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湖北省农村居民抑郁、焦虑和失眠情况及其影响因素分析

杜冰雪,  张玲,  朱长才,  王雷,  李旦

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文章导航 > 中华疾病控制杂志  > 2024 >  28(7): 815-820
杜冰雪, 张玲, 朱长才, 王雷, 李旦. 湖北省农村居民抑郁、焦虑和失眠情况及其影响因素分析[J]. 中华疾病控制杂志, 2024, 28(7): 815-820. doi: 10.16462/j.cnki.zhjbkz.2024.07.011
引用本文: 杜冰雪, 张玲, 朱长才, 王雷, 李旦. 湖北省农村居民抑郁、焦虑和失眠情况及其影响因素分析[J]. 中华疾病控制杂志, 2024, 28(7): 815-820. doi: 10.16462/j.cnki.zhjbkz.2024.07.011
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DU Bingxue, ZHANG Ling, ZHU Changcai, WANG Lei, LI Dan. Study on the status and influence factors of depression, anxiety and insomnia among rural residents in Hubei Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(7): 815-820. doi: 10.16462/j.cnki.zhjbkz.2024.07.011
Citation: DU Bingxue, ZHANG Ling, ZHU Changcai, WANG Lei, LI Dan. Study on the status and influence factors of depression, anxiety and insomnia among rural residents in Hubei Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(7): 815-820. doi: 10.16462/j.cnki.zhjbkz.2024.07.011
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湖北省农村居民抑郁、焦虑和失眠情况及其影响因素分析

doi: 10.16462/j.cnki.zhjbkz.2024.07.011
  • 1.

    武汉科技大学公共卫生学院环境卫生与职业医学系，武汉 430065

  • 2.

    湖北省疾病预防控制中心，武汉 430079

基金项目: 

湖北省公共卫生领军人才项目 E Weitong 〔2021〕No.73

校企合作项目 Hubei Mental Health Center, DH1170075

职业危害识别与控制湖北省重点实验室开放基金 OHIC2023G07

中国肝炎防治基金——中国乙肝防控科研基金资助课题 YGFK20170057

详细信息
    通讯作者:

    李旦，E-mail: lidan2020@whu.edu.cn

  • 中图分类号: R18

Study on the status and influence factors of depression, anxiety and insomnia among rural residents in Hubei Province

  • 1.

    Department of Environmental Health and Occupational Medicine, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, China

  • 2.

    Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China

Funds: 

Public Health Leading Talents Project of Hubei Province E Weitong 〔2021〕No.73

School-enterprise Cooperation Project Hubei Mental Health Center, DH1170075

Hubei Provincial Key Laboratory for Identification and Control of Occupational Hazards OHIC2023G07

China Hepatitis Prevention and Control Foundation―China Hepatitis B Prevention and Control Research Foundation funded project YGFK20170057

More Information

    摘要
  • 摘要:   目的  了解湖北省农村居民的抑郁、焦虑和失眠情况及其影响因素，为采取针对性干预措施提供科学依据。  方法  2021年10月―2022年2月，采用多阶段随机抽样方法，应用患者健康问卷抑郁量表(patient health questionnaire-9, PHQ-9)、广泛性焦虑量表(generalized anxiety scale, GAD-7)和失眠严重指数量表(insomnia severity index, ISI)调查湖北省25个县(市、区)7 212名农村居民抑郁、焦虑和失眠的发生情况；采用多因素logistic回归分析模型分析，研究抑郁、焦虑和失眠情况的影响因素。  结果  湖北省农村居民的抑郁、焦虑和失眠的筛查阳性率分别为3.6%(95% CI: 3.1%~4.0%)、2.3%(95% CI: 2.0%~2.7%)、14.8%(95% CI: 14.0%~15.7%)。多因素logistic回归分析模型分析结果显示，患慢性病、健康状况不佳、居住非武汉市为湖北省农村居民抑郁和焦虑的共同危险因素，其中患慢性病对抑郁和焦虑的OR(95% CI)分别为2.8(2.0~4.0)和1.8(1.2~1.7)、健康状况不佳的OR(95% CI)分别为4.5(3.4~5.9)和4.5(3.2~6.3)、居住非武汉市的OR(95% CI)分别为3.1(2.1~4.7)和2.0(1.3~3.0)。患慢性病、健康状况不佳、女性和非已婚状态为失眠的危险因素，OR(95% CI)分别为2.4(2.0~2.8)、2.9(2.5~3.4)、1.5(1.3~1.7)、1.3(1.1~1.5)(均P＜0.05)。  结论  湖北省农村居民具有一定程度的抑郁、焦虑和失眠筛查阳性率；需重点加强对患慢性病、健康状况不佳、女性、非已婚状态等人群的心理干预，促进农村居民身心健康。
    Abstract:   Objective  To investigate the prevalence and influence factors of depression, anxiety, and insomnia among rural residents in Hubei Province, and to provide scientific basis for taking targeted intervention measures.  Methods  A cross-sectional study was conducted between October 2021 and February 2022 using multi-stage random sampling method. We used the patient health questionnaire (PHQ-9), generalized anxiety disorder scale (GAD-7), and insomnia severity index (ISI) to effectively screen 7 212 rural residents from 25 counties (cities) in Hubei Province for the prevalence of depression, anxiety, and insomnia. Multifactor logistic regression analysis model was used to analyze the factors associated with depression, anxiety, and insomnia.  Results  The screen-positive rates of depression, anxiety and insomnia were 3.6% (95% CI: 3.1%-4.0%), 2.3% (95% CI: 2.0%-2.7%) and 14.8% (95% CI: 14.0%-15.7%), respectively. Multivariate logistic regression analysis model showed that chronic disease, poor health and living outside Wuhan were common risk factors for depression and anxiety among rural residents in Hubei Province. The OR (95% CI) of chronic diseases for depression and anxiety were 2.8 (2.0-4.0) and 1.8 (1.2-1.7), respectively; the OR (95% CI) of poor health was 4.5 (3.4-5.9) and 4.5 (3.2-6.3), respectively; the OR (95% CI) of people living outside Wuhan was 3.1 (2.1-4.7) and 2.0 (1.3-3.0), respectively. Chronic illness, poor health, female and non-married status were identified as risk factors for insomnia, with an OR (95% CI) of 2.4 (2.0-2.8), 2.9 (2.5-3.4), 1.5 (1.3-1.7), and 1.3 (1.1-1.5), respectively.  Conclusions  Rural residents in Hubei Province have a certain degree of depression, anxiety, and insomnia. Psychological interventions aimed at individuals with chronic diseases, poor health status, female gender, and unmarried status need to be strengthened to promote the physical and mental health of rural residents.
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  • 表  1  不同特征人群抑郁、焦虑和失眠情况及差异的单因素logistic回归分析

    Table  1.   Basic situation and univariate logistic regression analysis of differences in depression, anxiety and insomnia among different populations

    因素Factor 人数
    Number of
    people    		 抑郁Depression 焦虑Anxiety 失眠Insomnia
    是
    Yes    		 否
    No    		 OR值value
    (95% CI)    		 是
    Yes    		 否
    No    		 OR值value
    (95% CI)    		 是
    Yes    		 否
    No    		 OR值value
    (95% CI)
    性别Gender
      女性Female 4 072 145 3 927 1.0 (0.7~1.4) 100 3 972 1.0 (0.7~1.5) 711 3 361 1.6(1.4~2.0)
      男性Male 3 140 112 3 028 1.0 67 3 073 1.0 359 2 781 1.0
    年龄组/岁Age group/years
      ≥65 2 913 135 2 778 1.2 (0.9~1.5) 88 2 825 1.1 (0.8~1.6) 542 2 371 1.1 (1.0~1.3)
      40~＜65 3 624 112 3 512 0.9 (0.4~2.0) 73 3 551 0.9 (0.4~2.2) 498 3 126 0.6 (0.4~1.0)
      18~＜40 675 10 665 1.0 6 669 1.0 30 645 1.0
    婚姻状况Marital status
      非已婚Non-married 1 424 76 1 348 1.2(0.9~1.6) 40 1 384 0.9 (0.6~1.3) 278 1 146 1.2 (1.0~1.4)
      已婚Married 5 788 181 5 607 1.0 127 5 661 1.0 792 4 996 1.0
    受教育程度Education level
      高中及以上High school and above 2 674 61 2 613 1.2 (0.9~1.7) 36 2 638 1.5 (1.0~2.2) 283 2 391 1.1 (0.9~1.3)
      初中及以下Junior high school and below 4 538 196 4 342 1.0 131 4 407 787 3 751 1.0
    患慢性病情况Chronic disease status
      是Yes 3 375 46 3 329 2.7(1.9~3.8) 40 3 335 1.7 (1.1~2.5) 257 3 118 2.2 (1.9~2.6)
      否No 3 837 211 3 626 1.0 127 3 710 1.0 813 3 024
    健康状况自评Self-assessment of health status
      不佳Poor 924 115 809 4.0(3.0~5.4) 72 852 4.2 (2.9~6.1) 332 592 2.7 (2.3~3.3)
      良好及以上Good or above 6 288 142 6 146 1.0 95 6 193 1.0 738 5 550 1.0
    不同居住地区Different residential areas
      非武汉Non-Wuhan 5 588 230 5 358 2.7(1.7~4.2) 142 5 446 1.87 (1.1~3.1) 730 4 858 0.6 (0.5~0.7)
      武汉Wuhan 1 624 24 1 600 1.0 25 1 599 1.0 340 1 284 1.0
    居住地类型Type of residence
      农村Village 6 901 252 6 649 1.4 (0.5~3.4) 164 6 737 1.7(0.5~2.5) 1 021 5 880 1.1(0.8~1.6)
      城市City 311 5 306 1.0 3 308 1.0 49 262 1.0
    人均月收入/元Monthly income percapita/yuan
      ≥5 000 503 71 432 0.8(0.5~1.5) 39 464 0.9 (0.4~1.8) 159 344 0.7 (0.5~1.0)
      3 000~＜5 000 1 633 56 1 577 0.9 (0.5~1.8) 36 1 597 1.1 (0.5~2.4) 215 1 418 0.9 (0.6~1.2)
      1 500~＜3 000 1 595 33 1 562 0.9 (0.6~1.4) 18 1 577 1.2 (0.7~2.0) 154 1 441 0.9 (0.7~1.3)
      0~＜1 500 3 481 97 3 384 1.0 74 3 407 1.0 542 2 939 1.0
    吸烟Smorking
      是Yes 5 706 204 5 502 1.0 (0.7~1.5) 142 5 564 0.6 (0.4~1.7) 875 4 831 1.1 (0.9~1.4)
      否No 1 506 53 1 453 1.0 25 1 481 1.0 195 1 311 1.0
    饮酒Drinking
      是Yes 6 172 218 5 954 0.8 (0.6~1.3) 145 6 027 0.8 (0.5~1.4) 947 5 225 0.8 (0.6~1.0)
      否Yes 1 040 39 1 001 1.0 22 1 018 1.0 123 917 1.0
    下载: 导出CSV

    表  2  影响农村居民抑郁、焦虑和失眠的多因素logistic回归分析

    Table  2.   Multivariate logistic regression analysis of factors affecting depression, anxiety and insomnia in rural residents

    因变量
    Dependent variable    		 自变量
    Independentv ariable    		 回归系数
    Regression coefficient    		 标准误
    Standard error    		 P值
    value    		 OR值value
    (95% CI)
    抑郁Depression 患慢性病情况Chronic disease status 1.0 0.2 ＜0.001 2.8(2.0~4.0)
    健康状况自评Self-assessment of health status 1.5 0.1 ＜0.001 4.5(3.4~5.9)
    不同居住地区Different residential areas 1.1 0.2 ＜0.001 3.1(2.1~4.7)
    焦虑Anxiety 患慢性病情况Chronic disease status 0.6 0.2 0.002 1.8(1.2~2.7)
    健康状况自评Self-assessment of health status 1.5 0.2 ＜0.001 4.5(3.2~6.3)
    不同居住地区Different residential areas 0.7 0.2 0.002 2.0(1.3~3.0)
    注：因变量赋值, 抑郁、焦虑和失眠(0=否；1=是)；自变量赋值, 性别(1=男；2=女)；婚姻状况(1=已婚；2=非已婚状态)；患慢病情况(1=不患有；2=患有)；健康状况评价(1=良好及以上；2=不佳)；不同居住地区(1=武汉市；2=非武汉市)；其中1为参照组。
    Note: Dependent variable assignment, depression, anxiety and insomnia (0=no; 1=yes); Independent variable assignment, gender (1=male; 2=female); Marital status (1=married; 2=non-married status); Chronic disease status (1=no disease; 2=suffering from); Health status assessment (1=good or above; 2=poor); Different residential areas (1=Wuhan area; 2=non-Wuhan area); 1 is the reference group.
    下载: 导出CSV
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  • 收稿日期:  2023-10-17
  • 修回日期:  2024-04-17
  • 网络出版日期:  2024-08-19
  • 刊出日期:  2024-07-10

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