内蒙古高中生焦虑症状相关因素分析

杨田; 高建琼; 魏娜娜; 张秀红; 马彩霞

doi:10.16835/j.cnki.1000-9817.2024165

内蒙古高中生焦虑症状相关因素分析

doi: 10.16835/j.cnki.1000-9817.2024165

杨田¹,
高建琼^1, ,,
魏娜娜^1, ,,
张秀红¹,
马彩霞²

1.
内蒙古自治区疾病预防控制中心学校卫生科，呼和浩特 010031
2.
内蒙古医科大学公共卫生学院

基金项目:

内蒙古自治区科技计划项目 2020GG0022

详细信息

作者简介:
杨田(1989-)，女，呼和浩特市人，硕士，副主任医师，主要研究方向为儿童青少年生长发育影响因素与干预、学校卫生与健康促进

通讯作者:
高建琼，E-mail: jsfkkp@163.com

魏娜娜，E-mail: 1113422006@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G444 D432.7
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- 被引次数: 0
出版历程
- 收稿日期: 2024-03-08
- 修回日期: 2024-04-08
- 网络出版日期: 2024-06-27
- 刊出日期: 2024-06-25

Analysis of factors associated with anxiety symptoms of high school students in Inner Mongolia

1.
School Health Department of Inner Mongolia Autonomous Region Centre for Disease Control and Prevention, Hohhot(010031), Inner Mongolia Autonomous Region, China

摘要

摘要: 目的了解内蒙古地区高中生不健康生活方式与焦虑症状的关联性，为预防高中生焦虑症状的发生提供科学依据。方法于2023年9—11月，采用分层整群随机抽样方法在内蒙古地区12个盟市(103个旗县)抽取35 362名高中生，采用学生健康状况及影响因素调查表进行调查。采用χ²检验和多元Logistic回归分析焦虑症状的相关因素。结果焦虑症状的学生共2 747名，检出率为7.77%。多元Logistic回归分析结果显示，女生、父亲学历为本科及以上、从不吃早餐、超重肥胖、每日睡眠时间 < 8 h、过去30 d被父母打骂、抑郁症状与高中生焦虑症状均呈正相关(OR值分别为1.31，1.23，1.53，1.14，1.22，1.51，28.92)；不吸烟、不饮酒、无网络成瘾、无医生许可不使用镇静剂与高中生焦虑症状均呈负相关(OR值分别为0.84，0.73，0.57，0.40)(P值均＜0.05)。结论高中学生焦虑症状与不健康的生活方式相关。应采取相应措施改善高中生不健康的生活方式，降低高中生焦虑症状的发生。
- 焦虑 /
- 精神卫生 /
- 回归分析 /
- 学生 /
- 少数民族
Abstract: Objective To analyse the correlation between unhealthy lifestyles and anxiety symptoms among high school students in Inner Mongolia Region, so as to provide a scientific basis for the prevention of anxiety symptoms among high school students. Methods From September to November 2023, 35 362 high school students were selected by stratified cluster random sampling method from 12 cities (103 counties) in Inner Mongolia Region, and the survey was conducted by using the questionnaire on student health status and influencing factors. The χ² test and multivariate Logistic regression analyses were used to determine the influencing factors of anxiety symptoms. Results The total number of students with anxiety symptoms was 2 747, and the detection rate of anxiety symptoms was 7.77%. The results of multivariate Logistic regression analyses showed that female students, father having higher education background, never eating breakfast, being overweight and obese, sleeping < 8 h/d, being scolded by parents in the past 30 days, and depressive symptoms were positively correlated with the anxiety symptoms of the high school students (OR=1.31, 1.23, 1.53, 1.14, 1.22, 1.51, 28.92); non-smoking, having no alcohol consumption, no Internet addiction and no use of sedatives without doctor's permission were all negatively correlated with anxiety symptoms of high school students (OR=0.84, 0.73, 0.57, 0.40) (P < 0.05). Conclusions Anxiety symptoms of high school students are closely related to unhealthy lifestyle. Measures should be taken to improve unhealthy lifestyle, so as to reduce the occurrence of anxiety symptoms in high school students.
- Anxiety /
- Mental health /
- Regression analysis /
- Students /
- Minority groups
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 内蒙古高中生焦虑症状的单因素分析

Table 1. Univariate analysis of anxiety symptoms among high school students in Inner Mongolia

因素	选项	人数	焦虑症状人数	χ²值	P值	因素	选项	人数	焦虑症状人数	χ²值	P值
性别	男	16 838	1 138(6.76)	45.74	< 0.01	每日睡眠时间/h	≥8	6 639	325(4.90)	94.16	< 0.01
	女	18 524	1 609(8.69)				＜8	28 723	2 422(8.43)
城乡	城市	15 096	1 188(7.87)	0.38	0.54	每日户外活动时间/h	≥2	13 706	1 063(7.76)	0.01	0.94
	郊区	20 266	1 559(7.69)			每日户外活动时间/h	＜2	21 656	1 684(7.78)
学段	普高	30 654	2 408(7.86)	2.44	0.12	过去30 d被父母打骂	否	31 629	1 982(6.27)	943.19	< 0.01
	职高	4 708	339(7.20)			过去30 d被父母打骂	是	3 733	765(20.49)
家庭类型	稳定	26 674	1 932(7.24)	41.80	< 0.01	吸烟	是	5 158	755(14.64)	397.71	< 0.01
	非稳定	8 688	815(9.38)				否	30 204	1 992(6.60)
母亲学历	初中及以下	22 439	1 729(7.70)	2.67	0.26	饮酒	是	11 017	1 462(13.27)	676.17	< 0.01
	高中或大专	10 402	801(7.70)				否	24 345	1 285(5.28)
	本科及以上	2 521	217(8.61)			网络成瘾	是	738	214(29.00)	474.11	< 0.01
父亲学历	初中及以下	21 398	1 672(7.81)	15.74	< 0.01		否	34 624	2 533(7.32)
	高中或大专	11 373	827(7.27)			抑郁症状	否	26 602	278(1.05)	6 774.79	< 0.01
	本科及以上	2 591	248(9.57)				是	8 760	2 469(28.18)
早餐情况	每天吃	23 286	1 490(6.40)	260.49	< 0.01	为了高兴使用可溶性溶剂	是	590	112(18.98)	105.32	< 0.01
	有时吃	10 206	966(9.47)			为了高兴使用可溶性溶剂	否	34 772	2 635(7.58)
	从不吃	1 870	291(15.56)			除咳嗽外使用止咳剂	是	2 778	380(13.68)	147.01	< 0.01
超重肥胖	否	23 003	1 715(7.46)	8.98	< 0.01	除咳嗽外使用止咳剂	否	32 584	2 367(7.26)
	是	12 359	1 032(8.35)			无医生许可使用镇静剂	是	762	240(31.50)	611.97	< 0.01
住校	是	17 074	1 380(8.08)	4.55	0.03	无医生许可使用镇静剂	否	34 600	2 507(7.25)
	否	18 288	1 367(7.47)
注： ()内数字为检出率/%。

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表 2 内蒙古高中生焦虑症状相关因素的多因素Logistic回归分析(n=35 362)

Table 2. Multifactorial Logistic regression analysis of the related factors of anxiety symptoms among high school students in Inner Mongolia(n=35 362)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)	自变量	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)
性别	男					1.00	过去30 d被家长打骂	否					1.00
	女	0.27	0.05	32.79	< 0.01	1.31(1.20~1.44)	过去30 d被家长打骂	是	0.41	0.05	57.13	< 0.01	1.51(1.35~1.67)
父亲学历	初中及以下					1.00	吸烟	是					1.00
	高中或大专	-0.01	0.05	0.03	0.86	0.99(0.90~1.09)		否	-0.18	0.06	9.16	< 0.01	0.84(0.75~0.94)
	本科及以上	0.21	0.08	6.10	0.01	1.23(1.04~1.45)	饮酒	是					1.00
早餐情况	每天吃					1.00		否	-0.34	0.05	37.82	< 0.01	0.73(0.67~0.81)
	有时吃	0.03	0.05	0.32	0.57	1.03(0.93~1.13)	网络成瘾	是					1.00
	从不吃	0.43	0.08	27.36	< 0.01	1.53(1.30~1.79)		否	-0.56	0.10	33.06	< 0.01	0.57(0.48~0.69)
超重肥胖	否					1.00	抑郁症状	否					1.00
	是	0.13	0.05	7.88	< 0.01	1.14(1.04~1.25)		是	3.37	0.07	2 564.26	< 0.01	28.92(25.39~32.95)
每日睡眠时间/h	≥8					1.00	无医生许可使用镇静剂	是					1.00
每日睡眠时间/h	＜8	0.20	0.07	8.32	< 0.01	1.22(1.07~1.39)	无医生许可使用镇静剂	否	-0.91	0.10	89.47	< 0.01	0.40(0.33~0.48)

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