Depressive symptoms and related factors among college students with hair loss in Changchun
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摘要:
目的 了解长春市脱发大学生抑郁情绪水平, 探讨影响脱发大学生抑郁情绪的相关因素。 方法 选取长春中医药大学附属医院2019年11月—2021年6月收治的275名脱发大学生作为调查对象, 利用流调用抑郁量表、一般人口学问卷进行调查, 对可能的影响因素进行二元Logistic回归分析。 结果 脱发大学生中发生抑郁情绪者121名, 检出率为44.0%。女生(OR=2.26, 95%CI=1.22~4.20)、26~30岁(OR=2.43, 95%CI=1.01~5.85)、自评睡眠质量很差(OR=13.63, 95%CI=4.09~45.42)、自评人际关系受较大影响(OR=3.56, 95%CI=1.57~8.06)、感知到重度压力(OR=3.73, 95%CI=1.35~10.30)与脱发大学生发生抑郁情绪呈正相关, 每周锻炼1~2次或3~5次及>5次, 与脱发大学生发生抑郁情绪呈负相关(P值均 < 0.05)。 结论 脱发大学生的抑郁情绪发生率较高, 年龄、性别、睡眠质量、人际关系困扰、压力感知与锻炼情况等均可能影响脱发大学生发生抑郁情绪。 Abstract:Objective To understand the level of depressive symptoms and associated factors in alopecia college students in Changchun. Methods The convenience sampling method was used to select 275 alopecia students from outpatient clinics in the Affiliated Hospital of Changchun University of Traditional Chinese Medicine during November 2019 to June 2021. Center for Epidemiological Survey, Depression Scale(CES-D) and general characteristics were collected. Depressive symptoms and its associated factors were analyzed by binary Logistic regression. Results A total of 121 students with hair loss reported depressive symptoms, with the detection rate of 44.0%. Female(OR=2.26, 95%CI=1.22-4.20), 26-30 years of age(OR=2.43, 95%CI=1.01-5.85), poor sleep quality(OR=13.63, 95%CI=4.09-45.42), substantially affected interpersonal relationship(OR=3.56, 95%CI=1.57-8.06), perceived severe stress (OR=3.73, 95%CI=1.35-10.30) were positively correlated with depressive symptoms in alopecia college students, and 1-2 times of exercise per week, 3-5 times of exercise per week, and >5 times of exercise per week (OR=0.17, 0.14, 0.03, 95%CI=0.05-0.61, 0.04-0.52, 0.01-0.14) were negatively correlated with depressive symptoms in alopecia college students(P < 0.05). Conclusion Depressive symptoms are reported in 44.0% of alopecia college students in Changchun, which might be related with age, gender, sleep quality, interpersonal distress, stress perception and exercise. -
Key words:
- Depression /
- Regression analysis /
- Mental health /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 脱发大学生发生抑郁情绪的单因素分析
Table 1. Univariate analysis of depression among college students with alopecia
变量 分组 人数 抑郁 χ2值 P值 性别 男 154 80(51.95) 8.97 < 0.01 女 121 41(33.88) 年龄/岁 18~22 66 32(48.48) 11.21 < 0.01 22~26 136 69(50.74) 26~30 73 20(27.40) 文化程度 本科 53 30(56.60) 4.36 0.11 硕士 131 55(41.98) 博士 91 36(39.56) 恋爱状况 未谈过 75 35(46.67) 1.14 0.57 恋爱中 164 73(44.51) 失恋 36 13(36.11) 家庭人均月收入/元 < 5 000 44 22(50.00) 4.11 0.13 5 000~10 000 206 84(40.78) >10 000 25 15(60.00) 脱发时间/年 < 1 87 42(48.28) 6.44 0.04 1~3 130 62(47.69) >3 58 17(29.31) 脱发程度 轻度 79 45(56.96) 7.84 0.02 中度 146 55(37.67) 重度 50 21(42.00) 家族史 无 174 73(41.95) 0.81 0.37 有 101 48(47.52) 自评睡眠质量 良好 64 48(47.52) 39.30 < 0.01 一般 67 44(70.15) 较差 92 39(42.39) 很差 52 5(9.62) 自评人际关系困扰 未受影响 73 38(52.05) 9.20 0.01 部分影响 107 53(49.53) 较大影响 95 30(31.58) 自评压力感知 无压力 50 27(54.00) 7.22 0.07 轻度压力 89 39(43.82) 中度压力 79 38(48.10) 重度压力 57 17(29.82) 锻炼情况/(次·周-1) 从不 32 4(12.50) 27.58 < 0.01 1~2 143 61(42.66) 3~5 74 35(47.30) >5 26 21(91.30) 注:()内数字为检出率/%。 表 2 脱发大学生发生抑郁情绪的多因素Logistic回归分析(n=275)
Table 2. Multivariate Logistic analysis of depressed mood among college students with alopecia(n=275)
自变量 选项 β值 标准误 Wald χ2值 OR值(OR值95%CI) P值 性别 男 1.00 女 0.82 0.32 6.68 2.26(1.22~4.20) 0.01 年龄/岁 18~ 1.00 22~ -0.14 0.39 0.12 0.87(0.41~1.86) 0.73 26~30 0.89 0.45 3.95 2.43(1.01~5.85) 0.05 脱发时间/年 < 1 1.00 1~3 1.00 0.37 0.07 1.10(0.54~2.27) 0.79 >3 0.48 0.45 1.14 1.62(0.67~3.94) 0.29 脱发程度 轻度 1.00 中度 0.66 0.37 3.24 1.93(0.94~3.97) 0.07 重度 0.64 0.47 1.84 1.89(0.75~4.73) 0.18 自评睡眠质量 良好 1.00 一般 -0.45 0.43 1.12 0.64(0.28~1.47) 0.29 较差 0.45 0.39 1.35 1.57(0.73~3.38) 0.25 很差 2.61 0.61 18.10 13.63(4.09~45.42) < 0.01 自评人际关系 未受影响 1.00 困扰 部分影响 0.35 0.38 0.85 1.42(0.67~3.02) 0.36 较大影响 1.27 0.42 9.24 3.56(1.57~8.06) < 0.01 自评压力感知 无 1.00 轻度 0.31 0.45 0.46 1.36(0.56~3.29) 0.50 中度 0.28 0.45 0.39 1.33(0.55~3.22) 0.53 重度 1.32 0.52 6.47 3.73(1.35~10.30) 0.01 锻炼情况/ 从不 1.00 (次·周-1) 1~ -1.76 0.64 7.51 0.17(0.05~0.61) 0.01 3~ -1.99 0.68 8.62 0.14(0.04~0.52) 0.03 >5 -3.67 0.85 18.60 0.03(0.01~0.14) < 0.01 -
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