摘要:
探讨健康素养、睡眠质量与中学生抑郁症状的关联,为促进中学生心理健康提供指导依据.方法 选取沈阳某中学初一至高三年级的775名学生作为调查对象,使用问卷调查法收集资料,调查内容包括人口统计学信息、中国青少年互动性健康素养问卷、匹兹堡睡眠质量指数量表和抑郁自评量表.结果 中学生青少年互动性健康素养问卷总得分为(106.49±19.87)分.初中生和家庭经济状况良好的学生健康素养水平较高,差异均有统计学意义(x2值分别为12.799,16.487,P值均<0.01).中学生睡眠障碍和抑郁症状的总检出率分别为18.3%和20.9%.高中生睡眠障碍检出率(20.3%)高于初中生(14.3%)(x2=4.066,P<0.05);自评家庭经济状况差者睡眠障碍(27.0%)和抑郁症状(36.5%)的检出率均高于家庭经济状况较好者(x2值分别为6.710,10.195,P值均<0.05).多因素Logistic回归分析显示,健康素养和睡眠质量的交互作用与抑郁症状之间存在相关性,相同睡眠质量情况下,健康素养水平越低,中学生抑郁症状发生风险越大,呈现剂量一反应关系(P值均<0.05).结论 通过提高健康素养水平,可有助于降低抑郁症状的发生.
Abstract:
Objective To investigate the association between health literacy,sleep quality and depressive symptoms among middle school students.Methods Data were collected from a middle school in Shenyang by questionnaire survey,including demographic information,Chinese Adolescent Interactive Health Literacy Questionnaire(CAIHLQ),Pittsburgh Sleep Quality Index and self-rating depressive scale.Results The score of CAIHLQ was(106.49± 19.87).Junior school students and those from high socioeconomic status(SES) families had significantly higher health literacy scores.The detection rate of sleep disorder was 18.3% and depressive symptoms was 20.9%.Students from low SES families had significantly higher rate of sleep disorder(27.0%) and depressive symptoms(36.5%) than those higher family SES students(P<0.05).Multiple Logistic regression analyses showed that students with sleep disorder and lower health literacy had the highest risks of depressive symptoms,which indicated a dose-response relationship(P<0.05).Conclusion Students with sleep disorder and low health literacy have high risk of depressive symptoms.Health literacy improvement might help to reduce the risk of depressive symptoms.
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