摘要
背景我国中青年楼宇人群的亚健康检出率逐年增加,其中心理健康问题的占比呈上升趋势。上海市于2018年6月率先试点基于“楼宇健康驿站”的家庭医生签约服务模式,但针对中青年楼宇人群心理健康方面的关注不足。目的了解上海市中青年楼宇人群焦虑程度,并分析其影响因素。方法于2019年12月至2020年12月,在上海市虹口区、浦东新区、静安区采用典型抽样法抽取楼宇,采用整群随机抽样法在选中楼宇内抽取中青年人群(18~59岁)开展问卷调查,本研究以焦虑自评量表(SAS)回答完整的2198例受试者为研究对象。以SAS得分评价受试者的焦虑程度,采用多元线性回归分析社会人口学和经济学特征、健康及生活方式情况对受试者SAS得分的影响。结果2198例中青年中,没有焦虑1328例(60.42%),轻度焦虑409例(18.61%),中度焦虑274例(12.46%),重度焦虑187例(8.51%)。多元线性回归分析结果显示,户籍、受教育程度、自评社会阶层、自评健康状况、体检频率、疲劳程度、患慢性病情况、规律用药情况是中青年楼宇人群SAS得分的影响因素(P<0.05)。结论上海市中青年楼宇人群的焦虑水平相对较高,焦虑程度受人群特征的影响。在为中青年楼宇人群提供家庭医生签约服务时,应加强对其心理健康状况的关注,根据其实际情况为其提供针对性的干预措施。
Background The prevalence of sub-health problems is increasing in young and middle-aged office building occupants,in which the percentage of mental health problems is on the rise.Shanghai took the lead in delivering family doctor services via the health station set in an office building in June 2018,but mental health in young and middle-aged people has not yet been insufficiently covered by the services.Objective To assess the prevalence of anxiety and influencing factors in young and middle-aged office building occupants in Shanghai.Methods A questionnaire survey for estimating anxiety prevalence was carried out in typically sampled office buildings from Hongkou District,Pudong New District and Jing'an District of Shanghai during December 2019 to December 2020.Cluster random sampling was used to sample young and middle-aged occupants(18-59 years old)in the buildings,and 2198 cases of them who completed the survey were included as the participants for analysis.Anxiety was diagnosed by the score of the Zung's Self-Rating Anxiety Scale.Multiple linear regression was used to estimate the association of anxiety prevalence with socio-demographic and economic characteristics,and health status as well as lifestyle.Results Among the participants,the prevalence of no anxiety,mild,moderate and severe anxiety was 60.42%(1328/2198),18.61%(409/2198),12.46%(274/2198),and 8.51%(187/2198),respectively.Multiple linear regression analysis found that registered place of household(Shanghai or not),education level,self-rated social class,self-rated health,frequency of physical examination,level of fatigue,chronic disease prevalence and regular medication were associated with anxiety prevalence(P<0.05).Conclusion The prevalence of anxiety was high in this group of population,which may be associated with the population characteristics.In view of this,mental health should be valued during the delivery of family doctor services for these people,and targeted interventions can be provided according to personal anxiety status when necessary
作者
潘文雷
徐永清
吕晓
徐健
姚岗
邵洁
刘蕊
李欣
石建伟
黄蛟灵
PAN Wenlei;XU Yongqing;LYU Xiao;XU Jian;YAO Gang;SHAO Jie;LIU Rui;LI Xin;SHI Jianwei;HUAGN Jiaoling(High-tech Zone Community Health Center,Taicang 215400,China;The First People's Hospital of Taicang City,Taicang 215400,China;Shaxi Town Zhitang Health Center,Taicang 215400,China;Chengxiang Community Health Center,Taicang 215400,China;Pudong New District Weifang Community Health Center,Shanghai 200122,China;Tenth People's Hospital of Tongji University,Shanghai 200072,China;Department of Rehabilitation,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;School of Public Health,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)
出处
《中国全科医学》
CAS
北大核心
2022年第22期2790-2795,共6页
Chinese General Practice
基金
国家自然科学基金资助项目(71904145)
上海市科技创新行动计划软科学重点项目(21692190200,22692192300)
上海市交通大学医学院科技创新项目-人文社科类(WK2102)
上海市交通大学中国医院发展研究院2022年度医院管理建设项目(CHDI-2022-B-31)
上海市交通大学新进教师启动计划(19X100040062)。
关键词
家庭医生签约服务
中青年楼宇人群
焦虑
影响因素分析
上海
Contracted family doctor services
Young and middle-aged office building occupants
Anxiety
Root cause analysis
Shanghai
