Relationship between consumption status of milk tea and psychological distress among college students in four provinces of China
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摘要:
目的 调查大学生奶茶消费现状和心理困扰情况并分析两者的关联,为促进大学生心理健康提供理论支持。 方法 于2023年9—11月,采用方便抽样的方法抽取上海市、江西省、湖北省、山西省四省市7所高校15 440名17~24岁大学生,使用自编问卷和斯凯勒心理困扰量表分别调查大学生奶茶消费情况和心理困扰状况。采用Wantel-Haenszel检验分析大学生心理困扰随着奶茶消费情况的变化趋势。运用二元Logistic回归分析推断大学生奶茶消费情况与心理困扰的关联强度,使用限制性立方样条法分析大学生奶茶消费量与心理困扰之间的非线性关系。 结果 大学生心理困扰检出率为59.6%。单因素分析结果显示,大学生奶茶消费频次(χ趋势2=42.33)和奶茶消费量水平(χ趋势2=5.17)均与心理困扰存在趋势相关(P值均 < 0.05)。二元Logistic回归模型结果显示,奶茶消费频次和奶茶消费量与心理困扰程度均呈正向关联[每周奶茶消费频次:1~3次(轻度、中度,OR值分别为1.20,1.41),4~5次(轻度、中度、重度,OR值分别为2.80,5.44,4.12),≥6次(重度,OR=8.04);每周奶茶消费量:1~1 500 mL(重度,OR=1.35),>1 500~ < 3 000 mL(轻度、中度,OR值分别为1.21,1.35),≥3 000 mL(轻度、中度、重度,OR值分别为1.33,1.71,1.29)](P值均 < 0.05)。限制性立方样条模型结果显示,奶茶消费量与心理困扰发生风险存在非线性关联(F=107.34,P非线性 < 0.01,P整体 < 0.01)。 结论 大量高频奶茶消费的大学生心理困扰发生风险较高;减少大学生奶茶消费行为,有助于以改善其心理健康状况。 Abstract:Objective To investigate the current status of milk tea consumption and its association with psychological distress among college students, so as to provide theoretial support for promoting the mental health of college students. Methods From September to November 2023, a convenience sampling method was used to select 15 440 college students aged 17-24 from seven universities in Shanghai, Jiangxi, Hubei, and Shanxi. A self-designed questionnaire and the Kessler Psychological Distress Scale were used to assess milk tea consumption and psychological distress, respectively. The Mantel-Haenszel test was employed to analyze the trend of psychological distress at different levels of milk tea consumption. Binary Logistic regression analysis was used to determine the association between milk tea consumption and psychological distress, and the restricted cubic spline method was applied to explore the nonlinear relationship between milk tea consumption and symptoms of psychological distress. Results The detection rate of psychological distress among college students was 59.6%. Univariate analysis indicated a significant trend association between milk tea consumption frequency (χtrend2=42.33) and milk tea intake level (χtrend2=5.17) with psychological distress (P < 0.05). Binary Logistic regression models showed a positive association between different levels of milk tea consumption frequency and psychological distress [1-3 times (mild to moderate distress, OR=1.20, 1.41), 4-5 times (mild to severe distress, OR=2.80, 5.44, 4.12), and ≥6 times (severe distress, OR=8.04); and milk tea intake level: 1-1 500 mL (severe distress, OR=1.35), >1 500- < 3 000 mL (mild to moderate distress, OR=1.21, 1.35), ≥3 000 mL (mild to severe distress, OR=1.33, 1.71, 1.29)] (P < 0.05). The restricted cubic spline model showed a nonlinear association between milk tea intake and the risk of psychological distress (F=107.34, Pnon-linear < 0.01, Poverall < 0.01). Conclusions High-frequency and high-volume milk tea consumption are associated with an increased risk of psychological distress among college students. Reducing the consumption behavior of college students' milk tea is helpful to improve mental health. -
Key words:
- Beverages /
- Mental health /
- Regression analysis /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别大学生不同程度心理困扰检出率比较
Table 1. Comparison of the detection rates of different degrees of psychological distress among the different groups of college students
组别 选项 人数 轻度 中度 重度 Z/H值 P值 组别 选项 人数 轻度 中度 重度 Z/H值 P值 性别 男 6 171 1 017(16.5) 398(6.4) 2 259(36.6) -3.95 < 0.01 重组家庭 600 106(17.7) 50(8.3) 231(38.5) 女 9 269 1 954(21.1) 771(8.3) 2 816(30.4) 单亲家庭 1 044 187(17.9) 88(8.4) 336(32.2) 年级 大一 9 040 1 676(18.5) 646(7.1) 2 645(29.3) 211.59 < 0.01 其他 179 39(21.8) 14(7.8) 61(34.1) 大二 3 022 581(19.2) 240(7.9) 1 164(38.5) 母亲职业 公务员 1 438 234(16.3) 126(8.8) 526(36.6) 19.75 < 0.01 大三 2 066 417(20.2) 167(8.1) 780(37.8) 工人 1 111 221(19.9) 68(6.1) 363(32.7) 大四 1 312 297(22.6) 116(8.8) 486(37.0) 农民 1 655 319(19.3) 129(7.8) 573(34.6) 户籍所在地 城镇 6 457 1 130(17.5) 533(8.3) 2 181(33.8) -1.36 0.17 公司职员 514 84(16.3) 43(8.4) 188(36.6) 乡村 8 983 1 841(20.5) 636(7.1) 2 894(32.2) 商人 4 114 785(19.1) 321(7.8) 1 282(31.2) 营养状况 消瘦 1 061 192(18.1) 79(7.4) 378(35.6) 4.31 0.23 其他 6 608 1 328(20.1) 482(7.3) 2 143(32.4) 正常 10 886 2 103(19.3) 812(7.5) 3 584(32.9) 自评家庭经济状况 很差 757 129(17.0) 63(8.3) 333(44.0) 83.12 < 0.01 超重 1 982 366(18.5) 163(8.2) 625(31.5) 较差 2 808 599(21.3) 246(8.8) 977(34.8) 肥胖 1 511 310(20.5) 115(7.6) 488(32.3) 一般 10 183 1 988(19.5) 741(7.3) 3 187(31.3) 父亲职业 公务员 1 743 277(15.9) 150(8.6) 606(34.8) 6.58 0.25 较好 1 482 223(15.0) 106(7.2) 502(33.9) 工人 2 106 429(20.4) 142(6.7) 681(32.3) 很好 210 32(15.2) 13(6.2) 76(36.2) 农民 1 788 368(20.6) 135(7.6) 605(33.8) 体力活动水平 高 3 948 708(17.9) 293(7.4) 1 314(33.3) 81.44 < 0.01 公司职员 456 73(16.0) 28(6.1) 172(37.7) 中 4 379 892(20.4) 339(7.7) 1 214(27.7) 商人 3 263 607(18.6) 258(7.9) 1 069(32.8) 低 7 113 1 371(19.3) 537(7.5) 2 547(35.8) 其他 6 084 1 217(20.0) 456(7.5) 1 942(31.9) 独生子女 是 4 569 795(17.4) 351(7.7) 1 590(34.8) -2.14 0.03 家庭结构 原生家庭 13 617 2 639(19.4) 1 017(7.5) 4 447(32.7) 10.79 0.01 否 10 871 2 176(20.0) 818(7.5) 3 485(32.1) 注:()内数字为检出率/%。 表 2 大学生奶茶消费情况与不同程度心理困扰的关联
Table 2. Correlation between consumption of milk tea and different degree of psychological distress among college students
奶茶消费情况 选项 人数 轻度 中度 重度 χ趋势2值 P值 奶茶消费频次/次 ≥6 143 12(8.4) 5(3.5) 111(77.6) 42.33 < 0.01 4~5 213 40(18.8) 27(12.7) 112(52.6) 1~3 8 074 1 656(20.5) 688(8.5) 2 506(31.0) 0 7 010 1 263(18.0) 449(6.4) 2 346(33.5) 奶茶消费量水平/mL ≥3 000 3 056 623(20.4) 284(9.3) 1 055(34.5) 5.17 0.02 >1 500~ < 3 000 4 625 978(21.1) 385(8.3) 1 381(29.9) 1~1 500 749 107(14.3) 51(6.8) 293(39.1) 0 7 010 1 236(18.0) 449(6.4) 2 346(33.5) 注: ()内数字为检出率/%。 表 3 大学生奶茶消费情况与心理困扰的Logistic回归分析(n=15 440)
Table 3. Logistic regression analysis of milk tea consumption and psychological distress among college students(n=15 440)
自变量 选项 轻度 中度 重度 β值 OR值(95%CI) P值 β值 OR值(95%CI) P值 β值 OR值(95%CI) P值 奶茶消费频次/次 1~3 0.18 1.20(1.09~1.31) < 0.01 0.34 1.41(1.23~1.61) < 0.01 0.07 1.07(0.99~1.16) 0.11 4~5 1.03 2.80(1.75~4.46) < 0.01 1.70 5.44(3.23~9.18) < 0.01 1.42 4.12(2.79~6.11) < 0.01 ≥6 0.54 1.72(0.79~3.71) 0.17 0.76 2.15(0.77~6.00) 0.15 2.08 8.04(4.66~13.87) < 0.01 奶茶消费量水平/mL 1~1 500 -0.19 0.83(0.66~1.05) 0.12 0.12 1.13(0.82~1.55) 0.46 0.30 1.35(1.13~1.60) < 0.01 >1 500~ < 3 000 0.19 1.21(1.09~1.35) < 0.01 0.30 1.35(1.16~1.58) < 0.01 0.03 1.03(0.94~1.13) 0.56 ≥3 000 0.29 1.33(1.18~1.50) < 0.01 0.54 1.71(1.45~2.03) < 0.01 0.25 1.29(1.16~1.43) < 0.01 注:模型调整性别、年级、独生子女、母亲职业、家庭结构、家庭经济状况、体力活动水平因素;奶茶消费频次和奶茶消费水平均以0为参照,心理困扰程度均以否为参照。 -
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