摘要
目的 探讨贵阳市大学生心理健康现状及影响因素。方法 采用多阶段分层整群抽样的方法选取贵阳市5所大学在校本科生,以班级为单位开展面对面问卷调查,通过症状自评量表(SCL-90)对学生的心理健康水平进行评定;对不同特征大学生SCL-90症状检出率采用χ2检验进行比较,多因素分析运用二分类logistic回归进行。结果 3 839名调查对象中,心理症状阳性检出者为1 707人,检出率为44.5%(95%CI为0.429~0.460);SCL-90总分超过160分的人数为823人、检出率为21.4%(95%CI为0.201~0.227),各因子得分≥2分的检出率介于10.2%~39.2%,排在前3位的分别是强迫症状(39.2%)、人际关系敏感(24.3%)和抑郁(20.2%);不同年级、专业、家庭形态、独生子女、留守经历、贫困生、吸烟和饮酒状况的大学生心理症状阳性检出率比较,差异均具有统计学意义(P <0.05);logistic回归分析结果提示,非医学生(OR=1.862,95%CI为1.545~2.243)、重组家庭(OR=1.953,95%CI为1.301~2.932)、留守经历(OR=1.191,95%CI为1.008~1.408)、贫困生(OR=1.307,95%CI为1.089~1.569)及吸烟(OR=1.251,95%CI为1.054~1.485)与贵阳市大学生心理健康状况有关。结论 贵阳市大学生心理健康水平值得关注,强迫症状、人际关系敏感、抑郁是主要心理问题,非医学生、贫困生、重组家庭、留守经历及吸烟行为是影响贵阳市大学生心理健康状况的主要因素。
Objective To investigate the mental health status and its influencing factors of university students in Guiyang.Methods Multistage stratified cluster sampling was applied to select undergraduates from 5 universities in Guiyang.A face-to-face questionnaire survey was conducted on a class level basis.Mental health status was assessed by Symptom Checklist-90(SCL-90).The detection rates of SCL-90 were compared among university students with different characteristics usingχ2 test.Binary logistic regression analysis was performed to analyze influencing factors of mental health.Results Among the 3839 surveyed undergraduates,1707 undergraduates were positive for psychological symptoms with a detection rate of 44.5%(95%CI was 0.429-0.460).There were 823 participants with SCL-90 scores>160(the detection rate 21.4%,95%CI was 0.201-0.227).The detection rate of each factor score≥2 points ranged from 10.2%to 39.2%.The top three factors were obsessive-compulsive disorder(39.2%),interpersonal sensitivity(24.3%)and depression(20.2%).The differences in the detection rates of positive psychological symptoms of university students were statistically significant between different grades,between different majors,between different family forms,between non-only child and only child,between university students with left-behind experience and without left-behind experience,between non-impoverished and impoverished students,between smoking and non-smoking as well as between drinking and non-drinking(P<0.05).Logistic regression analysis showed that non-medical school students(OR=1.862,95%CI was 1.545-2.243),blended families(OR=1.953,95%CI was 1.301-2.932),left-behind experiences(OR=1.191,95%CI was 1.008-1.408),impoverished students(OR=1.307,95%CI was 1.089-1.569)and smoking(OR=1.251,95%CI was 1.054-1.485)were associated with the mental health status of university students in Guiyang.Conclusion Attention should be paid to the mental health status among university students in Guiyang.Obsessive-compulsive disorder,interpersonal sensitivity
作者
刘丽
刘海燕
罗溪
周训琼
李秋硕
李頔
严征
LIU Li;LIU Haiyan;LUO Xi;ZHOU Xunqiong;LI Qiushuo;LI Di;YAN Zheng(School of Public Health,Guizhou Medical University,Guiyang 550025,Guizhou,China)
出处
《贵州医科大学学报》
CAS
2023年第4期410-415,共6页
Journal of Guizhou Medical University
基金
2021年贵州省教育厅高校人文社会科学研究基地项目(2021JD041)
2021年贵州省教育科学规划重点课题(2021A042)。
关键词
大学生
心理健康
症状自评量表
影响因素
贵阳市
university students
mental health
symptom checklist-90(SCL-90)
influencing factors
Guiyang city
