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路长飞, 贾存显, 马吉祥, 张吉玉, 徐爱强, 王欣欣, 王东芳. 社会支持与农村自杀死亡关系病例对照研究[J]. 中国公共卫生, 2011, 27(3): 312-314. DOI: 10.11847/zgggws2011-27-03-27
引用本文: 路长飞, 贾存显, 马吉祥, 张吉玉, 徐爱强, 王欣欣, 王东芳. 社会支持与农村自杀死亡关系病例对照研究[J]. 中国公共卫生, 2011, 27(3): 312-314. DOI: 10.11847/zgggws2011-27-03-27
LU Chang-fei, JIA Cun-xian, MA Ji-xiang, . Social support and rural suicides-a matched case-control study[J]. Chinese Journal of Public Health, 2011, 27(3): 312-314. DOI: 10.11847/zgggws2011-27-03-27
Citation: LU Chang-fei, JIA Cun-xian, MA Ji-xiang, . Social support and rural suicides-a matched case-control study[J]. Chinese Journal of Public Health, 2011, 27(3): 312-314. DOI: 10.11847/zgggws2011-27-03-27

社会支持与农村自杀死亡关系病例对照研究

Social support and rural suicides-a matched case-control study

  • 摘要: 目的 了解社会支持与农村自杀死亡的关系,为农村自杀的预防与干预对策提供依据。方法 在山东省疾病监测点上选取2008年9月1日-2009年8月31日3个县(市)的25个乡镇农村自杀死亡病例190例,按照性别、年龄(±3岁)、当地居住者1:1配对选取对照组,进行问卷调查和社会支持评定量表(SSRS)测评,分析比较2组以及不同因素社会支持评分的差异。结果 自杀组社会支持各维度评分及总分均低于对照组;社会支持与婚姻状况、是否独居、家庭经济、文化水平、健康状况和是否党团员有关;家人和邻居尤其是家人是农村人群获得帮助的主要来源;调整婚姻状况、是否独居、健康状况、宗教信仰、精神疾病后,社会支持中的客观支持与社会支持利用度均与自杀相关联,其OR值分别为0.640(95.0% CI=0.526~0.779)和0.802(95.0% CI=0.693~0.929)。结论 高社会支持,尤其是高客观社会支持与高社会支持利用度是农村居民自杀的保护因素。

     

    Abstract: Objective To understand the a ssociation between social support and rural suicide in order to provide scientific basement for suicide prevention and intervention in rural population.Methods Three counties were selected from disease surveillance points of Shandong province.Suicide cases in 25 towns happened from Sept 1, 2008 to Aug 31, 2009 were recruited.One informant of each suicide or paired control with same age (±3 years), gender and residence as the suicide was in terviewed by a trained interviewer.Results The score of social support of the suicides was lower than that of controls.Marriage, living a lone, family economic status, educational level, health status, and Party/L eague member were related to social support.Family or neighbors, especially family was the main source of help that rural people could get from.After adjusting for marital status, health status, religion, mental illness, and whether they were living a lone, the objective support and utilization of social support were still a ssociated with suicide.Conclusion High social support,especially high objective support and utilization of social support, might be a protective factor for suicide in rural population.

     

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