摘要
目的了解上海市中学生的抑郁症状流行情况及相关的行为影响因素,为预防中学生抑郁情绪提供数据支持和建议。方法采用分层多阶段整群抽样法,抽取上海市30所初中、20所高中和10所职高的学生共6178人进行调查,用χ^(2)检验和Logistic回归分析抑郁症状的影响因素。结果上海市中学生抑郁情绪检出率为36.4%,其中初中、高中和职高学生的抑郁率分别为36.0%、33.2%、46.3%。调整相关因素后Logistic逐步回归结果显示,吸烟、饮酒是抑郁的危险因素,OR值和95%CI分别为1.455 (1.150~1.842)、1.308 (1.163~1.471);过去7 d有1~2d、3~4d、5~7 d累计活动1 h及以上是抑郁的保护因素,OR值和95%CI分别为0.704 (0.570~0.870)、0.573 (0.460~0.714)、0.693 (0.561~0.855);过去7d有1~2d、3~4d、5~7 d进行中等强度体力活动者抑郁的风险较低,O R值和95%CI分别为0.767 (0.638~0.921)、0.692 (0.569~0.841)、0.720 (0.589~0.880);每天睡眠时间7~8h、≥8 h者较<7 h者患抑郁的风险低,OR值和95%CI分别为0.748 (0.654~0.855)、0.833(0.704~0.985);失眠者抑郁症状的风险是未失眠者的2.826倍(95%CI:2.509~3.184)。结论上海市中学生的抑郁情况不容乐观,养成良好的健康行为习惯有利于减少中学生抑郁情绪的发生。
Objective To understand the prevalence of depressive symptoms and its related behavioral influencing factors among middle school students in Shanghai,and to provide data support and suggestions for the prevention of depression among middle school students.Methods A total of 6178 students were selected from 30 junior middle schools,20 senior high schools and 10 vocational high schools in Shanghai by stratified multi-stage cluster sampling method.The influencing factors of depressive symptoms were analyzed by chi-square test and Logistic regression.Results The detection rate of depression among middle school students in Shanghai was 36.4%,and the rates of depression symptoms among junior middle school students,high middle school students and vocational high school students were 36.0%,33.2% and 46.3% respectively.Stepwise logistic regression results showed that smoking and drinking were risk factors for depression,with OR value and 95% CI of 1.455(1.150-1.842) and 1.308(1.163-1.471),respectively.In the past 7 days,the cumulative activity for 1 hour or more on 1 to 2 days,3 to 4 days,and 5 to 7 days was protective factors for depression.The OR and 95% CI were 0.704(0.570-0.870),0.573(0.460-0.714),and 0.693(0.561-0.855),respectively.In the past 7 days,the risk of depression was lower among those who had moderate physical activity on 1 to 2 days,3 to 4 days,and 5 to 7 days,with an OR value of 0.767(0.638-0.921),0.692(0.569-0.841),and 0.720(0.589-0.880),respectively.Those who slept for 7 to 8 hours or≥8 hours per day had a lower risk of depression than those who slept for <7 hours,OR value and 95% CI were 0.748(0.654-0.855) and 0.833(0.704-0.985),respectively.The risk of depressive symptoms in insomniacs was 2.826 times(95% CI:2.509-3.184) higher than those non-insomniacs.Conclusion The depression situation of middle school students in Shanghai is not optimistic.Developing good healthy behavior habits is beneficial to reduce the occurrence of depression among middle school students.
作者
车贝贝
高晶蓉
陈德
贾晓娴
续琨
王剑
杨建军
余金明
CHE Bei-bei;GAO Jing-rong;CHEN De;JIA Xiao-xian;XU Kun;WANG Jian;YANG Jian-jun;YU Jin-ming(Key Laboratory of Health Technology Assessment of Ministry of Health,Collaborative Innovation Center of Social Risks Governance in Health,School of Public Health,Hehai University,Shanghai 200032,China)
出处
《中国健康教育》
北大核心
2021年第1期27-32,共6页
Chinese Journal of Health Education
基金
2019年国家基本公共卫生服务项目
上海市卫生健康委科研课题(201740222)。
关键词
学生
抑郁
健康行为
影响因素
Students
Depression
Health behavior
Influence factors
