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重庆市农村和城市失独人员心身健康状况及生活 质量比较
吴胜倪小玲李晓菊谢聪曾真王小娜袁玉平
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摘要:
目的 了解农村、城市失独人员的心身健康及生活质量现状。方法 随机抽取重庆市主 城3个区符合条件的失独人员841人,分为城市失独组(n=377),农村失独组(n=464)。使用一般情况调查表、 90项症状自评量表(SCL-90)、抑郁自评量表(SDS)、社会支持评定量表、世界卫生组织生存质量测定量 表简表,进行一对一问卷评定,评定身心健康状况及生活质量,同时与674名未失独的对照组进行对比。 结果 城市失独组、农村失独组、对照组3组在SCL-90总分及因子分、SDS、社会支持、生活质量得分上 差异有统计学意义(P< 0.01)。Logistic回归分析显示, SCL-90是失独者抑郁情绪的风险因素,社会支持 的失独者抑郁情绪的保护因素。结论 失独人员身心健康状况较差,生活质量下降,尤其是农村失独群 体。加大农村失独者的社会帮扶力度,提高医疗和养老保障服务。
关键词:  身心健康  生活质量  失独  农村  城市
DOI:10.3969/j.issn.1009-6574.2017.11.003
基金项目:重庆市卫生和计划生育委员会医学科研计划项目 (20142106)
Comparative study of psychosomatic health and quality of life among rural and urban one-child diedpersons
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Abstract:
Objective To understand the psychosomatic health and quality of life in rural and urban one-child died persons. Methods A total of 841 one-child died persons who met the criteria in three districts of the main city of Chongqing were randomly selected and divided into urban group( n=377) and rural group( n=464). A general questionnaire, 90 Symptom Check Lis(t SCL-90), Self-rating Depression Scale( SDS), Social Support Rating Scale( SSRS) and World Health Organization Quality of Life-BREF( WHOQOL-BREF) were used to assess the physical and mental health and the quality of life. At the same time, all scales results were compared with control group of 674 non-lost cases. Results There were statistical differences among the urban one-child died group, the rural one-child died group and control group in the total score and element scores of SCL-90, SDS, SSRS and WHOQOL-BREF( P < 0.01). Logistic regression showed that SCL-90 was the risk factor of depression, and social support was the protective factor of depression. Conclusions The physical and mental health of the one-child died persons are poor, and the quality of life declined, especially in the rural group. It is necessary to increase efforts to help rural one-child died persons and improve medical and aged security services.
Key words:  Physical and mental health  Quality of life  One-child died  Rural  Urban

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