李俊, 王文静, 徐涵文, 彭洁丽, 冯怡, 阮春风. 上海市村居公共卫生应急联防联控人员焦虑、抑郁现况及影响因素分析[J]. 职业卫生与应急救援, 2022, 40(5): 554-559. DOI: 10.16369/j.oher.issn.1007-1326.2022.05.009
引用本文: 李俊, 王文静, 徐涵文, 彭洁丽, 冯怡, 阮春风. 上海市村居公共卫生应急联防联控人员焦虑、抑郁现况及影响因素分析[J]. 职业卫生与应急救援, 2022, 40(5): 554-559. DOI: 10.16369/j.oher.issn.1007-1326.2022.05.009
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LI Jun, WANG Wenjing, XU Hanwen, PENG Jieli, FENG Yi, RUAN Chunfeng. Anxiety, depression and influencing factors of workers engaged in public health emergency prevention and control in villages of a town in Shanghai[J]. Occupational Health and Emergency Rescue, 2022, 40(5): 554-559. DOI: 10.16369/j.oher.issn.1007-1326.2022.05.009
Citation: LI Jun, WANG Wenjing, XU Hanwen, PENG Jieli, FENG Yi, RUAN Chunfeng. Anxiety, depression and influencing factors of workers engaged in public health emergency prevention and control in villages of a town in Shanghai[J]. Occupational Health and Emergency Rescue, 2022, 40(5): 554-559. DOI: 10.16369/j.oher.issn.1007-1326.2022.05.009
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上海市村居公共卫生应急联防联控人员焦虑、抑郁现况及影响因素分析

Anxiety, depression and influencing factors of workers engaged in public health emergency prevention and control in villages of a town in Shanghai

    摘要
  • 摘要:
      目的  了解疫情期间基层村居公共卫生应急联防联控人员焦虑、抑郁现状及其影响因素，为完善基层村居公共卫生联防联控人员的心理服务体系提供依据。
      方法  采用随机整群抽样法抽取上海市某镇19个村居委开展调查。使用广泛性焦虑量表(GAD-7)和抑郁症状群量表(PHQ-9)对研究对象开展调查，并对结果进行多因素非条件logistic回归分析。
      结果  421名村居公共卫生应急联防联控人员参加了调查，其中村居人员、警务人员、医务人员分别占42.76%、25.65%和31.59%。村居公共卫生应急联防联控人员焦虑发生率为60.6%，抑郁发生率为61.8%，均以轻度为主；合并焦虑、抑郁阳性率为56.3%。logistic回归分析结果显示：村居人员发生焦虑、抑郁，以及合并焦虑、抑郁的风险分别是医务人员的0.371、0.424、0.486倍(P均 < 0.05)；生活压力较小的调查对象发生焦虑、抑郁，以及合并焦虑、抑郁症状的风险分别是生活压力较大的调查对象的0.218、0.286、0.301倍(P均 < 0.05)；工作压力较小的调查对象发生抑郁、合并焦虑、抑郁症状的风险分别是工作压力较大的0.286、0.194倍(P均 < 0.05)；主观健康评价良好的调查对象发生合并焦虑、抑郁症状的风险是主观健康评价较差的0.219倍(P < 0.05)。
      结论  上海市某镇村居公共卫生应急联防联控人员存在一定的焦虑、抑郁症状，但症状较轻微。应在村居建立相应的心理服务体系，提供必要的心理保健服务。

     

    Abstract:
      Objective  To understand the current situation and influencing factors of anxiety and depression of workers engaged in public health emergency prevention and control in grass-roots village of a town in Shanghai, and to provide basis for providing the psychological service system for them.
      Methods  A random cluster sampling method was used to investigate workers engaged in public health emergency prevention and control in 19 village neighborhood committees of a town in Shanghai. The subjects were surveyed with generalized anxiety scale (GAD-7) and depression symptom group scale (PHQ-9). The data were analyzed by multivariate non-conditional logistic regression.
      Results  Totally 421 subjects were studied and among them village residents, police officers and medical personnel account for 42.76%, 25.65% and 31.59% respectively. The positive rate of anxiety of these subjects was 60.6%, and the positive rate of depression was 61.8%, which were mainly mild; The positive rate of anxiety and depression was 56.3%. Logistic regression analysis showed that the risk of anxiety, depression, and combined anxiety and depression of village residents were 0.371, 0.424 and 0.486 times higher than that of medical personnel, respectively (P < 0.05);the risk of anxiety, depression, and combined anxiety and depression symptoms of the respondents with low life pressure were 0.218, 0.286, and 0.301 times higher than those with high life pressure, respectively(P < 0.05);the risk of depression, combined anxiety and depressive symptoms was 0.286 times and 0.194 times higher in the subjects with less work pressure (all P < 0.05);the risk of anxiety and depression was 0.219 times higher in subjects with good subjective health evaluation than in subjects with poor subjective health evaluation(P < 0.05).
      Conclusions  The workers engaged in public health emergency prevention and control in villages of a town in Shanghai had some anxiety and depression symptoms, but the symptoms were mild. Corresponding psychological service system should be established in the village to provide necessary psychological health care services.

     

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