湖北农村女性打麻将和看手机行为与抑郁状况的相关性

王晓宇; 王玙璠; 刘楠楠; 代国红; 沈敏; 王友洁; 梁渊

doi:10.16462/j.cnki.zhjbkz.2020.02.016

湖北农村女性打麻将和看手机行为与抑郁状况的相关性

doi: 10.16462/j.cnki.zhjbkz.2020.02.016

1.
430030 武汉, 华中科技大学同济医学院公共卫生学院
2.
200233 上海, 上海交通大学附属第六人民医院
3.
430070 武汉, 湖北省妇幼保健院保健部

详细信息

通讯作者:
梁渊, E-mail:liangyuan217@hust.edu.cn

中图分类号: R181.2
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出版历程
- 收稿日期: 2019-09-29
- 修回日期: 2019-12-01
- 刊出日期: 2020-02-10

Association of the behaviors of playing mahjong and watching mobile phone with depression in rural women in Hubei Province

1.
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
2.
Shanghai Jiao Tong University Affiliated Sixth Peoples Hospitaly Shanghai 200233, China
3.
Department of Health Care, Maternal and Child Health Hospital of Hubei, Wuhan 430070, China

More Information

Corresponding author: LIANG Yuan, E-mail:liangyuan217@hust.edu.cn

摘要

摘要: 目的分析湖北农村女性打麻将和看手机行为与抑郁状况的关系, 为改善农村女性身心健康提供建议。方法采用分层整群抽样方法调查湖北7个县/市8个行政村1 367例成年妇女, 抑郁状况的测量采用流调中心抑郁自评量表(Center for Epidemiologic Studies Depression Scale-10, CESD-10), 并进行百分数转化。分值越高, 抑郁程度越低, 心理健康状况越好。结果 15~44岁的妇女的CESD-10得分(77.63±13.95)高于45-64岁(73.17±17.01)和≥65岁(69.25±18.16)的得分(P < 0.001)。多元线性回归结果显示, 每天看手机时间与农村妇女抑郁状况之间的相关有统计学意义(均有P < 0.05), 尤其对45-64岁女性抑郁状况的影响具有显著统计学意义(均有P < 0.05), 看手机时间越长, 抑郁程度越高; 打麻将对各年龄段妇女抑郁状况影响均没有统计学意义(均有P > 0.05)。结论看手机行为与湖北农村女性抑郁状况之间存在相关性, 减少农村女性特别是中年妇女的手机使用是今后健康教育与妇联工作中值得重视的。
- 抑郁状况 /
- 农村妇女 /
- 看手机 /
- 打麻将
Abstract: Objective To analyze the association of the behaviors of playing mahjong and watching mobile phone with depression in rural women in Hubei Province, so as to provide suggestions for improving their physical and mental health. Methods A stratified cluster sampling method was used to investigate 1367 adult women in 8 administrative villages of 7 counties/cities in Hubei Province. The depression status was measured by the Center for Epidemiological Studies Depression Scale-10(CESD-10) and the percentage conversion was carried out. The higher the score was, the lower the degree of depression was, and the better the mental health status was. Results The CESD-10 scores of 15-44 years old women(77.63±13.95)were higher than those of 45-64 years old(73.17+17.01) and over 65 years old(69.25+18.16)(P < 0.001). The results of multiple linear regression showed that there was a correlation between the time spent on mobile phone and depression in rural women(allP < 0.05), in particular, there was a statistical significance on depression of women aged 45-64(allP < 0.05), and the longer the time spent on mobile phone, the higher the degree of depression was; there was no significant difference in the effect of mahjong on depression of women of all ages(allP > 0.05). Conclusions There is a correlation between watching mobile phone and depression of rural women in Hubei Province, reducing the use of mobile phones by rural women, especially middle-aged women, is worthy of attention in the future work of health education and Women's Federation.
- Depression /
- Rural women /
- Watching mobile phones /
- Playing mahjong

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图 1 研究对象的捕获过程

Figure 1. Capture process of the participants

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表 1 调查对象的基本情况

Table 1. Basic characteristics of the respondents

	N	%
年龄(岁)
15~	42	3.12
25~	194	14.42
35~	158	11.75
45~	365	27.14
55~	375	27.88
≥65	211	15.69
文化程度
小学及以下	757	56.28
初中	433	32.19
高中/中专	141	10.48
大学及以上	14	1.04
婚姻状况
未婚	30	2.23
已婚	1 185	88.10
离异	6	0.45
丧偶	120	8.92
其他	4	0.30
自报经济状况
很紧张	207	15.44
比较紧张	353	26.32
一般	670	49.96
比较宽裕	101	7.53
很宽裕	10	0.75
医保
无	53	3.94
有	1 291	96.06
吸烟
是	38	2.83
否	1 255	93.31
已戒了	52	3.87
喝酒(次数/周)
≥3次	20	1.50
1~2次	27	2.03
很少或不喝	1 284	96.47
父母支持/帮助
暂无/很小较小/一般	1 083	80.94
较大/很大	255	19.06
配偶支持/帮助
暂无/很小较小/一般	486	36.21
较大/很大	856	63.79
子女支持/帮助
暂无/很小较小/一般	701	52.20
较大/很大	642	47.80
兄弟姐妹支持/帮助
暂无/很小较小/一般	903	67.29
较大/很大	439	32.71

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表 2 调查对象打麻将和看手机行为与其抑郁状况得分分布

Table 2. Score distribution of behaviors of playing mahjong and watching mobile phone with depression of respondents

	总计			15~岁			45~岁			≥65岁
	%	x±s	P	%	x±s	P	%	x±s	P	%	x±s	P
总计		73.86±16.59			77.63±13.95			73.17±17.01			69.25±18.16
每周每天打麻将 > 2h天数
很少/无	87.91	73.86±16.73	0.677	89.77	77.87±13.93	0.619	85.81	72.97±17.28	0.443	91.87	69.45±18.08	0.420
1~2 d	7.16	73.91±16.49		6.91	78.06±13.27		7.84	73.88±17.19		5.26	63.86±16.86
≥3 d	4.93	75.65±13.86		3.32	73.96±16.36		6.35	76.06±11.94		2.87	75.83±23.43
平均每天看手机时间
很少/无	48.17	73.23±17.36	0.400	9.18	81.81±13.18	0.354	59.76	73.78±16.88	0.156	80.38	69.93±18.67	0.433
半小时	10.75	75.71±16.58		11.99	76.81±15.21		11.79	75.75±17.07		4.78	70.25±19.09
1小时	11.87	74.45±15.97		16.33	78.01±15.84		10.98	72.44±16.00		6.70	69.82±14.06
2小时	14.56	73.48±15.74		25.26	78.24±11.78		11.11	70.03±18.02		6.70	60.36±13.65
≥3小时	14.64	75.12±15.15		37.24	76.64±14.14		6.37	70.53±17.16		1.44	73.33±20.97

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表 3 调查对象抑郁状况的线性回归分析

Table 3. Linear regression analysis of the depression of the respondents

研究变量	总计		15~岁		45~岁		≥65岁
研究变量	β(95%CI)值	P值	β(95%CI)值	P值	β(95%CI)值	P值	β(95%CI)值	P值
每周每天打麻将 > 2小时天数(对照组:很少/无)
1~2 d	-0.33(-3.46, 2.79)	0.834	1.66(-3.77, 7.10)	0.547	-1.01(-5.13, 3.10)	0.629	0.13(-11.61, 11.87)	0.982
≥3 d	-0.12(-3.88, 3.63)	0.948	-6.20(-14.07, 1.67)	0.122	0.60(-3.97, 5.18)	0.795	5.63(-8.36, 19.63)	0.428
平均每天看手机时间(对照组:很少/无)
半小时	-0.60(-3.44, 2.24)	0.680	-4.76(-10.84, 1.33)	0.125	0.01(-3.55, 3.58)	0.994	-3.97(-16.35, 8.41)	0.528
1小时	-2.42(-5.20, 0.36)	0.088	-4.67(-10.49, 1.15)	0.116	-3.31(-7.05, 0.43)	0.083	1.64(-8.25, 11.54)	0.743
2小时	-3.74(-6.41, -1.07)	0.006	-3.95(-9.45, 1.54)	0.188	-4.36(-8.10, -0.62)	0.023	-8.20(-17.79, 1.38)	0.093
≥3小时	-5.14(-8.08, -2.20)	< 0.001	-5.41(-10.82, -0.01)	0.050	-5.69(-10.35, -1.03)	0.017	-1.79(-22.39, 18.81)	0.864
注:控制变量包括人口特征(包括年龄、文化程度、婚姻状况、自报经济状况、有无医保)、一般生活习惯(包括吸烟、喝酒)和家庭支持(包括父母支持、配偶支持、子女支持、兄弟姐妹支持)

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