中学生视屏和睡眠时间与抑郁症状的相关性

叶盛; 杨月; 刘辉; 刘黎

doi:10.16835/j.cnki.1000-9817.2022.07.014

中学生视屏和睡眠时间与抑郁症状的相关性

doi: 10.16835/j.cnki.1000-9817.2022.07.014

江苏省南京市疾病预防控制中心学校卫生科，210003

详细信息

作者简介:
叶盛(1993-)，男，安徽黄山人，硕士，医师，主要研究方向为儿童青少年常见病防制

通讯作者:
刘黎，E-mail：895047907@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G478 R179 G444
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- 被引次数: 0
出版历程
- 收稿日期: 2022-03-03
- 修回日期: 2022-05-05
- 网络出版日期: 2022-07-27
- 刊出日期: 2022-07-25

Relationship between screen time, sleep duration and depressive symptoms among middle school students

Section of School Health, Nanjing Municipal Center for Disease Control and Prevention, Nanjing(210003), China

摘要

摘要: 目的了解南京市中学生抑郁症状现况，探讨视屏时间、睡眠时间与抑郁症状的关系，为预防青少年抑郁提供科学依据。方法分层整群随机选取南京市城区5所中学、郊县3所中学共2 010名学生，通过问卷调查中学生视屏时间和睡眠时间，应用流调中心用抑郁量表(CES-D)评价抑郁症状。结果 27.71%(557名)的中学生存在抑郁症状(CES-D≥16分)。Logistic回归分析显示，视屏时间>2 h/d(OR=1.90，95%CI=1.53~2.37)、睡眠时间 < 7 h/d(OR=2.54，95%CI=1.88~3.42)与抑郁症状发生风险增加有关。按视屏时间分层分析发现，睡眠时间 < 7 h/d与抑郁症状的关联在视屏时间>2 h/d组(OR=2.46，95%CI=1.64~3.71)高于视屏时间≤2 h/d组(OR=2.35，95%CI=1.51~3.65)。结论南京市中学生抑郁症状检出率较高，视屏时间长、睡眠时间少与抑郁症状风险增加相关。应重点关注视屏行为和睡眠不足联合暴露下青少年的心理健康。
- 注视，眼 /
- 睡眠 /
- 时间 /
- 抑郁 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To explore the prevalence of depressive symptoms among middle school students in Nanjing and the relationship between screen time, sleep duration and depressive symptoms, and to provide a scientific reference for depression prevention in adolescents. Methods Using stratified cluster random sampling method, a total of 2 010 students from 5 middle schools in urban areas and 3 middle schools in suburban counties were selected. Screen time and sleep duration were evaluated through questionnaires, and depressive symptom was assessed by the Center for Epidemiological Studies Depression Scale (CES-D). Results The prevalence of depressive symptoms (CES-D≥16) was 27.71%(557). Logistic regression analysis showed that students with screen time >2 h/d(OR=1.90, 95%CI=1.53-2.37), sleep duration < 7 h/d (OR=2.54, 95%CI=1.88-3.42) were statistically associated with depressive symptoms. stratified analysis showed that, sleep duration of < 7 h/d was associated with increased odds of depressive symptoms, the magnitude among students with screen time >2 h/d(OR=2.46, 95%CI=1.64-3.71) was higher than those with screen time ≤2 h/d(OR=2.35, 95%CI=1.51-3.65). Conclusion High prevalence of depressive symptoms was observed among middle school students in Nanjing. Prolonged screen time and insufficient sleep duration are associated with increased odds of depressive symptoms. Attention should be paid to the mental health of adolescents with the combined exposure of screen-based activities and lack of sleep.
- Fixation, ocular /
- Sleep /
- Time /
- Depression /
- Mental health /
- Regression analysis /
- Students
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 不同组别中学生抑郁症状检出率比较

Table 1. Comparison of the prevalence of depressive symptoms among middle school students with different groups

组别	选项	人数	有抑郁症状	χ²值	P值
性别	男	1 056	268(25.38)	6.04	0.01
	女	954	289(30.29)
学段	初中	1 003	229(22.83)	25.18	< 0.01
	普通高中	764	256(33.51)
	职业高中	243	72(29.63)
地区	城区	1 272	329(25.86)	5.90	0.02
	郊县	738	228(30.89)
家庭结构	核心家庭	1 196	320(26.76)	30.03	< 0.01
	大家庭	642	163(25.39)
	单亲家庭	101	38(37.62)
	重组家庭	44	26(59.09)
	隔代家庭	27	10(37.04)
吸烟	是	92	45(48.91)	21.63	< 0.01
	否	1 918	512(26.69)
饮酒	是	467	208(44.54)	86.00	< 0.01
	否	1 543	349(22.62)
视屏时间/(h·d^-1)	≤2	1 110	240(21.62)	45.89	< 0.01
	>2	900	317(35.22)
睡眠时间/(h·d^-1)	< 7	818	298(36.43)	72.40	< 0.01
	7~ < 8	614	168(27.36)
	≥8	578	91(15.74)
注： ()内数字为检出率/%。

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