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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参考文献(16)

[1]	Williams DJ. No health without 'mental health'[J]. J Public Health, 2018, 40(2): 444. DOI: 10.1093/pubmed/fdx182.
[2]	Nelson SE, Wilson K. The mental health of Indigenous peoples in Canada: A critical review of research[J]. Soc Sci Med, 2017, 176: 93-112. DOI: 10.1016/j.socscimed.2017.01.021.
[3]	马跃, 苏莹莹, 杨光, 等.长春市成年居民一般心理健康状况及其影响因素分析[J].中华疾病控制杂志, 2016, 20(7): 663-666. DOI: 10.16462/j.cnki.zhjbkz.2016.07.005. Ma Y, Su YY, Yang G, et al. The general mental health status and analysis on its related factors in adults of Changchun City[J]. Chin J Dis Control Prev, 2016, 20(7): 663-666. DOI: 10.16462/j.cnki.zhjbkz.2016.07.005.
[4]	何流芳.农村妇女健康教育需求及对策研究[J].疾病控制杂志, 1999(2): 36-38. He LF. A study on the needs and the countermeasures of health education for the women in rural area[J]. Dis Control Prev, 1999(2): 36-38.
[5]	陈莉, 吴文婷, 王李敬, 等.温州地区已婚妇女家庭暴力的现状及影响因素[J].中华疾病控制杂志, 2019, 23(10): 1208-1212. DOI: 10.16462/j.cnki.zhjbkz.2019.10.010. Chen L, Wu WT, Wang LJ, et al. The status and influencing factors of domestic violence against married women in Wenzhou area[J]. Chin J Dis Control Prev, 2019, 23(10): 1208-1212. DOI: 10.16462/j.cnki.zhjbkz.2019.10.010.
[6]	王婷, 周艳辉, 罗阳.湖南省青春期女性焦虑、抑郁现状调查及其影响因子的预测[J].中华疾病控制杂志, 2019, 23(8): 971-976. DOI: 10.16462/j.cnki.zhjbkz.2019.08.017. Wang T, Zhou YH, Luo Y. Anxiety, depression status of adolescent females and prediction of related influencing factors in Hunan Province[J]. Chin J Dis Control Prev, 2019, 23(8): 971-976. DOI: 10.16462/j.cnki.zhjbkz.2019.08.017.
[7]	Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D(Center for Epidemiologic Studies Depression Scale)[J]. Am J Prev Med, 1994, 10(2): 77-84. DOI: 10.1002/ajim.4700250315.
[8]	Kwon M, Kim DJ, Cho H, et al. The smartphone addiction scale: development and validation of a short version for adolescents[J]. PLoS One, 2013, 8(12): e83558. DOI: 10.1371/journal.pone.0083558.
[9]	张晶, 张玉姣, 申鲁军.不同程度手机网络过度使用者不同时程条件下注意偏向的特点[J].中国心理卫生杂志, 2019, 33(7): 545-549. DOI: 10.3969/j.issn.1000-6729.2019.07.015. Zhang J, Zhang YJ, Shen LJ. Attentional bias characteristics of different levels of over-users in mobile network under different time-course conditions[J]. Chin Mental Health J, 2019, 33(7): 545-549. DOI: 10.3969/j.issn.1000-6729.2019.07.015.
[10]	郑红涛, 张相乐.湖北省新农村居民心理健康现状及影响因素[J].职业与健康, 2015, 31(24): 3436-3439. DOI: 10.13329/j.cnki.zyyjk.2015.1177. Zheng HT, Zhang XL. Mental health status and its influencing factors of new rural residents in Hubei Province[J]. Occup and Health, 2015, 31(24): 3436-3439. DOI: 10.13329/j.cnki.zyyjk.2015.1177.
[11]	李成娟.山东省东营市农村居民心理健康状况及其影响因素研究[D].济南: 山东大学, 2010. Li CJ. Study on mental health and determinants in rural Dongying, Shandong Province[D]. Jinan: Shandong University, 2010.
[12]	周成超, 何江江, 徐凌忠, 等. Kessler10量表在我国老年人心理健康测评中的初次应用[J].中国临床心理学杂志, 2009, 17(6): 761-763. DOI: 10.16128/j.cnki.1005-3611.2009.06.003. Zhou CC, He JJ, Xu LZ, et al. First Application of kessler 10 scale to measuring mental health status of the aged in China[J]. Chin J Clin Psychol, 2009, 17(6): 761-763. DOI: 10.16128/j.cnki.1005-3611.2009.06.003.
[13]	王雪.村落生活中的麻将娱乐[D].温州: 温州大学, 2018. Wang X. Mahjong entertainment in village life[D]. Wenzhou: Wenzhou University, 2018.
[14]	李晓荣.农村老人娱乐问题[J].中国老年学杂志, 2014, 34(6): 1696-1698. DOI: 10.3969/j.issn.1005-9202.2014.06.131. Li XR. Entertainment for the elderly in rural areas[J]. Chin J Gerontol, 2014, 34(6): 1696-1698. DOI: 10.3969/j.issn.1005-9202.2014.06.131.
[15]	周展.智能手机成瘾的前因后果: 人格特征和社交隔离[D].深圳: 深圳大学, 2018. Zhou Z. The predictors and consequences of smartphone addiction: personality traits and social isolation[D]. Shenzhen: Shenzhen University, 2018.
[16]	Carey G, Crammond B. Systems change for the social determinants of health[J]. BMC Public Health, 2015, 15(1): 662. DOI: 10.1186/s12889-015-1979-8.