Threat to democracy: Physical and mental health impact of democracy movement in Hong Kong
Threat to democracy: Physical and mental health impact of democracy movement in Hong Kong
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DOI：
10.1016/j.jad.2015.07.005
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发表时间：
2015-11-01
影响因子：
6.6
通讯作者：
Hobfoll, Stevan E.
中科院分区：
文献类型：
--
作者：
Hou, Wai Kai;Hall, Brian J.;Hobfoll, Stevan E.
89年;（63%为女性），发生在2015年2月的前两周。结果：共有47.35% （95% CI=44.55, 50.17）的被调查者报告了中度/重度焦虑症状，14.4% （95% CI=12.54, 16.50）的被调查者报告了中度/重度抑郁症状；9.11% （95% CI=7.61, 10.86）报告健康状况“差”或“非常差”。多变量回归显示，个人和社会资源损失与较高的焦虑和抑郁症状以及较大的“非常差”健康状况（调整后的优势比/发病率比=5-102%）相关，与较低的教育水平和收入以及未婚无关。局限性：本研究本质上是横断面的，因此不能从资源损失和结果变量之间的关联中确定因果关系。第二，电话调查依赖于自我报告；反应偏差和社会期望会影响应答者的回答并降低数据的有效性。结论：这是在最近的政治运动（如阿拉伯之春）之后进行的首批研究之一，旨在量化受影响公民的痛苦和相关的痛苦。感知到的社会心理资源损失是不良预后的关键预测因素。(C) 2015 Elsevier B.V.版权所有
Background: This study examined the prevalence and critical predictors of anxiety and depressive symptoms and self-rated health, following the Umbrella Movement in Hong Kong, Methods: Random digit dialing recruited a population-representative sample of 1208 Chinese Hong Kong citizens (mean age=46.89 years; 63% female) in the first two weeks of February 2015. Respondents gave their informed consent and reported personal, social, and economic resource loss since the Umbrella Movement (Conservation of Resources-Evaluation), current anxiety symptoms (State-Trait Anxiety Inventory) and depressive symptoms (Patient Health Questionnaire-9), and self-rated health (1=very good, 4=very bad).Results: A total of 47.35% (95% CI=44.55, 50.17) respondents reported moderate/severe anxiety symptoms and 14.4% (95% CI=12.54, 16.50) reported moderate/severe depressive symptoms; 9.11% (95% CI=7.61, 10.86) reported "poor" or "very poor" health. Multivariable regressions revealed that personal and social resource loss was associated with higher anxiety and depressive symptoms and greater odds of "very poor" health (adjusted odds ratios/incidence rate ratios=5-102%), independent of lower education level and income and being unmarried.Limitations: This study was cross-sectional in nature and thus could not determine causality from the associations between resource loss and outcome variables. Second, the telephone survey relied on self-reports; response bias and social desirability could influence respondents' answers and discount data validity. Third, potential confounders such as preexisting mental and physical health issues and concurrent predictors like exposure to the Umbrella Movement were not assessed.Conclusions: This is one of the first studies following any recent political movement (e.g., The Arab Spring) to quantify distress and the associated correlates of distress among affected citizens. Perceived psychosocial resource losses were critical predictors of poor outcomes. (C) 2015 Elsevier B.V. All rights reserved.