摘要
目的 分析中学女教师心理健康状况并构建影响因素Logistic回归方程.方法 于2020年6-10月采取分层随机整群抽样方法抽取12所中学的1899名中学女教师纳入研究,采用电子问卷的方式进行调查,筛选中学女教师焦虑、抑郁的影响因素,建立Logistic回归方程并验证.结果 1754例中学女教师发生焦虑487例,抑郁463例,焦虑率为27.77％、抑郁率为26.40％.多因素Logistic分析结果显示,年龄＞45岁、周均工作时间＞40 h、合并慢性疾病、职业压力中或重的中学女教师焦虑发生率高于年龄≤45岁、周均工作时间≤40h、未合并慢性疾病、职业压力轻者,OR值分别为 2.248(95％CI:1.625～3.110)、3.838(95％CI:2.828～5.209)、3.860(95％CI:2.831～5.262)、3.004(95％CI:2.132～4.233),积极参与心理健康讲座和团体心理辅导的中学女教师焦虑发生率低于未积极参与者,OR值为0.248(95％CI:0.181～0.339);周均工作时间＞40 h、兼任行政职务、合并慢性疾病、职业压力中或重的中学女教师抑郁发生率高于周均工作时间≤40h、未兼任行政职务、未合并慢性疾病、职业压力轻,OR 值分别为 3.259(95％CI:2.414～4.398)、2.273(95％CI:1.672～3.089)、2.857(95％CI:2.102～3.883)、3.451(95％CI:2.415～4.931),积极参与心理健康讲座和团体心理辅导的中学女教师抑郁发生率低于未积极参与者,OR值为0.302(95％CI:0.223～0.410);以上P均＜0.05.根据训练集构建Logistic回归方程,在验证集预测焦虑、抑郁曲线下面积分别为0.786、0.736.结论 中学女教师焦虑、抑郁发生率较高,受多种因素影响,据此建立影响因素Logistic回归方程,预测价值较高,可对高危人员采取相应预防对策.
Abstract
Objective To understand the mental health status among female middle school teachers and analyze its influencing factors by logistic regression equation.Methods 1899 female middle school teachers from 12 middle schools were selected by stratified random cluster sampling method from June to October,2020.An electronic questionnaire was used for investigation.The influencing factors of anxiety and depression in female middle school teachers were screened,and logis-tic regression equations were established and verified.Results Among 1754 female middle school teachers,487 cases of anxiety and 463 cases of depression were found,the rate of anxiety was 27.77％and the rate of depression was 26.40％.Multivariate logisticanalysis showed that the anxiety rate of female middle school teachers with aged above 45 years old,av-erage weekly working hours above 40h,combined chronic diseases,moderate or heavy occupational stress was higher than that of female teachers with age ≤ 45 years old,average weekly working hours ≤ 40 h,no combined chronic diseases,and light occupational stress.OR values were 2.248(95％CI:1.625-3.110),3.838(95％CI:2.828-5.209),3.860(95％CI:2.831-5.262),3.004(95％CI:2.132-4.233),respectively.The incidence of anxiety of female middle school teachers who actively participated in mental health lectures and group psychological counseling was lower than that of those who did not.OR value was 0.248(95％CI:0.181-0.339),and all P＜0.05.The incidence of depression of fe-male middle school teachers with average weekly working hours＞40 h,concurrent administrative posts,combined with chronic diseases,moderate or heavy occupational stress was higher than that of female teachers with average weekly working hours ≤40 h,no concurrent administrative posts,combined with chronic diseases,and light occupational stress.OR values were 3.259(95％CI:2.414-4.398),2.273(95％CI:1.672-3.089),2.857(95％CI:2.102-3.883),3.451(95％CI:2.415-4.931),respectively,and all P＜0.05.The incidence of depression of female middle school teachers who actively participated in mental health lectures and group psychological counseling was lower than that of those who did not.The OR value was 0.302(95％CI:0.223-0.410),all P＜0.05.Logistic regression equation was constructed ac-cording to training set,and the area under the prediction curve of anxiety and depression in the verification set was 0.786 and 0.736,respectively.Conclusion The incidence of anxiety and depression in female middle school teachers is higher,which is affected by many factors.Logistic regression equation of influencing factors is established,which has high predictive value,and corresponding preventive measures can be taken for high risk personnel.
维普
万方数据