COVID-19疫情暴发后中国成人创伤后应激障碍流行及弱势群体

王卫东; 胡以松

doi:10.16462/j.cnki.zhjbkz.2022.06.015

COVID-19疫情暴发后中国成人创伤后应激障碍流行及弱势群体

doi: 10.16462/j.cnki.zhjbkz.2022.06.015

王卫东,
胡以松^,

100872 北京，中国人民大学中国调查与数据中心

基金项目: 中央高校建设世界一流大学(学科)和特色发展引导专项资金(2022年)

详细信息

通讯作者:
胡以松，E-mail: huysnsrc@ruc.edu.cn

中图分类号: R195
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出版历程
- 收稿日期: 2021-10-09
- 修回日期: 2022-01-12
- 网络出版日期: 2022-06-16
- 刊出日期: 2022-06-10

Post-traumatic stress disorder prevalence and vulnerable groups after the outbreak of COVID-19 in Chinese adults

WANG Wei-dong,
HU Yi-song^,

National Survey Research Center at Renmin University of China, Beijing 100872, China

More Information

Corresponding author: HU Yi-song, E-mail: huysnsrc@ruc.edu.cn

摘要

摘要: 目的评估中国COVID-19疫情暴发后创伤后应激障碍(post-traumatic stress disorder, PTSD)在年满18岁的成年人中流行情况，并探索源于该流行病的PTSD弱势群体。方法基于全国手机号段库通过随机数字拨号方法(random digital dialing, RDD)进行抽样，招募电话调查员，通过基于电脑辅助的电话调查方法(computer-assisted telephone interviewing, CATI)进行调查，自2020年5月11日-2020年5月28日共调查成功问卷4 206份，样本覆盖全国所有地(市)级单位。PTSD的测量采用创伤后应激障碍筛查量表第5版(post-traumatic stress disorder checklist 5th edition, PCL-5)进行。结果全国总的PTSD疑似阳性率为2.06%，武汉市、湖北省其他地区以及湖北省以外的其他省(区)PTSD疑似阳性率分别为2.88%、2.54%和2.03%。PTSD疑似阳性多因素Logistic回归分析模型分析显示，中年、居住地为农村及低社会阶层的人群PTSD疑似阳性率更高。结论 COVID-19相关的PTSD发生率相对较低，但因为中国的人口基数大，仍然需要引起重视；在进行COVID-19相关的PTSD预防和控制时，需要更多地考虑社会与经济地位上弱势的群体。
- COVID-19 /
- 创伤后应激障碍 /
- 调查 /
- 成人
Abstract: Objective To evaluate post-traumatic stress disorder (PTSD) prevalence after the outbreak of COVID-19 in Chinese adults and to explore the vulnerable groups of COVID-19-associated PTSD. Methods Random digital dialling sampling method was used based on the national cell phone segment database. Computer assisted telephone interviewing platform was administered to collect 4 206 questionnaires from all prefecture-level cities in China from May 11th to 28th 2020. PTSD score was evaluated with the post-traumatic stress disorder checklist 5th edition (PCL-5). Results The total national suspected PTSD rate was 2.06%. The suspected PTSD rate for Wuhan City, other areas in Hubei and other Provinces were 2.88%, 2.54% and 2.03% respectively. The multivariate Logistic regression model showed that middle age, rural location, and lower social-economic status was positively associated with suspected PTSD. Conclusions Although the COVID-19-associated PTSD rate was relatively low, more attention should be paid because of the largest population in China. And more consideration should be given to the low SES population for the control and prevention of COVID-19-associated PTSD.
- COVID-19 /
- PTSD /
- Survey /
- Adults

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图 1 不同地区PTSD分值分布情况

Figure 1. PTSD score distribution by different regions

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表 1 PTSD分值和疑似阳性率在不同特征人群分布情况

Table 1. The distribution of PTSD scores and suspected positive rates by different characteristic population

变量	总人数(N)	PTSD分值				PTSD疑似阳性率(%)
变量	总人数(N)	x	s	Z/χ²值	P值	发生率(%)	χ²值	P值
性别				-3.340	＜0.001		0.398	0.528
男性	2 617	6.80	7.86			1.59
女性	1 589	7.21	7.38			1.85
年龄(岁)				37.722	＜0.001		13.010	0.005
18~ < 30	1 441	6.04	6.36			0.91
30~ < 45	1 617	6.76	7.65			1.81
45~ < 60	800	8.42	9.03			2.93
≥60	348	8.39	8.79			2.35
教育程度				77.494	＜0.001		19.733	＜0.001
初中及以下	754	9.11	9.77			3.38
高中/中专/技校	864	7.97	8.40			2.36
大专及以上	2 588	6.00	6.50			1.09
城乡				-3.475	＜0.001		9.878	0.002
城市	3 227	6.61	7.17			1.41
农村	963	8.10	9.13			2.94
社会阶层				78.348	＜0.001		63.871	＜0.001
下层	364	10.04	11.05			6.67
中下层	1 087	7.96	7.93			2.24
中层	2 374	6.24	6.90			0.89
中上层	345	5.49	6.27			0.88
地区				39.391	＜0.001		0.890	0.641
武汉市	1 304	7.65	7.71			1.94
湖北省其他地区	1 064	7.26	8.17			1.91
其他省(区)	1 838	6.30	7.41			1.54
SARS-CoV-2暴露				-4.850	＜0.001		2.019	0.155
否	4 128	6.88	7.62			1.71
是	78	10.72	9.84			3.85
家人确诊COVID-19				-1.905	0.057		0.885	0.347
否	4 156	6.94	7.69			1.77
是	50	8.16	7.00			0.00
家人因COVID-19集中隔离或收治				-3.710	＜0.001		2.575	0.109
否	4 099	6.90	7.67			1.70
是	107	9.04	8.08			3.77
所在村或社区有确诊COVID-19				-5.790	＜0.001		1.572	0.210
否	2 822	6.54	7.34			1.58
是	1 384	7.81	8.28			2.12

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表 2 PTSD分值及PTSD疑似阳性率的多因素回归分析

Table 2. Multivariate regression analysis on PTSD score and suspected positive rate

变量	PTSD分值(OLS回归分析模型)	PTSD疑似阳性(Firth Logistic回归分析模型)
性别
男性	1.000	1.000
女性	0.829 ^a	1.020
年龄(岁)
18~ < 30	1.000	1.000
30~ < 45	0.262	1.811
45~ < 60	1.245 ^a	2.251 ^a
≥60	1.290 ^b	2.151
教育程度
初中及以下	1.000	1.000
高中/中专/技校	-0.674	0.994
大专及以上	-2.083 ^a	0.701
城乡
城市	1.000	1.000
农村	1.041 ^a	1.743 ^c
社会阶层
下层	1.000	1.000
中下层	-1.481 ^a	0.388 ^b
中层	-2.843 ^a	0.169 ^a
中上层	-3.379 ^a	0.196 ^b
地区
武汉市(参照组)	1.000	1.000
湖北省其他地区	-0.113	1.042
其他省(区)	-0.793 ^c	0.986
SARS-CoV-2暴露
否	1.000	1.000
是	3.514 ^a	2.299
家人确诊COVID-19
否	1.000	1.000
是	-0.765	0.162
家人因COVID-19集中隔离或收治
否	1.000	1.000
是	1.136	3.051
所在村或社区有确诊COVID-19
否	1.000	1.000
是	1.424 ^a	1.741
截距项	7.605 ^a	0.017 ^c
注：^aP < 0.001；^bP < 0.01；^cP < 0.05。

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