【摘要】 目的 了解农村女性抑郁症状与伤害发生情况,探讨抑郁症状与伤害发生特点的关系。方法 按单纯随机整群抽样方法抽取潮汕地区(汕头、潮州、揭阳)农村22个村委会1 224名18岁以上女性,采用伤害发生情况调查表和流调中心用抑郁量表(the Center for Epidemiological Studies Depression Scale,CES-D)进行调查。结果 在1 224例农村女性中,伤害发生率为8.01%,抑郁检出率为23.04%。65岁及以上、丧偶/离婚、职业为农民、未接受教育的女性伤害发生率较高(P<0.05)。未婚女性检出率(42.31%)、家务/离退休女性抑郁检出率(27.63%)、未接受教育女性的抑郁检出率(29.20%)较高,差异均有统计学意义(P<0.05)。有抑郁倾向组与无抑郁组在受伤种类、受伤性质、伤后处理和住院情况之间有差异。结论 农村女性表现出较高的伤害发生率和抑郁症状检出率,抑郁症状与伤害发生特点有一定的关联,应针对其特征采取相应的措施,促进农村女性的身心健康。更多还原

【Abstract】 Objective To describe the occurrence of depressive symptoms and injury among rural women, and to explore the relationship between depressive symptoms and epidemiological characteristics of injury. Methods The study sample which was 1 224 rural women more than 18 years, from 22 places of Chaoshan district(Shantou, Chaozhou and Jieyang) of Guangdong province was got by cluster random sampling and investigated by injuries information form and CES-D. The collected data was used to analyse the influence factors of depressive symptoms and the characters of injury through means of Chi-square test. Results Incidence of injuries was 8.01%, detection rate of depressive symptoms was 23.04%. The difference with respect to the quantity of samples with injuries did not have a statistical significance in different regions(P>0.05),but did in different age groups, states of marriage, occupation and education level(P<0.05). Incidence of injuries is higer in more than 65 years old, divorce or widow, farmer or low education lever of women(P<0.05).The difference with respect to the quantity of samples with depression symptoms did not have a statistical significance in different age groups and regions(P>0.05), but did in different states of marriage, occupation and education level(P<0.05).The rate of women with depressive symptoms in a state of spinsterhood, housework-doing or retirement, or low education lever reached 42.31%, 27.63%, 29.20% respectively, the differences was statistically significant(P<0.05).The significant differences(P<0.05) were noted in types and nature of injuries, treatments for injuries and hospitalization. The depressive symptoms tendency group were mainly suffered fractured bone and treated with ambulatory service, and from non-depression group were superficial injuries and self-treatment. Incidence of serious injury(hospitalization rate) of depressive symptoms tendency group reached 46.67%, much higher than that of non-depression group(6.02%). Conclusion The results suggested that there was a relationship between depressive symptoms and epidemiological characteristics of injuries.Incidence of injuries and detection rate of depressive symptoms were high among rural women.The appropriate measures of prevention and control should be taken to improve physical and psychological health of rural women.更多还原