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心理社会应激与人群综合健康效应的随访研究 被引量:10

A follow-up study on psychosocial stress and overall health effects in population
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摘要 目的 探索心理社会应激与综合健康效应关系的研究方法 ,了解心理社会因素对人群综合健康状况的影响。方法 随机整群抽取四川某厂 116 0名职工作为研究对象 ,随访其社会经济人口学特征、生活事件、社会支持、心身症状、社会功能缺陷、现患疾病等 ,以前三者为原因变量 ,后三者经主成分分析所产生的综合健康和躯体、社会、心理三个单维度健康为结局变量 ,对变量进行分类、等级化处理后 ,进行单因素和多因素分析。结果 与社会和心理健康比 ,躯体健康的发病率较高 ,好转率较低 ;各结局变量异常率在社会人口经济学特征上的分布未得出有显著性差异的结果 ;生活事件刺激量、年龄和工龄进入多数回归方程 ,均为正相关因素。结论 躯体健康是该人群的主要健康问题 ;生活事件刺激量较多。 Objective To study the effects of psychosocial stress to overall health in population and explore the research methodology. Methods 1160 staffs from a factory in Sichuan were randomly sampled as objects. Their social-economical-demographic characters, life events, social supports, psychosomatic symptoms, social function disabilities and current diseases were measure in both years. The first three parts of contents were treated as causal variables, and the last three were put in principle components analysis to yield outcome variables, which were physical, social, mental and overall health. Variables were turned into categorical ones. Simple and multiple regression analyses were applied. Results The physical health had higher abnormal incidence and lower recovery incidence compared with social and mental health. There were no statistic differences of each outcome variables among each levels of social-economical-demographic variables. Does of life events, ages and work periods entered most regression equations as positive factors. Conclusion Physical health was the main health problem in this population. Higher stimulation does of life events, older ages and/or longer work periods were the risk factors of abnormal health status changes.
出处 《中国行为医学科学》 CAS CSCD 2002年第5期539-540,共2页 Chinese Journal of Behavioral Medical Science
基金 卫生部科学研究基金资助课题 (96 1 2 4 3)
关键词 心理社会应激 综合健康 随访研究 Psychosocial stress Overall health Follow-up study
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