上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2018, Vol. 38 ›› Issue (2): 200-.doi: 10.3969/j.issn.1674-8115.2018.02.016

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上海市浦东新区外来男性建筑工人自杀意念及其相关因素分析

于维杰 1 ，王春鸣 2 ，戴慧莉 3 ，蔡泳 1   

  1. 上海交通大学 1. 公共卫生学院，上海 200025；2. 医学院附属仁济医院对外医疗事业发展办公室，上海 200127；3. 医学院附属仁济医院肾脏内科，上海 200127
  • 出版日期:2018-02-28 发布日期:2018-03-09
  • 通讯作者: ?蔡 泳，电子信箱：caiyong202028@163.com
  • 作者简介:于维杰（1986—），男，硕士生；电子信箱：rjkybywj@126.com。
  • 基金资助:
     国家自然科学基金（71273174，71673187）；上海市公共卫生三年行动计划重点学科建设——健康教育与健康促进（15GWZK1002）

Analysis of suicidal ideation and its related factors among migrant construction male workers in Pudong New Area, Shanghai

YU Wei-jie1 , WANG Chun-ming2 , DAI Hui-li3 , CAI Yong1   

  1. 1. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China; 2. Collaboration and Development Department, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 3. Renal Division, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2018-02-28 Published:2018-03-09
  • Supported by:
    National Natural Science Foundation of China, 71273174, 71673187; Shanghai Key Discipline Construction of Public Health——Health Education and Health Promotion, 15GWZK1002

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摘要： 目的 · 了解上海市浦东新区外来男性建筑工人自杀意念的发生情况，并基于社会认知理论分析其影响因素。方法 · 整群随机
抽取上海市浦东新区 3 个建筑工地的 1 850 名外来男性建筑工人进行问卷调查。采用单因素和多因素 Logistic 回归分析其自杀意念
的相关因素，包括消极心理、负面认知和高危行为。结果 · 在完成调查的 1 580 名外来男性建筑工人中，有 126 人 (8.0%) 存在自杀
意念；单因素分析发现，吸毒、酒精使用、抑郁、广泛性焦虑和孤独是该人群的自杀意念危险因素，而领悟社会支持程度是保护因
素；经多因素分析进一步筛选，发现酒精使用 (ORm=2.15，95% CI 为 1.42 ～ 3.24)、抑郁 (ORm=2.47，95% CI 为 1.17 ～ 5.21)、广
泛性焦虑 (ORm=2.24，95% CI 为 1.50 ～ 3.35)、孤独 (ORm=2.09，95% CI 为 1.28 ～ 3.40) 以及领悟社会支持 (ORm=1.84，95% CI 为
1.20 ～ 2.83) 是该人群发生自杀意念的关键因素。结论 · 上海市浦东新区外来男性建筑工人的自杀意念在其消极心理、负面认知和高
危行为等的协同作用下而发生，应积极推动该人群的家庭和社会力量，加强心理卫生健康干预，有效防范自杀意念的产生。

关键词: 外来男性建筑工人, 自杀意念, 社会认知理论

Abstract:

Objective · To understand the suicidal ideation among migrant construction male workers in Pudong New Area, Shanghai, and analyze the influence factors based on social cognitive theory. Methods · Surveys were carried out among 1 850 migrant construction male workers from 3 randomly chosen construction sites using cluster random sampling. Univariate and multivariate Logistic regressions analysis were used to explore the association between suicidal ideation and its related factors such as negative psychology, negative cognition and high-risk behavior. Results · Among the total 1 580 respondents completed the survey, 126 (8.0%) reported having suicidal ideation. In the univariate Logistic regression analysis, drug abuse, alcohol abuse, depression, generalized anxiety and loneliness were risk factors for suicidal ideation, while perceived social support was a protective factor. Five of the six variables, alcohol abuse (ORm=2.15, 95%CI 1.42–3.24), depression (ORm=2.47, 95%CI 1.17–5.21), generalized anxiety (ORm=2.24, 95%CI 1.50– 3.35), loneliness (ORm=2.09, 95%CI 1.28–3.40) and perceived social support (ORm=1.84, 95%CI 1.20–2.83) were selected by the multivariate Logistic regression analysis. Conclusion · Suicidal ideation among migrant construction male workers in Pudong New Area, Shanghai occurs under the influence of negative psychology, negative cognition and high-risk behavior. For the crowds, family and society should be actively promoted and mental health interventions should be strengthened, which could effectively prevent suicide ideation.

Key words: migrant construction male workers, suicidal ideation, social cognitive theory