摘要
目的了解不同形式社会支持对安徽省医科大学生自杀意念的影响及性别差异。方法采用分层整群抽样方法,以安徽省两所医科院校大一、大二4 799名学生为研究对象,了解一般人口统计学指标、社会支持和自杀意念等信息,建立多因素Logistic回归模型分析不同形式社会支持(类型与来源)对自杀意念的影响,并比较男女差异。结果大学生自杀意念的检出率为6. 2%,性别间差异无统计学意义(X^2=1. 224,P=0. 269)。随各种形式社会支持水平的降低,男女大学生自杀意念呈增加趋势。控制相关混杂因素的影响,低水平各种形式的社会支持是总体大学生和女生的自杀意念的独立危险因素(均有P <0. 05),低水平社会支持、主观支持和支持利用度会增加男生自杀意念的风险(P值分别为0. 049,0. 002,0. 031)。暴露于低社会支持、低客观支持及低水平的不同来源社会支持,女生自杀意念的风险均高于男生。结论社会支持是医科大学生自杀意念的重要影响因素,并表现有性别差异,开展针对性干预有益于医科大学生自杀意念的防控。
Objective To investigate the relationship between various types of social support and suicide ideation,and whether the relationship varies by gender. Methods A total of 4 799 students in cluding freshmen and sophomores were recruited by stratified cluster sampling from 2 medical colleges in Anhui Province. We assessed demographic indicators,social support and suicidal ideation,etc. Logistic regression was used to analyze their gender differences and the relationship between social support and suicidal ideation. Results The prevalence of suicidal ideation was 6. 2%,and no gender difference was found( χ^2= 1. 224,P = 0. 269). The rate of suicidal ideation was higher with the decreasing of social support. Low levels of social support had independent effects on suicidal ideation among total samples and females respectively after controlling for confounding factors( all P < 0. 05),while low levels of social support,subjective social support and support availability increased the risk of suicidal ideation among males( P value was 0. 049,0. 002,0. 031,respectively). In adolescents with low levels of social support,objective social support and various sources of social support,females versus males had higher risk to have suicidal ideation. Conclusions Low level of social support increased the risk of suicidal ideation among students in medical college,especially for girls. Groups at highest risk of suicidal ideation in relation to certain types of social support should be targeted with interventions accordingly.
作者
刘景
高荣
万宇辉
LIU Jing;GAO Rong;WAN Yu-hui(Department of Nursing,Faculty of Medicine,The Union University of Huainan,Huainan 232000,China;CPC General Branch of Students,Chaohu Clinical Medical College,Anhui Medical University, Hefei 230032,China;Preventive Medicine Teaching Center,School of Public Health,Anhui Medical University,Hefei 230032,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2019年第1期80-84,共5页
Chinese Journal of Disease Control & Prevention
基金
安徽省自然科学基金(1708085QH223)
安徽省质量工程项目(2015tszy046)~~
关键词
大学生
社会支持
自杀意念
College students
Social support
Suicidal ideation
