Study on the depression and anxiety status and its influencing factors of chronic hepatitis B cases in Tianjin
10.3969/j.issn.1006-2483.2020.04.004
- VernacularTitle:天津慢性乙型肝炎病例抑郁焦虑状况及影响因素
- Author:
Weishen WU
1
;
Guoping ZHANG
1
;
Haiyan HE
1
;
Zhaofei WEI
1
;
Ying ZHAO
1
;
Wenquan WANG
2
Author Information
1. Department of Viral Hepatitis, Institute for Infectious Disease Control and Prevention, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
2. Tianjin Binhai New Area Centers for Disease Control and Prevention, Tianjin 300270, China
- Publication Type:Journal Article
- Keywords:
Chronic;
Hepatitis B;
Depression;
Anxiety;
Influencing factors
- From:
Journal of Public Health and Preventive Medicine
2020;31(4):14-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the status of depression and anxiety in patients with chronic hepatitis B in Tianjin, and to analyze its influencing factors, so as to provide references for scientific psychological intervention and health education. Methods Chronic hepatitis B cases whose addresses were Tianjin were randomly selected from the report of infectious disease surveillance system from January 2018 to December 2019 as the study subjects. A certain number of healthy people living in Tianjin were selected as the control. A unified mental health questionnaire survey was conducted by telephone follow-up or face-to-face survey. The distribution characteristics of depression and anxiety were described, and influencing factors of depression and anxiety were analyzed by univariate and multivariate logistic regression analysis. Results A total of 825 cases of chronic hepatitis B and 376 cases of healthy people were investigated. The crude SDS and SAS were (35.47±9.34) and (32.33±8.26), respectively, which were higher than those of healthy people ( P <0.05). The rates of depression and anxiety in chronic hepatitis B patients were 25.45% and 20.61%, respectively, which were significantly higher than those in healthy people (15.96% and 11.70%, respectively) (P < 0.001). The analysis of depression influencing factors showed that the OR of high average monthly income was 0.791 ( 95% CI：0.655～0.955 ), the OR of not knowing correct preventive measures was 1.509 (95% CI：1.084～2.102 ), and the OR of feeling discriminated was 1.650 ( 95% CI：1.166～2.335 ). The multifactor analysis of anxiety influencing factors showed that the OR of not knowing correct preventive measures was 1.490 ( 95% CI:1.049～2.117)), while the OR of feeling discriminated was 1.854 ( 95% CI: 1.289～2.666). Conclusion The levels of depression and anxiety of chronic hepatitis B patients were higher than that of general healthy people. Not knowing correct preventive measures and feeling discriminated in daily life were risk factors while high income was a protective factor.
