南京中学生健康危险行为与抑郁症状关系

Relationship between health risk behaviors and depression symptoms among high school students

目的了解江苏省南京市中学生健康危险行为和抑郁症状分布情况,并探讨两者之间的关联。方法采用青少年心理健康状况调查表,于2010年9—10月随机抽取南京市5所学校2 118名中学生进行问卷调查。结果调查的2 118名中学生中,具有1、2、3项及以上健康危险行为的中学生分别为21.6%、6.0%、4.4%;抑郁症状检出率为46.0%,其中轻度、中度、重度抑郁症状检出率分别为29.4%、13.4%、3.3%;高中生、有健康危险行为的学生抑郁症状检出率均高于初中生、无健康危险行为的学生,差异均有统计学意义(P<0.05);多因素logistic回归分析显示,随着健康危险行为项数的增加,抑郁症状检出率呈上升趋势(χ2趋势=58.9,P<0.05),调整人群归因危险度百分比(PARc%)为14.8%。结论健康危险行为是罹患抑郁症状的危险因素,应引起学校、家庭和社会的重视。

Objective To investigate the prevalence of depressive symptoms and to evaluate the relationship be- tween depressive symptoms and health risk behaviors among high school students in Nanjing city of Jiangsu province. Methods The subjects were 2 160 high school students recruited from 5 schools with random sampling method from September to October 2010. The Zung Self-Rating Depression Scale was used in the survey. Results The ratios of the students with one, two, and three or more health risk behaviors were 21.6 % ,6. 0%, and 4. 4 %, respectively. The overall detection rate of depressive symptoms was 46. 0%, with the detection rate of 29. 4% for mild depressive symptoms, 13.4% for moderate depressive symptoms, and 3.3 % for severe depressive symptoms. The detection rate of depressive symptoms in senior students was higher than in junior students. The detection rate of depression symptoms in the students with health risk behaviors was higher than in the students without health risk behaviors. Multivariate logistic analysis indi- cated that with the increasing of the health risk behaviors, the detection rate of depressive symptoms increased, with an ad- justed population attributable risk（ PAR% ） of 14. 8%. Conclusion Health risk behaviors are risk factors for depressive symptoms and more attentions should be paid to the risk factors among high school students.