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目的了解三峡移民心理健康、社会支持状况及其相互关系。方法使用症状自评量表(SCL-90)和社会支持评定量表对三峡库区外迁山东省的320名农村居民和320名当地居民进行调查。结果(1)三峡移民SCL-90总分及各因子分均显著高于当地居民;按任意因子分≥2为标准,三峡移民阳性筛查率为40.3%;(2)三峡移民主观支持、客观支持、支持利用度及社会支持总分均显著低于当地居民得分和移民前得分(P<0.001)。(3)三峡移民SCL-90阳性组的客观支持、支持利用度以及社会支持总分得分显著低于阴性组,差异有统计学意义(P<0.05);相关分析显示,三峡移民社会支持利用度与SCL-90各项因子及总分均呈负相关(P<0.05)。结论三峡移民社会支持利用度及总分均低于当地居民,应做好三峡移民心理卫生工作。
Objective To understand the mental health and social support of the Three Gorges immigrants and their relationship. Methods A total of 320 rural residents and 320 local residents relocated to the Three Gorges Reservoir Area in Shandong Province were investigated using the Symptom Checklist 90 (SCL-90) and Social Support Rating Scale. Results (1) The SCL-90 total score and each factor score of the Three Gorges immigrants were significantly higher than that of the local residents. The positive screening rate of the Three Gorges immigrants was 40.3% by arbitrary factor score ≥2. (2) The Three Gorges immigrants subjective support and objective The scores of support, supportive utilization and social support were significantly lower than those of local residents and pre-immigrants (P <0.001). (3) The scores of objective support, support utilization and total score of social support in SCL-90 positive group of Three Gorges immigrants were significantly lower than those of negative group (P <0.05). Correlation analysis showed that the social support utilization of Three Gorges immigrants And SCL-90 various factors and the total score was negatively correlated (P <0.05). Conclusion The social support utilization and the total score of the Three Gorges immigrants are lower than those of the local residents, and the mental health work of the Three Gorges immigrants should be well done.