农转非居民社会资本对抑郁症状的影响研究
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摘要
目的了解社会资本对农转非居民抑郁症状的影响,探讨促进其心理健康的预防措施。方法采用多阶段分层整群抽样的方法,抽取成都和昆明的农转非居民3 223人,采用流调中心抑郁水平评定量表(CES-D)以及自编社会资本量表进行问卷调查。结果本次研究对象的抑郁症状发生率为14. 5%。女性、高龄、患有慢性病、文化程度低、非在婚、未与配偶住在一起、无业和失业的农转非居民抑郁症状的发生率较高(P <0. 05);高"社会信任与安全感"的居民发生抑郁症状的风险较低(OR=0. 321,P <0. 05)、高"社区归属感"得分的居民产生抑郁症状的风险较低(OR=0. 816,P <0. 05),"社会支持"得分较高的居民发生抑郁症状的风险较低(OR=0. 269,P <0. 05)。结论应采取有针对性的手段对影响农转非居民心理健康的社会资本因素进行干预,以改善其抑郁状况。
Objective To understand the effects of social capital on the depressive symptoms of urbanized residents,and to explore preventive measures to promote their mental health. Methods According to stratified multi-stage cluster sampling method,3 223 urbanized residents were extracted from Chengdu and Kunming,who were investigated with the center of epidemiological survey-depression scale( CES-D) and the self-designed social capital questionnaire. Results The incidence of depressive symptoms was 14. 5%. The incidence of depressive symptoms among women,senior citizens,chronic diseases,low education level,non-marriage,non-residents and unemployed was higher( P < 0. 05). Residents with high social trust and security had a lower risk of depressive symptoms( OR = 0. 321,P < 0. 05). Residents with high community belonging scores had a lower risk of depressive symptoms( OR = 0. 816,P < 0. 05). Residents with high social support scores had a lower risk of depressive symptoms( OR = 0. 269,P < 0. 05). Conclusion The social capital factors affecting the mental health of urbanized residents should be interfered to improve their depression symptoms.
Objective To understand the effects of social capital on the depressive symptoms of urbanized residents,and to explore preventive measures to promote their mental health. Methods According to stratified multi-stage cluster sampling method,3 223 urbanized residents were extracted from Chengdu and Kunming,who were investigated with the center of epidemiological survey-depression scale( CES-D) and the self-designed social capital questionnaire. Results The incidence of depressive symptoms was 14. 5%. The incidence of depressive symptoms among women,senior citizens,chronic diseases,low education level,non-marriage,non-residents and unemployed was higher( P < 0. 05). Residents with high social trust and security had a lower risk of depressive symptoms( OR = 0. 321,P < 0. 05). Residents with high community belonging scores had a lower risk of depressive symptoms( OR = 0. 816,P < 0. 05). Residents with high social support scores had a lower risk of depressive symptoms( OR = 0. 269,P < 0. 05). Conclusion The social capital factors affecting the mental health of urbanized residents should be interfered to improve their depression symptoms.
引文
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[6]郭虹.“农转非”与中国的户籍制度改革[J].经济体制改革,2004(4):68-71.
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[10]黄庆波,王晓华,陈功. 10项流调中心抑郁自评量表在中国中老人群中的信效度[J].中国健康心理学杂志,2015,23(7):1036-1041.
[11]杨展,陈饶,胡晓,等.中国城乡老年人抑郁症状及其影响因素差异的分析[J].中华流行病学杂志,2017,38(8):1088-1093.
[12]张迪,禤春裕,白波.北京市城市2个社区老年人抑郁症状的调查与分析[J].中国健康心理学杂志,2014,22(10):1480-1482.
[13] Lynch JW,Kaplan GA. Understanding how inequality in the distribution of income affects health[J]. Journal of Health Psychology,1997,2(3):297-314.
[14] Tomita A,Burns JK. A multilevel analysis of association between neighborhood social capital and depression:Evidence from the first South African National Income Dynamics Study[J]. Journal of Affective Disorders,2013,144(1/2):101-105.
[15]王培刚,陈心广.社会资本、社会融合与健康获得——以城市流动人口为例[J].华中科技大学学报(社会科学版),2015,29(3):81-88.
[16]宋爱芹,梁亚军,王文军,等.老年人抑郁症状与慢性病及日常生活活动能力的关联性研究[J].中华健康管理学杂志,2013,7(3):182-185.
[17]曾刚,罗俊,付朝伟,等.心脑血管病人的抑郁、焦虑患病情况及其影响因素的研究[C]//中华预防医学会流行病学分会.第三届全国中青年流行病学工作者学术会议论文集.合肥:中华预防医学会流行病学分会,2005:224-246.
[2]俞晓静,李洋,傅华.社会资本与心理健康[J].医学与社会,2007,20(5):47-49.
[3]张文宏.社会资本:理论争辩与经验研究[J].社会学研究,2003(4):23-35.
[4] Verhaeghe PP, Tampubolon G. Individual social capital,neighbourhood deprivation,and self-rated health in England[J].Social Science&Medicine,2012,75(2):349-357.
[5]杨展,刘银,李宁秀,等.“农转非”居民SF-12量表的信度和效度分析[J].现代预防医学,2017,44(15):2781-2783.
[6]郭虹.“农转非”与中国的户籍制度改革[J].经济体制改革,2004(4):68-71.
[7]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[8]俞晓静.上海市社区老年人社会资本及其对心理健康影响研究[D].上海:复旦大学,2008.
[9] Andresen EM,Malmgren JA,Carter WB,et al. Screening for depression in well older adults:evaluation of a short form of the CES-D(Center for Epidemiologic Studies Depression Scale)[J].American Journal of Preventive Medicine,1994,10(2):77-84.
[10]黄庆波,王晓华,陈功. 10项流调中心抑郁自评量表在中国中老人群中的信效度[J].中国健康心理学杂志,2015,23(7):1036-1041.
[11]杨展,陈饶,胡晓,等.中国城乡老年人抑郁症状及其影响因素差异的分析[J].中华流行病学杂志,2017,38(8):1088-1093.
[12]张迪,禤春裕,白波.北京市城市2个社区老年人抑郁症状的调查与分析[J].中国健康心理学杂志,2014,22(10):1480-1482.
[13] Lynch JW,Kaplan GA. Understanding how inequality in the distribution of income affects health[J]. Journal of Health Psychology,1997,2(3):297-314.
[14] Tomita A,Burns JK. A multilevel analysis of association between neighborhood social capital and depression:Evidence from the first South African National Income Dynamics Study[J]. Journal of Affective Disorders,2013,144(1/2):101-105.
[15]王培刚,陈心广.社会资本、社会融合与健康获得——以城市流动人口为例[J].华中科技大学学报(社会科学版),2015,29(3):81-88.
[16]宋爱芹,梁亚军,王文军,等.老年人抑郁症状与慢性病及日常生活活动能力的关联性研究[J].中华健康管理学杂志,2013,7(3):182-185.
[17]曾刚,罗俊,付朝伟,等.心脑血管病人的抑郁、焦虑患病情况及其影响因素的研究[C]//中华预防医学会流行病学分会.第三届全国中青年流行病学工作者学术会议论文集.合肥:中华预防医学会流行病学分会,2005:224-246.