进他们的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f28e/8638981/550140b6f510/pone.0260221.g001.jpg

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