摘要
目的 开展合肥市城乡居民心理健康素养(mental health literacy,MHL)水平调查,为提升居民心理健康,采取有针对性的干预措施提供科学依据.方法 采用分层系统随机抽样的方法,使用《居民心健康素养问卷》为调查工具人户调查.居民MHL水平影响因素分析采用logistic回归分析,当多重比较存在时进行Bonferroni校正.结果 本研究共收集有效问卷7 375份,合肥市城乡居民MHL水平16.11%(95%CI:15.27%~16.95%).年龄、文化程度和个人月收入对居民MHL水平有影响.40~<60岁组MHL水平(20.42%)和≥60岁组MHL水平(9.09%)分别是18~<40岁组MHL水平(13.80%)的1.09倍(95%CI:0.94~1.27)和0.46倍(95%CI:0.30~0.69),大专/本科及以上人群MHL水平(11.92%)和高中/职高/中专人群MHL水平(26.96%)分别是初中及以下人群MHL水平(18.62%)的0.51 倍(95%CI:0.42~0.61)和 1.41 倍(95%CI:1.16~1.71),个人月收入 1 500~<3 000 元、3 000~<5 000 元、5000~<8000 元和 ≥8 000 元人群 MHL 水平(17.55%、16.59%、16.18%、15.72%)分别是 0~<1 500 元(11.70%)的人群的 1.56 倍(95%CI:1.24~1.96)、1.61 倍(95%CI:1.28~2.20)、1.72倍(95%CI:1.31~2.26)和 1.80倍(95%CI:1.27~2.55).结论 2021 年合肥市城乡居民MHL水平尚未达到国家规划的2022年20%的目标,建议针对老年人、高学历和低收入群体等重点人群开展心理健康素养促进活动,全面提升居民心理健康水平.
Abstract
Objective To conduct a survey on the level of mental health literacy(MHL)among urban and rural residents in Hefei City and to provide a scientific basis for targeted interventions to improve residents'mental health.Methods A stratified systematic random sampling method was used for sampling,and the Resident Mental Health Literacy Questionnaire was used as the survey instrument for the household survey.Logistic regression analysis was used to analyze the factors influencing residents'MHL levels,with a test level of a=0.05 and Bonferroni correction when multiple comparisons existed.Results A total of 7 375 valid questionnaires were collected in this study,and the MHL level of urban and rural residents in Hefei City was 16.11%(95%CI:15.27%-16.95%).Age,education level,and personal monthly income had an effect on MHL levels.The MHL levels of the 40-<60 age group(20.42%)and the≥60 age group(9.09%)were 1.09(95%CI:0.94-1.27)times and 0.46(95%CI:0.30-0.69)times higher than those in the 18-<40 years group(13.80%),respectively,and the MHL levels of individuals with a college degree or above(11.92%)and those with a high school/vocational school/technical school degree(26.96%)was 0.51 times(95%CI:0.42-0.61)and 1.41 times(95%CI:1.16-1.71)that of individuals with a junior high school education or below(18.62%)respectively.The MHL levels for those with monthly personal income of 1 500-<3 000 yuan,3 000-<5 000 yuan,5 000-<8 000 yuan and ≥8 000 yuan(17.55%,16.59%,16.18%,15.72%)were 1.56 times(95%CI:1.24-1.96),1.61 times(95%CI:1.28-2.20),1.72 times(95%CI:1.31-2.26)and 1.80 times(95%CI:1.27-2.55)for those with 0-<1 500 yuan(11.70%),respectively.Conclusions The MHL level of urban and rural residents in Hefei City in 2021 has not reached the nationally planned target of 20%by 2022,and people aged ≥60 years,people with a college degree or higher education,and people with monthly personal income 0-<1 500 yuan are the groups that need to be focused on to improve the MHL level of residents.
基金项目
安徽省中央引导地方科技发展专项(2020b07030004)
合肥市卫生健康应用医学研究项目(Hwk2021zd011)