目的 分析1 035名中年人(45~59岁)抑郁、焦虑与压力的患病情况及其影响因素,为六安市防治工作提供依据。方法 依托于六安市慢性病危险因素调查项目,采用复杂抽样方法从六安市随机抽取2 942人,从中选择45~59岁的人群调查数据进行分析,共1 035人。采用抑郁-焦虑-压力量表(DASS-21)进行抑郁、焦虑与压力调查。结果 抑郁、焦虑和压力的总体患病率分别为8.99%、13.72%和9.76%。多因素logistic回归结果显示与男性相比,女性更容易患有抑郁(OR=2.314,95%CI:1.357~3.945)、焦虑(OR=2.544,95%CI:1.630~3.971)和压力(OR=2.552,95%CI:1.374~4.742)。患高血压是焦虑(OR=1.478,95%CI:1.021~2.141)和压力(OR=1.668,95%CI:1.087~2.560)的危险因素。与从不饮酒者相比,目前饮酒(OR=0.308,95%CI:0.117~0.810)是压力的保护因素;与家庭年人均收入<10 000元者相比,收入为10 000~20 000元是抑郁(OR=0.580,95%CI:0.352~0.955)的保护因素,>20 000元是抑郁(OR=0.437,95%CI:0.248~0.771)、焦虑(OR=0.395,95%CI:0.241~0.649)和压力(OR=0.297,95%CI:0.157~0.561)的保护因素。结论 1 035名中年人的抑郁、焦虑及压力的患病率均较高,六安市应针对女性、收入较低者、患有高血压者等重点人群进行防控。
Abstract
Objective To analyze the prevalence and influencing factors of depression,anxiety and stress among 1 035 middle-aged (45-59 years old) people,so as to provide the basis for prevention and control work in Lu'an City. Methods Based on Lu 'an chronic disease risk factors investigation project,the complex sampling method was used to randomly select 2 942 people from Lu'an City,from which 1 035 people aged 45-59 were selected for the current analysis.Depression,anxiety and stress were investigated by Depression-Anxiety-Stress Scale (DASS-21). Results The overall prevalence of depression,anxiety and stress were 8.99%,13.72% and 9.76%,respectively.The results of multivariate logistic regression showed that compared with male,female were more likely to suffer from depression (OR=2.314,95%CI:1.357-3.945),anxiety (OR=2.544,95%CI:1.630-3.971) and stress (OR=2.552,95%CI:1.374-4.742).Having hypertension was also a risk factor for anxiety (OR=1.478,95%CI:1.021-2.141) and stress (OR=1.668,95%CI:1.087-2.560),respectively.Compared with those who never drink alcohol,alcohol consumption (OR=0.308,95%CI:0.117-0.810) was a protective factor for stress.Compared with those with annual per capita household income less than 10 000 yuan,an income of 10 000 to 20 000 yuan was a protective factor for depression (OR=0.580,95%CI:0.352-0.955).While an income of more than 20 000 yuan was a protective factor for depression (OR=0.437,95%CI:0.248-0.771),anxiety (OR=0.395,95%CI:0.241-0.649) and stress (OR=0.297,95%CI:0.157-0.561). Conclusion Prevalence of depression,anxiety and stress among 1 035 middle-aged people is high.Prevention and control measures should be taken against key populations such as female,low-income groups and hypertensive patients in Lu 'an City.
关键词
抑郁 /
焦虑 /
压力 /
中年人群
Key words
Depression /
Anxiety /
Stress /
Middle-aged people
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参考文献
[1] Baxter AJ,Scott KM,Vos T,et al.Global prevalence of anxiety disorders:a systematic review and meta-regression [J].Psychol Med,2013,43(5):897-910.
[2] Fingerhut GV,Mizukami K,Yam D,et al.Social and physical factors related to depression in the older population of Siberia,Russia:a cross-sectional study [J].BMC Geriatr,2021,21(1):272.
[3] Ferrari AJ,Somerville AJ,Baxter AJ,et al .Global variation in the prevalence and incidence of major depressive disorder:a systematic review of the epidemiological literature [J].Psychol Med,2013,43(3):471-81.
[4] 孙俊俊,罗艳艳,张瑞芹.社区老年人抑郁、焦虑情绪状况及其与认知情绪调节策略的关系研究[J].中国全科医学,2019,22(31):3887-3892.
[5] 王浩,司明玉,苏小游,等.新型冠状病毒肺炎疫情初期中国大学生心理健康调查及相关因素分析:基于多中心的横断面调查[J].中国医学科学院学报,2022,44(1):30-39.
[6] 杨纯玉,刘伟健,陈贻华,等.新冠肺炎疫情常态化防控下社区居民心理健康状况及相关因素[J].四川精神卫生,2021,34(6):559-564.
[7] Zhou X,Bi B,Zheng L,et al.The prevalence and risk factors for depression symptoms in a rural Chinese sample population [J].PLos One,2014,9(6):e99692.
[8] 杨虎,曹承松,解少煜,等.低碳水化合物饮食与血脂异常关系的横断面研究[J].营养学报,2022,44(5):442-448.
[9] 文艺,吴大兴,吕雪靖,等.抑郁-焦虑-压力量表中文精简版信度及效度评价[J].中国公共卫生,2012,28(11):1436-1438.
[10] Antony MM,Bieling PJ,Cox BJ,et al.Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample [J].Psychol Assess,1998,10(2):176-181.
[11] 中华人民共和国国家卫生和计划生育委员会.WS/T 428-2013,成人体重判定[S].北京:中国标准出版社,2013.
[12] 张俊青,曹洪娟,李开春,等.六安市部分留守村民前糖尿病现状及影响因素分析[J].蚌埠医学院学报,2016,41(11):1496-1498+1501.
[13] Yu W,Singh SS,Calhoun S,et al .Generalized anxiety disorder in urban China:Prevalence,awareness,and disease burden [J].J Affect Disord,2018,234:89-96.
[14] 刘晓慧,曹寒,张晗,等.大气臭氧长期暴露对社区自然人群抑郁、焦虑和压力状况的影响[J].医学新知,2021,31(1):5-13.
[15] Labidi S,Mejri N,Lagha A,et al.Targeted Therapies in HER2-Overexpressing Metastatic Breast Cancer[J].Breast Care (Basel),2016,11(6):418-422.
[16] 颜凡辉,姜文锡.心理压力参与高血压病形成的机制及研究进展[J].中国循环杂志,2015,30(1):89-92.
基金
安徽医科大学(XJ201935, 2021xkjT007);六安市慢性病综合防治项目(2100401)
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