【摘要】 目的：了解社区新冠疫情防疫人员心理健康状况并探讨其影响因素。方法：通过线上问卷收集广州市社区防疫人员的人口学特征、工作单位、聘用方式、工作年限、每周工作时间和防疫工作时间占比等信息，采用抑郁—焦虑—压力量表对其进行心理健康状况调查，利用二元logistic回归模型分析影响心理健康的因素。结果：1 042名社区防疫人员中，抑郁、焦虑、压力的检出率分别为57.9%、63.5%、50.8%。二元logistic回归分析结果显示，学历为大专或高职（OR=2.041）和本科及以上（OR=2.934）、工作年限6～10年（OR=1.906）、每周工作时间≥70小时（OR=4.074）、防疫工作时间占比80%～90%(OR=1.799)、防疫工作时间占比100%(OR=2.282)是心理健康状况的危险因素。女性（OR=0.645）是心理健康状况的保护因素。结论：社区防疫人员较普遍存在抑郁、焦虑和压力高等心理问题，工作时间超长和参与抗疫工作时间占比高均增加心理问题风险，并受性别、学历和工作年限影响。应重视社区防疫人员的心理问题筛查和干预。更多还原

【Abstract】 OBJECTIVE To understand the mental health status of participants in the anti-epidemic community of COVID-19and explore its influencing factors. METHODS The demographic characteristics, work units, employment methods, working years,weekly working hours and the proportion of epidemic prevention working hours of the participants in the anti-epidemic community in Guangzhou were collected through online questionnaires. The mental health status of them was investigated by using the Depression Anxiety Stress Scale, and the influencing factors of mental health status were analyzed by using the binary logistic regression model. RESULTS The detection rates of depression, anxiety and stress were 57.9%, 63.5% and 50.8% among 1 042 participants in the anti-epidemic community. Binary logistic regression analysis results showed that the education background was college or higher vocational education(OR=2.041), bachelor degree or above(OR=2.934), working years from one year to less than five years(OR=1.186), six years to less than ten years(OR=1.906), working hours more than 70 hours per week(OR=4.074), epidemic prevention working hours accounting for 80%～90%(OR=1.799) and epidemic prevention working hours accounting for 100%(OR=2.282) were risk factors for mental health. Female(OR=0.645) was the protective factor of mental health. CONCLUSION Community epidemic prevention workers generally have depression, anxiety and stress. Long working hours and a high proportion of working hours involved in anti-epidemic work both increase the risk of psychological problems, and are affected by gender, educational background and working years. Attention should be paid to the psychological problem screening and intervention of community epidemic prevention personnel.更多还原