深圳市服务业农民工抑郁症的患病率及相关因素分析

摘要

目的 调查深圳市服务业农民工抑郁症(major depressive disorder)的患病率及其相关因素.方法 采用同伴推动抽样法在深圳市社区招募1 979名服务业农民工,自评完成基本信息调查表和领悟社会支持量表,并进行简明国际神经精神交谈检查表5.0评定,采用Logistic回归分析抑郁症的相关因素.结果 RDSAT调整后的目前和终生抑郁症加权患病率分别为2.5%(46/1 979)和4.6%(89/1 979),终生抑郁症的相关因素(OR)包括近2周生病(4.51)、回家频率<1次/年(1.83)、经常感到孤独(2.76)、从事过的工作数≥4份(1.81)和领悟社会支持量表家庭外支持分量表分≤38分(1.67).结论 服务业农民工抑郁症的患病率与普通人群相当,综合性的社会心理干预可能有助于减少农民工抑郁症患病风险.%Objective To investigate the prevalence and related factors of major depressive disorder (MDD) among rural-to-urban migrant workers in service industries of Shenzhen. Methods 1 979 service industry migrant workers were recruited by respondent-driven sampling from communities in Shenzhen, administered with a socio-demographic questionnaire and perceived social support scale (PSSS), and interviewed with the Mini International Neuropsychiatric Interview 5.0. Results The current and lifetime weighted prevalence of MDD in service industry migrant workers were 2.5%(46/1 979)and 4.6%(89/1 979), respectively. The risk factors (OR) for lifetime MDD included being physically ill in the last two weeks (4.51), returning home less than once a year (1.83), feeling lonely often (2.76), having done more than 4 jobs(1.81) and total score of outside family support subscale of PSSS less than 38 (1.67). Conclusions Service industry migrant workers show similar prevalence of MDD compared to the Chinese general population. A comprehensive social and psychological intervention might be helpful in reducing the risk of MDD in migrant workers.