Liu Yatian, Di Hanling, Xu Yunqing, Yang Ziwei, Zhang Ye, Yuan Yuqi, Zhang Ning, Li Jiajun, Zhao Biao, Wang Yu, Niu Yujie, Tang Longmei
Department of Epidemiology and Health Statistics, School of Public Health, Hebei Medical University, Shijiazhuang, Hebei, China.
Shijiazhuang Center for Disease Control and Prevention, Shijiazhuang, Hebei, China.
Prim Health Care Res Dev. 2025 Jul 11;26:e55. doi: 10.1017/S1463423625100200.
This study investigated the factors influencing the mental health of rural doctors in Hebei Province, to provide a basis for improving the mental health of rural doctors and enhancing the level of primary health care.
The aim of this study was to understand the mental health of rural doctors in Hebei Province, identify the factors that influence it, and propose ways to improve their psychological status and the level of medical service of rural doctors.
Rural doctors from 11 cities in Hebei Province were randomly selected, and their basic characteristics and mental health status were surveyed via a structured questionnaire and the Symptom Checklist-90 (SCL-90). The differences between the SCL-90 scores of rural doctors in Hebei Province and the Chinese population norm, as well as the proportion of doctors with mental health problems, were compared. Logistic regression was used to analyse the factors that affect the mental health of rural doctors.
A total of 2593 valid questionnaires were received. The results of the study revealed several findings: the younger the rural doctors, the greater the incidence of mental health problems (OR = 0.792); female rural doctors were more likely to experience mental health issues than their male counterparts (OR = 0.789); rural doctors with disabilities and chronic diseases faced a significantly greater risk of mental health problems compared to healthy rural doctors (OR = 2.268); rural doctors with longer working hours have a greater incidence of mental health problems; and rural doctors with higher education backgrounds have a higher prevalence of somatization (OR = 1.203).
Rural doctors who are younger, male, have been in medical service longer, have a chronic illness or disability, and have a high degree of education are at greater risk of developing mental health problems. Attention should be given to the mental health of the rural doctor population to improve primary health care services.
本研究调查影响河北省乡村医生心理健康的因素，为改善乡村医生心理健康状况、提高基层医疗卫生服务水平提供依据。
本研究旨在了解河北省乡村医生的心理健康状况，识别影响其心理健康的因素，并提出改善乡村医生心理状态及医疗服务水平的方法。
随机抽取河北省11个市的乡村医生，通过结构化问卷和症状自评量表（SCL-90）对其基本特征和心理健康状况进行调查。比较河北省乡村医生SCL-90得分与全国常模的差异以及存在心理健康问题的医生比例。采用Logistic回归分析影响乡村医生心理健康的因素。
共收到有效问卷2593份。研究结果显示：乡村医生年龄越小，心理健康问题发生率越高（OR=0.792）；女性乡村医生比男性更易出现心理健康问题（OR=0.789）；患有残疾和慢性病的乡村医生相比健康乡村医生面临心理健康问题的风险显著更高（OR=2.268）；工作时间越长的乡村医生心理健康问题发生率越高；学历较高的乡村医生躯体化症状患病率较高（OR=1.203）。
年龄较小、男性、从事医疗服务时间较长、患有慢性病或残疾以及学历较高的乡村医生发生心理健康问题的风险更大。应关注乡村医生群体的心理健康，以改善基层医疗卫生服务。
