内蒙古地区2021年中学生校园欺凌与抑郁共发趋势及与饮食方式的相关性

张秀红; 宋逸; 董彦会; 袁雯; 杨田; 赵静; 赵菊芳

doi:10.16835/j.cnki.1000-9817.2023.09.006

内蒙古地区2021年中学生校园欺凌与抑郁共发趋势及与饮食方式的相关性

doi: 10.16835/j.cnki.1000-9817.2023.09.006

张秀红¹,
宋逸²,
董彦会²,
袁雯²,
杨田¹,
赵静^1, ,,
赵菊芳^1, ,

1.
内蒙古自治区综合疾病预防控制中心学校卫生科，呼和浩特 010031
2.
北京大学儿童青少年卫生研究所

基金项目:

内蒙古自治区科技计划项目 2020GG0022

详细信息

作者简介:
张秀红(1979-)，女，内蒙古呼和浩特人，硕士，副主任技师，主要研究方向为学生常见病监测与干预、青少年健康促进

通讯作者:
赵静，E-mail: 519397714@qq.com

赵菊芳，E-mail: 1203093748@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 R155.1 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-08-21
- 修回日期: 2023-08-29
- 网络出版日期: 2023-09-28
- 刊出日期: 2023-09-25

Co-occurrence trend of school bullying and depression and its correlation with dietary patterns among middle school students from Inner Mongolia Autonomous Region in 2021

1.
Inner Mongolia Comprehensive Center for Disease Control and Prevention, Hohhot (010031), China

摘要

摘要: 目的了解2021年内蒙古地区中学生校园欺凌和抑郁共发与饮食方式的相关性，为预防校园欺凌和抑郁提供理论参考依据。方法 2021年9月采用分层随机整群抽样方法，在内蒙古自治区12个盟市抽取87 414名中学生作为研究对象，使用流调用抑郁量表(CES-D)对学生抑郁情况进行调查；依据《全国学生常见病和健康影响因素监测与干预工作方案》中有关校园欺凌条目判定校园欺凌，同时分析学生校园欺凌抑郁共发情况。采用χ²检验和二元Logistic回归方法进行统计学分析。结果 2021年内蒙古地区中学生抑郁症状检出率为15.24%，校园欺凌检出率为3.02%，校园欺凌和抑郁共发率为1.64%。二元Logistic回归分析结果显示，初中生、女生更容易共发校园欺凌和抑郁(OR值分别为1.52，1.10)，吃油炸食品每天 < 1和≥1次、吸烟、饮酒与学生校园欺凌抑郁共发呈正相关(OR值分别为2.15，2.11，2.14，1.70)(P值均 < 0.05)。结论内蒙古地区中学生校园欺凌与抑郁共发受多种饮食方式的影响，减少薯条炸鸡等油炸食物的摄入、不吸烟、不饮酒可有效降低校园欺凌抑郁共发的现象。
- 暴力 /
- 饮食习惯 /
- 抑郁 /
- 回归分析 /
- 学生 /
- 少数民族
Abstract: Objective To investigate the correlation between school bullying and depressive symptoms comorbidity and dietary patterns among middle school students in Inner Mongolia Autonomous Region from 2021, so as to provide reference for the prevention of school bullying and depressive symptoms. Methods In September 2021, stratified random cluster sampling was used to select 87 414 middle school students in 12 leagues in Inner Mongolia Autonomous Region. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depression, and the bullying was determined according to the items related to bullying in the program of Chinese National Surveillance on Students' Common Diseases and Risk Factors. Results In 2021, the detection rate of depressive symptoms among middle school students in Inner Mongolia Autonomous Region was 15.24%, school bullying was 3.02%, and the co-occurrence of school bullying and depression was 1.64%. Binary Logistic regression analysis showed that junior high school students (OR=1.52) and girls (OR=1.10) were more likely to suffer from comorbidity of school bullying and depression (P < 0.05). Eating fried food less than one and more than once a day, smoking and drinking were positively correlated with school bullying and depression comorbidity (OR=2.15, 2.11, 2.14, 1.70, P < 0.05). Conclusion The combination of bullying and depression among middle school students in Inner Mongolia Autonomous Region is affected by various dietary methods. In terms of diet, reducing the intake of fried food, no smoking, no drinking can effectively reduce the incidence of co-occurrence school bullying and depression.
- Violence /
- Food habits /
- Depression /
- Regression analysis /
- Students /
- Minority groups
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 2021年内蒙古不同人口统计学特征中学生校园欺凌和抑郁症状及共发检出率比较

Table 1. Comparison of detection rates of school bullying, depressive symptoms and the co-occurrence among middle school students with different demographic characteristics in Inner Mongolia Autonomous Region in 2021

人口统计学指标		人数	统计值	言语欺凌	躯体欺凌	关系欺凌	抑郁症状	校园欺凌抑郁共发
性别	男	43 268		666(1.54)	143(0.33)	732(1.69)	5 877(13.58)	761(1.76)
	女	44 146		528(1.20)	67(0.15)	507(1.15)	7 441(16.86)	675(1.53)
			χ²值	84.24	143.84	46.16	317.02	7.14
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.01
学段	初中	54 767		1 402(2.56)	511(0.93)	818(1.49)	7 368(13.45)	946(1.73)
	高中	32 647		705(2.16)	266(0.81)	421(1.29)	5 950(18.23)	490(1.50)
			χ²值	13.95	3.25	6.10	620.80	6.49
			P值	< 0.01	0.07	0.01	< 0.01	0.01
监测点	城区	25 375		526(2.07)	191(0.75)	318(1.25)	3 895(15.35)	348(1.37)
	郊县	62 039		1 581(2.55)	586(0.94)	921(1.48)	9 423(15.19)	1 088(1.75)
			χ²值	186.01	199.15	171.57	549.33	147.11
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
家庭结构	核心家庭	52 199		1 028(1.97)	340(0.65)	593(1.14)	7 158(13.71)	697(1.33)
	大家庭	12 993		317(2.44)	103(0.79)	167(1.29)	1 883(14.49)	189(1.45)
	单亲家庭	10 447		282(2.70)	118(1.13)	171(1.64)	1 914(18.32)	219(2.10)
	重组家庭	2 691		107(3.98)	23(0.85)	49(1.82)	694(25.79)	70(2.60)
	其他家庭	9 084		373(4.11)	193(2.12)	259(2.85)	1 669(18.37)	261(2.87)
			χ²值	67.46	27.90	25.37	476.13	57.00
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
注：()内数字为检出率/%。

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表 2 内蒙古中学生校园欺凌抑郁共发的单因素分析

Table 2. Single factor analysis of comorbidity of school bullying and depression in middle school students from Inner Mongolia Atunomous Region

校园欺凌抑郁共发	选项	人数	检出人数	χ²值	P值
喝含糖饮料/(次·d^-1)	0	28 668	352(1.23)	304.22	< 0.01
	< 1	54 273	870(1.61)
	≥1	4 473	214(4.78)
吃油炸食品/(次·d^-1)	0	26 210	339(1.30)	293.98	< 0.01
	< 1	57 370	903(1.57)
	≥1	3 834	194(5.06)
是否吃优质蛋白类早餐	是	67 238	973(1.45)	67.84	< 0.01
	否	20 176	463(2.29)
是否吸烟	否	80 393	1 090(1.36)	508.14	< 0.01
	是	7 021	346(4.93)
是否饮酒	是	16 457	597(3.63)	492.38	< 0.01
	否	70 957	839(1.18)
注：()内数字为检出率/%。

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表 3 内蒙古中学生校园欺凌抑郁共发影响因素的Logistic回归分析(n=87 414)

Table 3. Logistic regression analysis of factors influencing comorbidities of school bullying and depression in middleschool students from Inner Mongolia Autonomous Regrion(n=87 414)

自变量与常量	选项	β值	Wald χ²值	P值	OR值(95%CI)
学段	初中	0.42	48.64	＜0.01	1.52(1.32~1.78)
性别	女生	0.10	6.30	＜0.01	1.10(0.96~1.33)
监测点	城区	-0.22	2.95	0.13	0.81(0.61~1.13)
家庭结构	核心家庭	-0.19	0.70	0.47	0.81(0.57~1.31)
	大家庭	-0.36	1.11	0.39	0.72(0.40~1.31)
	单亲家庭	0.29	0.54	0.49	1.15(0.68~2.11)
	其他家庭	0.24	3.00	0.09	0.79(0.60~1.03)
喝含糖饮料/(次·d^-1)	0	-0.05	0.06	0.80	0.97(0.73~1.62)
	< 1	-0.22	1.46	0.28	0.81(0.63~1.19)
吃油炸食品/(次·d^-1)	< 1	0.75	48.94	＜0.01	2.15(1.80~2.73)
	≥1	0.71	53.56	＜0.01	2.11(1.77~2.73)
是否优质蛋白类早餐	是	-0.19	5.12	0.09	0.93(0.71~1.06)
是否吸烟	是	0.75	82.98	＜0.01	2.14(1.72~2.45)
是否饮酒	是	0.77	21.53	＜0.01	1.70(1.20~2.43)
常量		-7.56	31.08	＜0.01	0.19

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