| Objective: To explore the mental health status of ruralcommunity residents in Mianyang and its demographic influencing factors. Themental heath status including self-rated health status, awareness about mentalhealth, anxiety,depression, self-esteem and attitude related mental illness.Methods: Altogether1984residents were randomly selected from the ruralcommunity in Mianyang and were surveyed using a self-rated health measurem-ent scale (SRHMS), a self-esteem Scale(SES)，a patient health questionnaire(PHQ-9), a generalized anxiety disorder questionnaire(GAD-7), a knowledge ofmental health questionnaire(KMHQ) and a attitude related mental iIllnessquestionnaire(ARMIQ). Results:(1). Compared it with the national norm, thescores of mental health, social support and the total score of rural communityresidents were significantly different in Mianyang,(p＜0.01), but there were nostatistically significant differences in the score of physical health(p>0.05).(2).Scores of physical health, mental health, social support, and the total score ofSRHMS were not significantly different among different groups by age,education levels and economic status (P＜0.01).(3). The scores of physicalhealth, mental health, and the total score of SRHMS were significantly differentin different ethnic groups (P＜0.05), but not significantly different in socres ofsocial support(P＞0.05).(4). Scores of physical health and the total score ofSRHMS were significantly different in different groups according to their maritalstatus (P＜0.05), but no statistically significant differences were found in the score of mental health and social support(p>0.05).(5). Scores of physical healthwere statistically significantly different in subjects by different occupation, butnot statistically significantly different in the scores of mental health, socialsupport, and the total score of SRHMS.(6). Scores of physical health, mentalhealth, social support, and the total score of SRHMS were not significantlydifferent among different groups of genders and religious belief(P>0.05).(7). Themean score of KMHQ was9.18(3.82), which showed the level of awarenessabout mental health is low.(8). The scores of KMHQ were statistically significa-ntly different among different groups of gender, age, economic status, educationlevels and occupation(p<0.01).(9). The scores of SES were statisticallysignificantly different between different ethnic group and religious belief groups(P＜0.05), but not statistically significantly different among different groups ofgender, age, economic status, marital status, education, and occupation(P>0.05).(10). The mean score of AMRIQ was35.23(5.81). The score of AMRIQ wasstatistically significantly different among different groups by age, education andoccupation(P＜0.05), but not statistically significantly differences among differ-ent groups of gender, ethnic group, economic status, marital status and religiousbelief(P>0.05).(11).PHQ-9scores less than5points were defined as the normalgroup. PHQ-9scores greater than or equal to5points was defined as thedepression group.There was statistically significant differences in age, ethnicgroup, economic status, education, and religious belief between the normal groupand the depression group (P＜0.05), but not statistically significant differentamong different groups of gender, occupation and marital status (P>0.05).(12). Logistic regression analysis found that the depression group was more likely tohave bad self-rated health status, to have low level of self-esteem and awarenessabout mental health(OR<1.0, P<0.05); to have better attitude related mentaliIllnesses and to be a higher educational level (OR>1.0, P<0.05).Conclusion:(1).The status of mental health, social support, and self-rated health are better thanthe national norm in the rural community of Mianyang. Self-rated health status islargely influenced by age,education and economic status, while ethnic group,marital status and occupation are important factors of physical health.(2). Theoverall level of awareness about mental health issues is low in the ruralcommunity of Mianyang. Particularly regarding the knowledge about mentaldisorders and Mental Health Commemoration Day, which are in need ofimprovement. Gender, age, education, economic status and occupation areimportant factors of awareness about mental health.(3). The attitude relatedmental iIllnesses of the people in the rural community of Mianyang is negative,and the attitude is more likely influenced by age, education and occupation.(4).ethnic group and religious beliefs are more likely important factors ofself-esteem to the people in the rural community of Mianyang.(5). The screeningrate of depresssion is50.1%in the rural community of Mianyang, which shows adepression problem is serious, and age, ethnic group, economic status, education,and religious beliefs are important factors of depression. |
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