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开封市中学生抑郁状况及影响因素分析

陈咏梅 范明明

陈咏梅, 范明明. 开封市中学生抑郁状况及影响因素分析[J]. 中国学校卫生, 2021, 42(10): 1520-1523. doi: 10.16835/j.cnki.1000-9817.2021.10.018
引用本文: 陈咏梅, 范明明. 开封市中学生抑郁状况及影响因素分析[J]. 中国学校卫生, 2021, 42(10): 1520-1523. doi: 10.16835/j.cnki.1000-9817.2021.10.018
CHEN Yongmei, FAN Mingming.. Analysis of depressive symptoms and associated factors among middle school students in Kaifeng City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(10): 1520-1523. doi: 10.16835/j.cnki.1000-9817.2021.10.018
Citation: CHEN Yongmei, FAN Mingming.. Analysis of depressive symptoms and associated factors among middle school students in Kaifeng City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(10): 1520-1523. doi: 10.16835/j.cnki.1000-9817.2021.10.018

开封市中学生抑郁状况及影响因素分析

doi: 10.16835/j.cnki.1000-9817.2021.10.018
详细信息
    作者简介:

    陈咏梅(1975-), 女, 河南开封人, 大学本科, 副主任医师, 主要研究方向为学校卫生

  • 中图分类号: G444  B844.2  G478

Analysis of depressive symptoms and associated factors among middle school students in Kaifeng City

  • 摘要:   目的  分析开封市中学生抑郁现况及其影响因素,为中学生的抑郁防控提供依据。  方法  2019年9—10月,采用多阶段分层整群随机抽样方法,在开封市随机抽取4 058名初、高中学生,使用抑郁量表(CES-D)对其进行问卷调查。  结果  开封市中学生抑郁症状检出率为14.51%。多因素Logistic回归分析结果,高年级学生患抑郁风险高于低年级学生(OR=1.47),因病请假、因病休学、受到严重伤害、受到校园欺凌、有打架行为、遭受家庭暴力、吸烟和网络成瘾均与抑郁症状呈相正关(OR值分别是1.37,1.67,1.91,2.69,1.65,2.29,1.47,2.58,P值均 < 0.05)。此外,打架行为和吸烟的交互作用对中学生抑郁症检出存在影响。  结论  中学生抑郁与年级、家庭和校园环境均密切相关。应建立良好的家庭氛围,改善不良的校园环境,减少生活中的不良事件,从而减少中学生抑郁症状的发生。
  • 表  1  不同人口统计学特征中学生抑郁症状检出率比较

    Table  1.   Comparison of detection rate of depressive symptoms among middle school students with different characteristics

    人口统计学指标 选项 人数 抑郁症状人数 χ2 P
    性别 2 000 280(14.00) 0.84 0.36
    2 058 309(15.01)
    年级 初中 1 987 256(12.88) 8.35 < 0.01
    高中 2 071 333(16.08)
    是否因病请假 3 764 526(13.97) 12.21 < 0.01
    294 63(21.43)
    是否因病休学 3 908 550(14.07) 17.32 < 0.01
    148 39(26.35)
    是否超重/肥胖 2 925 418(14.29) 0.42 0.52
    1 133 171(15.09)
    是否受到严重伤害 3 780 515(13.62) 35.64 < 0.01
    277 74(26.71)
    是否受到校园欺凌 3 986 558(14.00) 48.12 < 0.01
    72 31(43.06)
    是否有打架行为 3 616 478(13.21) 45.57 < 0.01
    440 111(25.23)
    是否遭受家庭暴力 3 678 478(13.00) 74.50 < 0.01
    377 111(29.44)
    吸烟 3 473 455(13.10) 37.75 < 0.01
    584 133(22.77)
    饮酒 2 775 345(12.43) 31.37 < 0.01
    1 277 244(19.11)
    网络成瘾 3 971 558(14.05) 31.95 < 0.01
    87 31(35.63)
    注:()内数字为检出率/%;部分数据存在缺失值。
    下载: 导出CSV

    表  2  中学生抑郁症状检出率影响因素的Logistic回归分析(n=4 058)

    Table  2.   Logistic regression analysis of influencing factors on detection rate of depressive symptoms in middle school students (n=4 058)

    自变量 选项 β OR值(OR值95%CI) Wald χ2 P
    年级 初中 1.00 15.99 < 0.01
    高中 0.39 1.47 (1.22~1.78)
    是否因病请假 1.00 4.03 0.04
    0.32 1.37 (1.01~1.87)
    是否因病休学 1.00 6.26 0.01
    0.51 1.67 (1.12~2.50)
    是否受到严重伤害 1.00 18.64 < 0.01
    0.65 1.91 (1.43~2.57)
    是否受到校园欺凌 1.00 14.46 < 0.01
    0.99 2.69 (1.62~4.49)
    是否有打架行为 1.00 13.77 < 0.01
    0.50 1.65 (1.27~2.14)
    是否遭受家庭暴力 1.00 38.11 < 0.01
    0.83 2.29 (1.76~2.97)
    吸烟 1.00 10.64 < 0.01
    0.38 1.47 (1.17~1.85)
    网络成瘾 1.00 15.12 < 0.01
    0.95 2.58 (1.60~4.15)
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-01-07
  • 修回日期:  2021-03-18
  • 网络出版日期:  2021-10-25
  • 刊出日期:  2021-10-25

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