高海拔地区藏族青少年社交焦虑状况及其与睡眠时长关系

孙鹏; 马明坤; 张银玲; 扎西郎措

doi:10.16835/j.cnki.1000-9817.2023.11.017

高海拔地区藏族青少年社交焦虑状况及其与睡眠时长关系

doi: 10.16835/j.cnki.1000-9817.2023.11.017

1.
玉林师范学院体育健康学院，广西壮族自治区 537000
2.
玉林师范学院历史文化旅游学院
3.
西藏大学教育学院

基金项目:

广西教育科学规划资助经费重点课题资助项目 2021A032

玉林师范学院广西高校人文社会科学重点研究基地研究项目资助项目 2021YJJDZD02

广西高等教育本科教学改革工程项目资助项目 2022JGB314

详细信息

作者简介:
孙鹏(1981-)，男，河南内乡人，硕士，副教授，主要研究方向为全民健身与运动健康

通讯作者:
马明坤，E-mail：mamingkun1983@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 Q428 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-08-20
- 修回日期: 2023-09-07
- 网络出版日期: 2023-11-27
- 刊出日期: 2023-11-25

Social anxiety status and its relationship with sleep duration among Tibetan adolescents at high altitude

1.
College of Physical Education and Health, Yulin Normal University, Yulin (537000), Guangxi Zhuang Autonomous Region, China

摘要

摘要: 目的了解高海拔地区10~15岁藏族青少年社交焦虑状况及其与睡眠时长之间的关联，为高海拔地区藏族青少年社交焦虑预防和心理健康干预提供参考和帮助。方法采用分层随机整群抽样的方法，于2022年4—6月选取西藏拉萨、昌都、那曲地区2 426名藏族青少年进行基本人口学信息、社交焦虑及睡眠状况的调查，并采用Logistic回归分析的方法分析两者之间的关联。结果高海拔地区10~15岁藏族青少年社交焦虑平均得分为(6.51±4.32)分，社交焦虑检出率为5.23%；睡眠持续时长平均为(7.42±1.18)h/d。在不同性别、是否超重肥胖、是否体力活动充足、是否睡眠充足方面相比较，藏族青少年社交焦虑检出率差异均有统计学意义(χ²值分别为19.44，14.39，7.83，7.21，P值均 < 0.05)。调整相关变量后，Logistic回归分析显示，男生睡眠不足(OR=2.91，95%CI=1.82~4.61)，女生睡眠不足(OR=3.51，95%CI=2.01~6.04)，总体睡眠不足(OR=3.12，95%CI=1.91~4.58)与藏族青少年社交焦虑的发生呈正相关(P值均 < 0.01)。结论高海拔地区藏族青少年社交焦虑状况不容乐观，社交焦虑与睡眠不足存在正相关关联。应保证充足的睡眠持续时长，以降低高海拔地区藏族青少年社交焦虑的发生。
- 焦虑 /
- 睡眠 /
- 精神卫生 /
- 青少年 /
- 少数民族
Abstract: Objective To understand social anxiety of Tibetan adolescents aged 10-15 years old in high altitude areas and its correlation with sleep duration, so as to provide a reference and support for social anxiety prevention and mental health interventions for Tibetan adolescents in high altitude areas. Methods A total of 2 426 Tibetan adolescents from the Lhasa, Chamdo, and Nagchu regions of Tibet were surveyed. From April to June 2022, basic demographics, social anxiety, and sleep status were obtained and analyzed using class-based, stratified whole group sampling, and the correlations detected between the two were analyzed by logistic regression analysis. Results The average social anxiety score of Tibetan adolescents aged 10-15 years in high-altitude areas was (6.51±4.32), and the detection rate of social anxiety was 5.23%. The mean sleep duration was (7.42±1.18) hours/day. The differences were statistically significant when compared across gender, overweight/obesity status, level of physically activity, and sleep duration (χ²=19.44, 14.39, 7.83, 7.21, P < 0.05). After adjusting for relevant variables, the Logistic regression analysis showed that sleep-deprivation among boys (OR=2.91, 95%CI=1.82-4.61), sleep-deprivation among girls (OR=3.51, 95%CI=2.01-6.04), and overall sleep-deprivation among Tibetan adolescents (OR=3.12, 95%CI=1.91-4.58) were positively associated with social anxiety(P < 0.01). Conclusions A positive association was found between social anxiety and sleep deprivation, indicating that social anxiety is an issue among Tibetan adolescents living in high altitude regions. Sufficient sleep duration plays a positive protective role in reducing social anxiety among Tibetan adolescents in high altitude areas, and the findings provide a reference for future mental health interventions.
- Anxiety /
- Sleep /
- Mental health /
- Adolescent /
- Minority groups
注释:

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表 1 不同组别高海拔地区藏族青少年社交焦虑检出率比较

Table 1. Comparison of social anxiety status of Tibetan adolescents at high altitude in different groups

组别	选项	人数	检出人数	χ²值	P值
性别	男	1 207	39(3.23)	19.44	<0.01
	女	1 219	88(7.22)
年龄段/岁	10~12	1 411	70(4.96)	0.51	0.48
	13~15	1 015	57(5.62)
超重肥胖	否	1 441	55(3.82)	14.39	<0.01
	是	985	72(7.31)
体力活动充足	否	1 699	103(6.06)	7.83	<0.01
	是	727	24(3.30)
睡眠充足	否	2 237	125(5.59)	7.21	0.01
	是	189	2(1.06)
注：( )内数字为检出率/%。

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表 2 高海拔地区藏族青少年社交焦虑与睡眠持续时长的二元Logistic回归分析(n=2 426)

Table 2. Binary Logistic regression analysis of social anxiety and sleep duration in Tibetan adolescents at high altitude (n=2 426)

自变量与常数	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)
性别	女	0.88	0.24	13.89	<0.01	2.24(1.51~3.86)
超重肥胖	是	0.66	0.21	9.62	<0.01	1.94(1.28~2.94)
体力活动充足	否	0.52	0.23	5.22	0.02	1.65(1.06~2.57)
睡眠充足	否	0.41	0.15	8.35	<0.01	1.52(1.13~2.03)
常数		2.93	1.22	5.86	0.01	18.45

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