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中国农村精神分裂症患者中家庭成员外出务工家庭的特征及相关因素

Characteristics of Families with Members Going Out for Work and Associated Factors among Persons with Schizophrenia in Rural China.

作者信息

Cai Jia, Liu Yu-Jun, Meng Xian-Dong, Huang Yi, Liu Bo, Ran Mao-Sheng

机构信息

Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China.

Department of Social Work and Social Policy, Nanjing University, Nanjing 210023, China.

出版信息

Brain Sci. 2022 Nov 9;12(11):1518. doi: 10.3390/brainsci12111518.

Abstract

BACKGROUND

The characteristics associated with having family members going out for work among persons with schizophrenia in rural China are unknown. This study aimed to explore the characteristics of families with members going out for work and the risk factors among persons with schizophrenia in a rural area of China.

METHODS

This study employed a cross-sectional dataset from a mental health survey, using the International Classification of Disease, Tenth Revision (ICD-10), conducted among 152,776 people aged 15 years and older in Xinjin District, Chengdu, China, in 2015.

RESULTS

A total of 598 persons with schizophrenia were included in this study, and 20.4% ( = 122) of them had at least one family member who went out for work. Compared with those without family going out for work, participants with family going out for work had significantly larger numbers of family members, higher monthly incomes and lower percentages of social low-income insurance. Participants with family going out for work were more likely to be females, married and with higher levels of subjective and instrumental support. The statuses of families with members going out for work were significantly associated with larger numbers of family members and higher levels of instrumental support.

CONCLUSIONS

Our findings indicate specific characteristics of families with members going out for work and factors associated with having family going out for work among persons with schizophrenia (number of family members and instrumental support). Culture-specific mental health policies and community-based services should be developed for persons with schizophrenia who have family going out for work in rural China.

摘要

背景

中国农村精神分裂症患者中家庭成员外出务工的相关特征尚不清楚。本研究旨在探讨中国农村地区有家庭成员外出务工家庭的特征以及精神分裂症患者的危险因素。

方法

本研究采用了一项心理健康调查的横断面数据集,该调查于2015年在中国成都新津区对15岁及以上的152,776人进行,使用国际疾病分类第十版(ICD - 10)。

结果

本研究共纳入598例精神分裂症患者,其中20.4%(n = 122)至少有一名家庭成员外出务工。与没有家庭成员外出务工的患者相比,有家庭成员外出务工的参与者家庭成员数量显著更多,月收入更高,社会低收入保险比例更低。有家庭成员外出务工的参与者更可能为女性、已婚,且主观支持和工具性支持水平更高。有家庭成员外出务工的家庭状况与家庭成员数量更多和工具性支持水平更高显著相关。

结论

我们的研究结果表明了有家庭成员外出务工家庭的具体特征以及精神分裂症患者中有家庭成员外出务工的相关因素(家庭成员数量和工具性支持)。应为中国农村有家庭成员外出务工的精神分裂症患者制定针对特定文化的心理健康政策和基于社区的服务。

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本文引用的文献

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Schizophrenia.精神分裂症。
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