泰国初级保健和宗教护理中心病人的自杀意念及其相关因素

IF 5 Q1 PSYCHIATRY
K. Peltzer, S. Pengpid
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引用次数: 0

摘要

自杀意念是一个公共卫生问题。在泰国的初级和宗教护理中心的参与者中发现的自杀意念患病率的百分比尚不清楚。本研究的目的是评估泰国初级保健和宗教护理中心的病人的自杀意念及其相关因素。方法:采用横断面访谈法,于2018-2019年连续抽取来自三家宗教中心和三家初级保健中心的1214名成年客户参与研究。他们填写了有关自杀意念、社会和人口因素、慢性病以及精神和物质使用障碍的信息。采用Logistic回归评估自杀意念的预测因子。结果:1 / 10的患者(10.0%)报告有自杀意念。与初级护理相比,参加宗教护理的病人自杀意念患病率较高,但差异不显著。在调整后的logistic回归分析中,抑郁症(调整优势比[AOR]: 3.49, 3.49, 95%可信区间[CI]: 1.86-6.56)、焦虑症(AOR: 6.03, 95% CI: 2.82-12.95)、躯体化障碍(AOR: 2.03, 95% CI: 1.17-3.53)、癌症(AOR: 2.56, 95% CI: 1.02-6.50)和关节痛(AOR: 2.24: 95% CI: 1.16-4.31)与自杀意念呈正相关,而中等教育(AOR: 0.39, 95% CI: 0.20-0.77)、就业(AOR: 0.52, 95% CI: 0.52)与自杀意念呈正相关。0.32-0.85),高社会支持(AOR: 0.28, 95% CI: 0.13-0.56)与自杀意念呈负相关。结论:宗教照护的自杀意念发生率高于初级照护,但差异不显著。与自杀意念相关的因素包括社会人口因素、精神障碍和慢性疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Suicidal ideation and associated factors among clients of primary care and religious care centers in Thailand
Introduction: Suicidal ideation is a public health concern. The percentage of prevalence of suicidal ideation found among attendees of primary and religious care centers in Thailand is unclear. The aim of this study was to evaluate suicidal ideation and associated factors among clients of primary care and religious care centers in Thailand. Methods: In a cross-sectional interview survey, 1214 consecutively sampled adult clients from three religious and three primary care centers participated in the study in 2018–2019. They completed information on suicidal ideation, social and demographic factors, chronic conditions, and mental and substance use disorders. Logistic regression was used to assess predictors of suicidal ideation. Results: One in ten clients (10.0%) reported suicidal ideation. The prevalence of suicidal ideation was higher in clients attending religious compared to primary care, but the difference was not significant. In adjusted logistic regression analysis, depressive disorder (adjusted odds ratio [AOR]: 3.49, 3.49, 95% confidence interval [CI]: 1.86–6.56), anxiety disorder (AOR: 6.03, 95% CI: 2.82–12.95), somatization disorder (AOR: 2.03, 95% CI: 1.17–3.53), cancer (AOR: 2.56, 95% CI: 1.02–6.50), and sore joints (AOR: 2.24: 95% CI: 1.16–4.31) were positive associated with suicidal ideation, while secondary education (AOR: 0.39, 95% CI: 0.20–0.77), employed (AOR: 0.52, 95% CI: 0.32–0.85), and high social support (AOR: 0.28, 95% CI: 0.13–0.56) were negatively associated with suicidal ideation. Conclusion: The prevalence of suicidal ideation was higher in clients attending religious care compared to primary care, but the difference was not significant. Factors associated with suicidal ideation include sociodemographic factors, mental disorders, and chronic conditions.
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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