影响人群健康的心理社会因素随访比较研究

目的：运用应激理论和综合健康概念，研究影响人群健康的心理社会因素及其一年间变化。方法：抽取简阳市某厂1160名职工为研究对象，进行基线调查和一年后随访。以问卷和临床检查相结合调查其社会人口学特征、应激性生活事件、心理健康状况、社会支持和社会功能及现患疾病，并进行单因素和多元线性回归分析。结果：1997年影响该人群疾病总分的主要因素有工种、年龄、阳性症状数、阳性症状均分、主观支持分，R^2＝0．32；1998年的主要因素有年龄、SCL－90总分、阳性症状均分、支持利用度，R^2＝0．345。结论：年龄、心理应激水平、社会支持等是影响人群健康的主要心理社会因素，且一年时间变化不大。

A Follow-up ComparativeStudy on Psychosocial Factors Affecting Population Health

Applying theory of stress and concept of synthesis health to study psychosocial factors affecting population health and their changes in one year.A cohort of 1160 workers of a factory in Jianyang city was surveyed at base line and followed up in one year.Their demographic characteristics,life events,psychological health statuses,social supports,social function disabilities and present diseases were measured by a questionnaire and clinical examinations.By means of single factor analysis and multivariate linear regression,the main factors affecting diseases score in 1997 were occupation,age,number of positive symptom,positive symptom average score,subjective social support(R 2=0 32).And the main factors in 1998 were age,SCL 90 score,positive symptom average score,degree of using social support(R 2=0 345).Age,psychological stress level,social support etc.were the main psychosocial factors affecting on population health.