Mental health in Northern Ireland: have "the Troubles" made it worse?
Mental health in Northern Ireland: have "the Troubles" made it worse?
复制标题
DOI：
10.1136/jech.57.7.488
复制
发表时间：
2003-07-01
影响因子：
6.3
通讯作者：
Stevenson, M
中科院分区：
文献类型：
--
作者：
O'Reilly, D;Stevenson, M
目标：衡量内乱（麻烦）对北爱尔兰普通民众心理健康的影响。设计：对 1997 年进行的全国代表性人口调查进行二次分析。地点：北爱尔兰。方法：这是对 1694 名受访者（年龄 16 - 64 岁）的分析，他们使用一般健康问卷 (GHQ) 的 12 个问题版本进行心理健康评估。麻烦的影响是基于对两个调查问题的回答；一询问对受访者所在地区的影响；第二个是对受访者或其家人生活的影响。为了模拟同时效应，我们构建了多重逻辑回归模型，以 GHQ 案例作为因变量，麻烦问题的影响作为自变量，人口、社会经济和健康相关因素作为协变量。结果：21.3% (361) 的受访者表示麻烦对他们的生活或家人的生活产生了“相当大”或“很大”的影响，25.1% (418) 的受访者表示麻烦对他们的居住地区产生了类似的影响。问题对受访者所在地区或生活的影响程度越大，心理发病的可能性就越大，第二个因素的关联性更强。尽管对健康相关因素进行调整确实减弱了奇数比的大小，特别是对于居住地区的麻烦的影响，但人口和社会经济因素都没有显着削弱这种关系。结论：北爱尔兰人口的心理健康可能受到麻烦的显着影响。目前还不清楚这是否归因于暴力本身或麻烦的其他方面，以及是否需要精神科服务的任何额外投入需要进一步研究。
Objectives: To measure the effects of the civil unrest ( the Troubles) on the mental health of the general population of Northern Ireland.Design: A secondary analysis of a nationally representative population survey conducted in 1997.Setting: Northern Ireland.Methods: This is an analysis of the 1694 respondents ( aged 16 - 64) who had their mental health assessed using the 12 question version of the General Health Questionnaire ( GHQ). The effects of the Troubles was based on the responses to two survey questions; one asking about the impact on respondent's area; the second about the impact on the life of the respondent or their family. To model simultaneous effects, multiple logistic regression models were constructed with GHQ case as the dependent variable, the impact of the Troubles questions as independent variables, and the demographic, socioeconomic, and health related factors as covariates.Results: 21.3% ( 361) of respondents said that the Troubles had either " quite a bit" or " a lot" of impact on their lives or the lives of their families and 25.1% ( 418) reported a similar impact on their area of residence. The likelihood of psychological morbidity increased the greater the extent to which the Troubles affected the respondent's area or life, the association being stronger for the second factor. Neither demographic nor socioeconomic factors significantly diminished this relation although adjusting for health related factors did attenuate the magnitude of the odd ratios especially for the effects of the Troubles on area of residence.Conclusion: It is probable that mental health of the population of Northern Ireland has been significantly affected by the Troubles. Whether this is attributable to the violence in itself or to other aspects of the Troubles is unclear and whether any additional inputs from psychiatric services are needed requires further study.