云南大一学生吃夜宵和不吃早餐状况及其与焦虑症状的关联

李霄霄; 敖娅; 黄贵帆; 张晓蓉; 王陆伟; 李宜健; 冯云萍; 苏云鹏; 徐洪吕

doi:10.16835/j.cnki.1000-9817.2023.02.026

云南大一学生吃夜宵和不吃早餐状况及其与焦虑症状的关联

doi: 10.16835/j.cnki.1000-9817.2023.02.026

李霄霄^{1, 2},
敖娅^{1, 2},
黄贵帆^{1, 2},
张晓蓉^{1, 2},
王陆伟¹,
李宜健¹,
冯云萍^{1, 2},
苏云鹏³,
徐洪吕^{1, 2, ,}

1.
昆明学院医学院护理系，云南 650214
2.
昆明学院社区护理研究团队
3.
大理学院护理学院

基金项目:

国家自然科学基金项目 82160622

云南省科技厅科技计划项目 202101BA070001-117

昆明学院引进人才科研项目 YJL2013

详细信息

作者简介:
李霄霄(2002-)，女，云南昆明人，在读本科

通讯作者:
徐洪吕，E-mail：x_hl@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G647.8 G444 B844.2
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- 文章访问数: 410
- HTML全文浏览量: 172
- PDF下载量: 52
- 被引次数: 0
出版历程
- 收稿日期: 2022-10-26
- 修回日期: 2022-12-15
- 网络出版日期: 2023-03-02
- 刊出日期: 2023-02-25

Association between eating at night and skipping breakfast with anxiety symptoms among freshman in colleges in Yunnan Province

LI Xiaoxiao^{1, 2},
AO Ya^{1, 2},
HUANG Guifan^{1, 2},
ZHANG Xiaorong^{1, 2},
WANG Luwei¹,
LI Yijian¹,
FENG Yunping^{1, 2},
SU Yunpeng³,
XU Honglü^{1, 2
, ,}

1.
Nursing Department, School of Medicine, Kunming University, Kunming(650214), China

摘要

摘要: 目的研究云南大一年级学生吃夜宵和不吃早餐交互效应与焦虑症状的关联，为预防和减轻大学生的焦虑症状提供参考依据。方法在云南省昆明和大理整群选取3所高校的9 960名一年级大学生，使用膳食频率调查表评估大学生饮食行为，使用中文版21条目抑郁-焦虑-压力量表的焦虑分量表评估大学生的焦虑症状，使用广义线性模型和Logistic回归模型分析吃夜宵和不吃早餐的交互效应与大学生焦虑症状的关联。结果最近1个月平均每周大学生吃夜宵和不吃早餐的比例分别为72.5%(7 217/9 960)和61.6%(6 131/9 960)，大学生焦虑症状检出率为28.9%(2 875/9 960)。吃夜宵与大学生焦虑症状的关联有统计学意义(OR=1.40~2.54)，不吃早餐与大学生焦虑症状的关联有统计学意义(OR=1.23~1.60)(P值均 < 0.05)。吃夜宵和不吃早餐交互效应与大学生的焦虑症状呈正相关(相乘交互效应，β=0.06，95%CI=0.02~0.10，P < 0.01；相加交互效应，OR=2.00，95%CI=1.59~2.51，P < 0.01)。结论吃夜宵且不吃早餐的云南大学生焦虑症状更明显。应促进大学生健康饮食习惯的养成，以减轻焦虑症状的发生。
- 饮食习惯 /
- 焦虑 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To study the association between eating at night and skipping breakfast with college students' anxiety symptoms, and to provide reference basis for preventing and alleviating college students' anxiety symptoms. Methods A cross-sectional survey was conducted among 9 960 freshman from three universities in Kunming and Dali, Yunnan Province. The dietary frequency questionnaire was used to evaluate the dietary behavior of college students. The Depression Anxiety Stress Scale-21 (DASS-21) was used to evaluate the anxiety symptoms of college students. The association of late night snack and breakfast skipping with the association of anxiety symptoms in college students used generalized linear model and Logistic regression model. Results The proportion of college students who reported eating at night and breakfast skipping in the last month was 72.5%(7 217/9 960) and 61.6%(6 131/9 960) respectively. The detection rate of anxiety symptoms in college students was 28.9%(2 875/9 960). There was a statistical significance between eating at night with anxiety symptoms(OR=1.40-2.54), and breakfast skipping with anxiety symptoms(OR=1.23-1.60)(P < 0.05). The interaction between eating late at night and breakfast skipping was positively correlated with college students' anxiety symptoms (multiplicative interaction, β=0.06, 95%CI=0.02-0.10, P < 0.01; additive interaction, OR=2.00, 95%CI=1.59-2.51, P < 0.01). Conclusion The study suggests that the college students who eat at night and frequently skipped breakfast are more likely to have anxiety symptoms. It suggested to promote the formation of healthy eating habits of college students, so as to reduce the occurrence of anxiety sympotoms.
- Food habits /
- Anxiety /
- Mental health /
- Regression analysis /
- Students
注释:

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表 1 不同组别大学生焦虑症状检出率比较

Table 1. Comparison of the detection rate of anxiety symptoms among college students with different demographic characteristics

组别	选项	人数	焦虑症状	χ²值	P值	组别	选项	人数	焦虑症状	χ²值	P值
专业分类	工学	861	213(24.74)	42.24	< 0.01	学习负担	很重	566	242(42.76)	163.85	< 0.01
	管理学	913	280(30.67)				重	3 343	1 154(34.52)
	教育学	1 118	258(23.08)				一般	5 873	1 435(24.43)
	理学	956	274(28.66)				轻	128	29(22.66)
	农学	836	234(27.99)				很轻	50	15(30.00)
	文学	935	304(32.51)			朋友数量/个	< 1	144	73(50.69)	160.76	< 0.01
	医学	3 213	996(31.00)				1~2	1 483	578(38.98)
	艺术学	908	247(27.20)				3~4	1 957	625(31.94)
	其他^a	220	69(31.36)				≥5	6 376	1 599(25.08)
年龄/岁	17~18	2 215	676(30.52)	67.41	< 0.01	父亲文化程度	文盲	1 952	642(32.89)	28.11	< 0.01
	19~20	5 633	1 741(30.91)				小学毕业	2 294	654(28.51)
	≥21	2 112	458(21.69)				初中	3 602	1 043(28.96)
民族	汉族	7 180	2 043(28.45)	2.12	0.15		高中/中专	1 374	351(25.55)
	少数民族	2 780	832(29.93)				大专及以上	738	185(25.07)
性别	男	2 889	760(26.31)	12.98	< 0.01	母亲文化程度	文盲	3 273	1 044(31.90)	31.91	< 0.01
	女	7 071	2 115(29.91)				小学毕业	2 339	655(28.00)
学历	本科	8 224	2 218(26.97)	82.57	< 0.01		初中	2 781	788(28.34)
	专科	1 736	657(37.85)				高中/中专	1 025	269(26.24)
家庭居住地	农村	8 006	2 382(29.75)	15.64	< 0.01		大专及以上	542	119(21.96)
	城市	1 954	493(25.23)	父亲职业			公职人员^d	613	165(26.92)	12.21	0.03
独生子女	是	1 687	420(24.90)	15.58	< 0.01		工人	344	96(27.91)
	否	8 273	2 455(29.67)				公司职员	527	134(25.43)
家庭类型	双亲家庭^b	8 572	2 446(28.53)	3.78	0.29		商人	5 923	1 763(29.77)
	单亲家庭	788	242(30.71)				农民	1 303	391(30.01)
	组合家庭^c	468	149(31.84)				其他	1 250	326(26.08)
	其他	132	38(28.79)			母亲职业	公职人员^d	441	106(24.04)	24.36	< 0.01
家庭经济条件	差	914	328(35.89)	66.69	< 0.01		工人	304	86(28.29)
	较差	2 324	775(33.35)				公司职员	495	112(22.63)
	中等	6 252	1 658(26.52)				商人	6 313	1 898(30.06)
	较好	373	88(23.59)				农民	828	254(30.68)
	好	97	26(26.80)				其他	1 579	419(26.54)
注： ()内数字为检出率/%；a指法学、历史学、经济学，b指均为生父母，c指有继父或继母，d指公务员及事业单位人员。

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表 2 吃夜宵与不吃早餐相乘交互效应与大学生焦虑症状的关联(n=9 960)

Table 2. Association between the multiplicative interaction effect of eating supper and breakfast skipped and anxiety symptoms in college students(n=9 960)

模型	自变量	Wald χ²值	标准误	P值	β值(β值95%CI)
1	吃夜宵	42.49	0.04	< 0.01	0.27(0.19~0.35)
	不吃早餐	8.97	0.03	< 0.01	0.09(0.03~0.15)
	吃夜宵×不吃早餐	10.74	0.02	< 0.01	0.07(0.03~0.11)
2	吃夜宵	43.01	0.04	< 0.01	0.26(0.18~0.34)
	不吃早餐	18.39	0.03	< 0.01	0.13(0.07~0.19)
	吃夜宵×不吃早餐	9.54	0.02	< 0.01	0.06(0.02~0.10)

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表 3 吃夜宵与不吃早餐相加交互效应与大学生焦虑症状的关联(n=9 960)

Table 3. Association between the additive interaction effect of eating supper and breakfast skipped and anxiety symptoms in college students(n=9 960)

模型	自变量	Wald χ²值	标准误	P值	OR值(OR值95%CI)
1	不吃夜宵+吃早餐				1.00
	吃夜宵+吃早餐	79.92	0.06	< 0.01	1.67(1.49~1.86)
	不吃夜宵+不吃早餐	11.39	0.12	0.01	1.50(1.18~1.90)
	吃夜宵+不吃早餐	50.66	0.11	< 0.01	2.21(1.78~2.76)
2	不吃夜宵+吃早餐				1.00
	吃夜宵+吃早餐	61.91	0.06	< 0.01	1.59(1.42~1.79)
	不吃夜宵+不吃早餐	10.67	0.13	< 0.01	1.51(1.18~1.94)
	吃夜宵+不吃早餐	35.12	0.12	< 0.01	2.00(1.59~2.51)

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