辽宁省成年居民精神健康状况及影响因素分析

目的 了解辽宁省≥ 16岁居民精神健康状况及影响因素，为制定相关健康干预计划提供参考。方法 于2010年采用多阶段分层抽样方法抽取辽宁省16~92岁居民3 129人，采用流行病调查中心抑郁自评量表（CES-D）进行调查。结果 有效调查16~92岁居民3 099人，平均年龄为（47.24±16.11）岁；精神健康得分：男性（27.05±3.87）分，高于女性的（26.31±4.49）分，差异有统计学意义（t=-4.880 0，P=0.000 0）；城市居民（26.94±4.15）分，高于乡村居民的（26.35±4.27）分，差异有统计学意义（t=-3.893 5，P=0.000 1）；按照中国民生报告中的年龄分组方法在30~39岁年龄段得分最高，为（27.23±3.34）分，按WHO年龄分组方法<25岁人群精神健康得分最高（27.14±3.13）分；未婚人群的精神健康得分最高（26.91±3.27）分，离婚人群精神健康得分最低（25.07±5.41）分；未上学人群精神健康得分最低（25.57±5.07）分，本科及以上学历人群得分最高（27.79±2.64）分，差异均有统计学意义。结论 应对女性、居住在乡村、离婚、低学历的人群给予更多关注。

Mental health and its influencing factors among adult residents in Liao-ning province

Objective To examine the status of mental health and its influencing factors among adult residents in Liaoning province.Methods A survey was conducted using Center for Epidemiologic Studies Depression Scale (CES-D)among 3 129 community residents aged 16-92 years selected with stratified multi-stage sampling in Liaoning province in 2010.Results The mean age of the 3 099 participants with valid information was 47.24±16.11 years.The average mental health score of the male participants was significantly higher than that of the female participants (27.05±3.87 vs.26.31±4.49,t=-4.8800; P<0.0001).The average mental health score of the urban residents was significantly higher than that of the rural residents (26.94±4.15 vs.26.35±4.27,t=3.893 5; P=3.893 5).The highest mental health scores (27.23±3.34 and 27.14±3.13)were observed among the residents aged 30-39 years (age category of China national welfare report)and 16-24 years (age category of World Health Organization).The mental health score of the unmarried residents was significantly higher than that of the residents divorced (26.91±3.27 vs.25.07±5.41) and the score of residents without formal education was significantly lower than that of residents with college education and above (25.57±5.07 vs.27.79±2.64).Conclusion Our results indicate that more attention should be paid to the mental health of female,rural,divorced,and less educated residents in Liaoning province.