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刘修军, 钟宝亮, 李文学, 徐汉明, 黄先娥, 张慧实, 戴晓燕. 武汉地区听力残疾人群抑郁症状及影响因素[J]. 中国公共卫生, 2013, 29(5): 668-671. DOI: 10.11847/zgggws2013-29-05-15
引用本文: 刘修军, 钟宝亮, 李文学, 徐汉明, 黄先娥, 张慧实, 戴晓燕. 武汉地区听力残疾人群抑郁症状及影响因素[J]. 中国公共卫生, 2013, 29(5): 668-671. DOI: 10.11847/zgggws2013-29-05-15
LIU Xiu-jun, ZHONG Bao-liang, LI Wen-xue.et al, . Prevalence and influencing factors of depressive symptoms in persons with hearing disability in Wuhan[J]. Chinese Journal of Public Health, 2013, 29(5): 668-671. DOI: 10.11847/zgggws2013-29-05-15
Citation: LIU Xiu-jun, ZHONG Bao-liang, LI Wen-xue.et al, . Prevalence and influencing factors of depressive symptoms in persons with hearing disability in Wuhan[J]. Chinese Journal of Public Health, 2013, 29(5): 668-671. DOI: 10.11847/zgggws2013-29-05-15

武汉地区听力残疾人群抑郁症状及影响因素

Prevalence and influencing factors of depressive symptoms in persons with hearing disability in Wuhan

  • 摘要: 目的 了解湖北省武汉地区听力残疾(听残)人群抑郁症状的检出率及影响因素。方法 采用多阶段分层随机整群抽样方法抽取武汉地区485例听残者,完成自编残疾人一般情况问卷、流调中心用抑郁量表(CES-D)和艾森克人格问卷简式量表中国版(EPQ-RSC)问卷调查。结果 听残者CES-D总分及EPQ-RSC精神质、内外倾向和神经质因子分别为(25.8±12.0)、(4.0±2.0)、(6.3±3.3)和(5.6±3.5)分;根据CES-D得分,分别检出有抑郁症状、肯定有抑郁症状和有严重抑郁症状的听残者222、167和54例,检出率分别为45.8%(95%CI=41.3%~50.2%)、34.4%(95%CI=30.2%~38.7%)和11.1%(95%CI=8.3%~13.9%);听残者抑郁症状加重的危险因素为受教育年限≤9年(OR=3.39)、一级和二级残疾(OR=1.88)、无助听器(OR=1.78)、EPQ-RSC内外倾向因子分≤6分(OR=2.20)和神经质因子分>6分(OR=4.82)。结论 武汉地区听残人群抑郁症状检出率较高,文化程度低、听残等级重、无助听器和内向、情绪不稳的人格特征可能增加了听残者抑郁症状的发生风险。

     

    Abstract: Objective To investigate the prevalence and related factors of depressive symptoms in persons with hearing disability in Wuhan.Methods With multi-stage stratified random cluster sampling method,485 hearing disabled persons were selected and administered with a self-designed socio-demographic questionnaire,the Center for Epidemiological Studies Depression Scale(CES-D),and the Revised Eysenck Personality Questionnaire-Short Scale for Chinese(EPQ-RSC).Results The average scores of CES-D,EPQ-RSC psychoticism,extroversion and neuroticism were 25.8±12.0,4.0±2.0,6.3±3.3,and 5.6±3.5,respectively.According to the cut-off scores of CES-D,222,167 and 54 subjects were identified as depression,absolute depression and severe depression,wtih corresponding prevalences(95% confidence interval) of 45.8%(41.3%-50.2%),34.4%(30.2%-38.7%),and 11.1%(8.3%-13.9%),respectively.The risk factors for depression were with education period of ≤9 years(odds ratioOR=3.39),having first and second degree of disability(OR=1.88),without hearing aids(OR=1.78),with a EPQ-RSC extroversion score of ≤6(OR=2.20),and having a neuroticism score of >6(OR=4.82).Conclusion There are high prevalence rates of depressive symptoms in hearing disabilied persons in Wuhan.Low literacy,higher degree of disability,lack of hearing aids and personality traits of introversion and emotional unstablility might increase the risk of depression among hearing disabled people.

     

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