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谢钱茹, 蔡横, 郭锋, 苏普玉. 新婚夫妇抑郁症状及其影响因素分析[J]. 中国公共卫生, 2016, 32(10): 1361-1364. DOI: 10.11847/zgggws2016-32-10-17
引用本文: 谢钱茹, 蔡横, 郭锋, 苏普玉. 新婚夫妇抑郁症状及其影响因素分析[J]. 中国公共卫生, 2016, 32(10): 1361-1364. DOI: 10.11847/zgggws2016-32-10-17
XIE Qian-ru, CAI Heng, GUO Feng.et al, . Status and influencing factors of depression among newly married couples[J]. Chinese Journal of Public Health, 2016, 32(10): 1361-1364. DOI: 10.11847/zgggws2016-32-10-17
Citation: XIE Qian-ru, CAI Heng, GUO Feng.et al, . Status and influencing factors of depression among newly married couples[J]. Chinese Journal of Public Health, 2016, 32(10): 1361-1364. DOI: 10.11847/zgggws2016-32-10-17

新婚夫妇抑郁症状及其影响因素分析

Status and influencing factors of depression among newly married couples

  • 摘要: 目的 了解新婚夫妇抑郁症状流行状况并分析其影响因素,为进一步干预提供参考。方法 采用自编问卷对1 056对新婚夫妇在婚前医学检查时进行匿名问卷调查,内容主要包括一般人口学特征和抑郁症状量表。结果 2 112名新婚夫妇抑郁症状总检出率为31.2%,女性检出率(37.7%)高于男性(24.7%),差异有统计学意义(χ2=41.596,P<0.001);年龄<25岁、文化程度初中及以下、月收入<1 000元、再婚、单亲家庭、父亲婚姻幸福度一般和母亲婚姻不幸福者抑郁症状检出率较高,分别为36.8%、50.6%、47.0%、45.8%、40.4%、44.3%、45.9%;新婚夫妻多因素logistic回归分析显示,在男性中,再婚者抑郁症状的风险是首次婚姻者的2.39倍(OR=2.39),与文化程度初中及以下比较,本科及以上是抑郁症状的保护因素(OR=0.30);在女性中,文化程度本科及以上(与初中及以下比较)、月收入>4 000元(与<1 000元比较)均是抑郁症状的保护因素(OR=0.33、0.37),来自单亲家庭(与核心家庭比较)是抑郁症状的危险因素(OR=2.16)。结论 新婚期男性和女性抑郁症状影响因素存在一定差异;应关注女性和受教育程度较低的新婚夫妇心理健康状况。

     

    Abstract: Objective To explore the status and influencing factors of depression among newly married couples,and to provide evidences for the promotion of mental health among the population.Methods Totally 1 056 newly married couples were recruited when they taking premarital medical examination in Hefei Municipal Maternal and Child Health Center.General demographic characteristics and self-rating depression status of the couples were investigated with an anonymous questionnaire survey.Results The rate of depression was 31.2%among 2 112 newly married persons.The rate of depression in the women (37.7%) was higher than that in the men (24.7%),with a significant difference (χ2=41.596,P<0.001).Higher depression rates were reported by the persons aged<25 years (36.8%),with the education of junior high school or bellow (50.6%),having monthly income of ≤1 000 RMB Yuan (47.0%),remarried (45.8%),from a single parent family (40.4%),reporting good marriage for his or her father (44.3%),and reporting bad marriage for his or her mother (40.4%).The results of multivariate logistic regression analyses showed that the prevalence of depression was associated with previous marital status (odds ratioOR=2.39 for the remarried compared to the first married)and education level (OR=0.30 for those with higher education compared to with lower education) among the male newly married people;the prevalence of depression was associated with education level (OR=0.33 for those with higher education compared to with lower education),monthly income (OR=0.37 for those with monthly income of more than 4 000 Yuan compared to less than 1 000 Yuan),and family structure (OR=2.16 for those form a single-parent family compared to from a nuclear family) among the female newly married people.Conclusion There are gender differences in the influence factors of depression among newly married couples and more attentions should be paid to mental health of newly married females with lower education level.

     

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