中文摘要：

目的 探讨农村留守妇女焦虑现况及其影响因素,为开展有针对性的干预提供信息.方法 采用多阶段抽样的方法抽取长丰县2 036名农村已婚妇女,运用焦虑自评量表（SAS）、匹兹堡睡眠质量指数量表（PSQI）、自编一般情况问卷进行现场调查.结果 2036名农村已婚妇女中留守妇女672名,占总数的33.0％;其中40.6％的留守妇女出现焦虑症状,高于非留守妇女焦虑症状的患病率27.5％,差异具有统计学意义（x2=35.78,P＜0.01）.在不同年龄段上比较,留守妇女的焦虑、睡眠障碍患病率均高于非留守妇女,差异具有统计学意义（P＜0.01）.对留守妇女焦虑进行多因素回归分析,结果显示：健康较差（OR=2.862,95％CI=1.361～34.718）、睡眠障碍（OR=1.780,95％ CI=1.305～2.188）、经常感到孤独（OR=1.452,95％ CI=1.142～1.855）、年龄≥41岁（OR=2.419,95％ CI=1.636 ～5.031）、留守时间≥3年（OR=2.013,95％ CI=1.269 ～3.625）是影响留守妇女焦虑的危险因素;经常联系（OR=0.503,95％ CI=0.291 ～0.834）、家庭月收入≥3 001元（OR=0.481,95％ CI =0.063 ～0.946）是影响留守妇女焦虑的保护性因素.结论 留守妇女出现焦虑症状较为普遍,其发生可能是多种因素共同作用的结果.在制定干预措施时,应综合考虑留守时间、夫妻联系频率、睡眠质量等因素.

英文摘要：

Objective To investigate the prevalence of anxiety and the effect factors among left-behind women in rural areas.Methods With multistage sampling method,2 036 left-behind women were measured with Pittsburgh Sleep Quality Index （PSQI）,Self-Rating Anxiety Scale （SAS） and a self-administered questionnaire during September,2012 to October,2012.Results 672 left-behind women,accounting for 33.0％ of the total women,were surveyed in this investigation.The prevalence rates of anxiety,among left-behind women and non-left-behind women were 40.6％,27.5％,respectively.The difference of anxiety between left-behind women and non-left-behind women was obviously significant （x2 =35.78,P ＜ 0.01）.Compared with non-left-behind women,the differences of the prevalence of anxiety and sleep disorder were statistically significant regarding age differences.Results from multivariate logistic regression analysis indicated that physical health status （OR =2.862,95 ％ CI =1.361 ～34.718）,sleep disorder （OR =1.780,95％ CI =1.305 ～ 2.188）,alone （OR =1.452,95％ CI =1.142 ～ 1.855）,elder （≥41,OR =2.419,95％ CI =1.636 ～ 5.031）,time of left-behind （≥3 years,OR =2.013,95 ％ CI =1.269 ～ 3.625） were the risk factors.While regular in touch （OR =0.503,95 ％ CI =0.291 ～ 0.834）,monthly family income （≥3 001 Yuan,OR =0.481,95 ％ CI =0.063 ～0.946） was protective factors.Conclusion Our findings indicate that the status of anxiety among the left-behind women is serious.Its occurrence may be the result of many factors; the development of preventive measures must be considered psychological care and strengthening the linkages between husband and wife to improve the quality of sleep behind women.