Study on the status and influence factors of depression,anxiety and insomnia among rural residents in Hubei Province
Objective To investigate the prevalence and influence factors of depression,anxiety,and insomnia among rural residents in Hubei Province,and to provide scientific basis for taking targeted intervention measures.Methods A cross-sectional study was conducted between October 2021 and February 2022 using multi-stage random sampling method.We used the patient health questionnaire(PHQ-9),generalized anxiety disorder scale(GAD-7),and insomnia severity index(ISI)to effectively screen 7 212 rural residents from 25 counties(cities)in Hubei Province for the prevalence of depression,anxiety,and insomnia.Multifactor logistic regression analysis model was used to analyze the factors associated with depression,anxiety,and insomnia.Results The screen-positive rates of depression,anxiety and insomnia were 3.6%(95%CI:3.1%-4.0%),2.3%(95%CI:2.0%-2.7%)and 14.8%(95%CI:14.0%-15.7%),respectively.Multivariate logistic regression analysis model showed that chronic disease,poor health and living outside Wuhan were common risk factors for depression and anxiety among rural residents in Hubei Province.The OR(95%CI)of chronic diseases for depression and anxiety were 2.8(2.0-4.0)and 1.8(1.2-1.7),respectively;the OR(95%CI)of poor health was 4.5(3.4-5.9)and 4.5(3.2-6.3),respectively;the OR(95%CI)of people living outside Wuhan was 3.1(2.1-4.7)and 2.0(1.3-3.0),respectively.Chronic illness,poor health,female and non-married status were identified as risk factors for insomnia,with an OR(95%CI)of 2.4(2.0-2.8),2.9(2.5-3.4),1.5(1.3-1.7),and 1.3(1.1-1.5),respectively.Conclusions Rural residents in Hubei Province have a certain degree of depression,anxiety,and insomnia.Psychological interventions aimed at individuals with chronic diseases,poor health status,female gender,and unmarried status need to be strengthened to promote the physical and mental health of rural residents.