摘要
目的了解武汉市中学生肥胖及抑郁流行情况,探索肥胖对抑郁的影响及各影响因素间的性别差异,为制定中学生心理健康干预措施、降低抑郁发生率提供科学依据。方法按分层随机整群抽样法,抽取4179名中学生,使用流调中心用抑郁量表(CES-D)进行问卷调查。采用χ2检验进行单因素分析,分性别进行多因素Logistic回归分析抑郁影响因素。结果抑郁总体检出率为29.82%,女生抑郁率高于男生(32.46%vs 27.49%)。多因素Logistic回归分析结果显示,肥胖是女生出现抑郁的危险因素(OR=1.619),而男生是否肥胖与抑郁不相关。每日上网时间超过2 h(男生:OR=1.339,女生:OR=1.794)、睡眠不足(男生:OR=2.140,女生:OR=1.571)为男女生抑郁的共同危险因素,户外运动(男生:OR=0.667,女生:OR=0.780)则为共同保护因素。农村(OR=1.477)、高年级(OR=1.445)是男生抑郁的危险因素;而单亲/重组家庭(OR=1.563)是女生的危险因素,参加中高强度运动是女生抑郁的保护因素(OR=0.771)。结论武汉市中学生抑郁率处于较高水平,女生抑郁率相对更高,帮助女生保持健康审美观,推广健康生活方式,有利于减少抑郁的发生。
Objective To examine the impact of obesity on depression and the differencebetween boys and girls among middle school students in Wuhan,and to provide evidence for formulating mental health interventions and reducing the incidence of depression.Methods By using stratified cluster random sampling method,a total of 4179 students from middle school in Wuhan were surveyed by questionnaire(the Center for Epidemiologic Studies-Depression Scale,CES-D).The chi-square tests and multivariate logistic regression by gender were performed to analyze the influence factors of depression.Results The prevalence rate of depression was 29.82%,32.46%in girls and 27.49%in boys.Logistic regression analysis by gender showed that obesity was risk factor for depression among girls only(OR=1.619).Screen media time with more than 2 hours(boys:OR=1.339,girls:OR=1.794)and sleep deprivation(boys:OR=2.140,girls:OR=1.571)were common risk factors of depression for both boys and girls.Outdoor exercise(boys:OR=0.667,girls:OR=0.780)was common protective factor for both boys and girls.Living in rural areas(OR=1.477,P<0.05)and uppergrades(OR=1.445)were risk factors of depression among boys.Single/step families(OR=1.563)was risk factors while moderate to high intensity exercise(OR=0.771)was protective factors for depression among girls.Conclusion The depression rate among middle school students in Wuhan is at high level,relatively among girls.Helping girls maintain healthy aestheticand promoting healthy lifestyle will help to reduce the incidence of depression.
作者
马骏
王琬玥
赵思琪
李长风
李芳
MA Jun;WANG Wan-yue;ZHAO Si-qi;LI Chang-feng;LI Fang(Center for Disease Prevention and Control in Wuhan Qiaokou District,Wuhan 430035,China)
出处
《中国健康教育》
北大核心
2022年第11期1006-1010,共5页
Chinese Journal of Health Education
基金
湖北省卫生计生委联合基金项目(WJ2018H259)
武汉市卫生计生委科研计划资助项目(WG18Q13)
关键词
中学生
肥胖
抑郁
影响因素
Middle school student
Obesity
Depression
Risk factors
作者简介
马骏(1970-),女,大学本科,主管医师,主要从事学校卫生与慢性病防制专业;通信作者:李芳,女,副教授,研究方向:慢性疾病防控、青少年健康管理。E-mail:fanlig79@163.com
