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梅杨, 章杰, 李峰, 高月霞. 国际航行船舶海员抑郁症状及影响因素分析[J]. 中国公共卫生, 2015, 31(7): 954-957. DOI: 10.11847/zgggws2015-31-07-28
引用本文: 梅杨, 章杰, 李峰, 高月霞. 国际航行船舶海员抑郁症状及影响因素分析[J]. 中国公共卫生, 2015, 31(7): 954-957. DOI: 10.11847/zgggws2015-31-07-28
MEI Yang, ZHANG Jie, LI Feng.et al, . Depressive symptoms and associated factors among seamen undertaking international voyage[J]. Chinese Journal of Public Health, 2015, 31(7): 954-957. DOI: 10.11847/zgggws2015-31-07-28
Citation: MEI Yang, ZHANG Jie, LI Feng.et al, . Depressive symptoms and associated factors among seamen undertaking international voyage[J]. Chinese Journal of Public Health, 2015, 31(7): 954-957. DOI: 10.11847/zgggws2015-31-07-28

国际航行船舶海员抑郁症状及影响因素分析

Depressive symptoms and associated factors among seamen undertaking international voyage

  • 摘要: 目的 了解国际航行船舶海员抑郁症状的现状及其主要影响因素。 方法 采用整群抽样的方法,选取2012年4—12月停靠在江苏省南通和如皋口岸的国际航行船舶上及在南通国际旅行卫生保健中心接受出入境体检和预防接种的719名中国籍海员进行问卷调查。结果 海员中354人(49.24%)无抑郁,167人(23.23%)轻度抑郁症状,186人(25.87%)中度抑郁症状,12人(1.67%)重度抑郁症状。单因素结果显示,海员年龄、文化程度、婚姻状况、海龄、职业、家庭所在地、喝酒频率、睡眠时间、业余活动及每周业余活动时间、慢性病史、健康状况自评、担忧天气变化、船舶安全、工作压力、港口国检查对海员的抑郁症状的发生有影响(P<0.05)。多因素结果显示,海员文化程度为大专(OR=0.482)和本科及以上(OR=0.396)、睡眠时间8~9 h(OR=0.50)和≥10 h(OR=0.193)是抑郁症状的保护因素;每周业余活动时间仅8~14 h(OR=2.846)和≤7 h(OR=1.393)、健康状况自评一般(OR=2.642)和差(OR=3.477)是抑郁症状的危险因素。结论 国际航行船舶海员抑郁现象问题严重,文化程度、睡眠时间、每周业余活动时间、健康状况自评是海员抑郁症状发生的主要影响因素。

     

    Abstract: Objective To examine the status of depressive symptoms and its impact factors among the seamen engaged in international voyage.Methods By using cluster sampling,we recruited 719 Chinese seamen who came from international voyage ships anchored in Nantong and Rugao port and had entry-exit physical examination and vaccination in Nantong International Travel Health Care Center during April to December of 2012. A face-to-face interview was conducted among the seamen with a self-designed questionnaire and Self-Rating Depression Scale(SDS). Chi-square test and multivariate logistic regression were used in data analyses.Results Of the seamen,354(49.24%)had no depressive symptoms,whereas 167(23.23%),186(25.87%),and 12(1.67%)had mild,moderate,and severe depressive symptoms,respectively. Multivariate logistic regressions showed that with the education of college and above(odds ratioOR=0.482)or undergraduate(OR=0.396),having sleeping time of 8 to 9 hours(OR=0.50)or more than 10 hours(OR=0.193)were the protective factors of depressive symptoms;having leisure activities of 8 to 14 hours(OR=2.846)or less than 7 hours(OR=1.393)per week,with an ordinary(OR=2.642)or bad(OR=3.477)self-reported health status were the risk factors.Conclusion Depression symptom is a serious problem and is mainly affected by educational level,sleeping time,the time of weekly leisure activity,and self-reported health among the seamen undertaking international voyage.

     

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