江苏省中学生抑郁状况及其影响因素分析

Prevalence and influencing factors of depression among high school students in Jiangsu Province

目的了解江苏省中学生抑郁现况及影响因素。方法采用多阶段分层整群随机抽样方法,在江苏省13个设区市范围内抽取26091名中学生,使用抑郁量表(CES-D)进行问卷调查,用用多因素logistic回归分析抑郁状况的影响因素。结果中学生抑郁倾向检出率为25.6%,其中男生为23.1%,女生为28.3%。多因素logistic回归分析显示,女生、生活在郊县、学段为高中、非常态家庭(单亲家庭、重组家庭、隔代家庭)、遭受家长打骂、吸烟、饮酒、睡眠时间不足、中高强度运动频次少、寄宿、遭受校园欺凌、网络成瘾是中学生发生抑郁的危险因素(P值均<0.05)。结论中学生抑郁状况不容小觑,影响因素较多,应将其作为中学生健康干预关注的重要问题。

Objective To investigate the prevalence and influencing factors of depression among high school students in Jiangsu Province.Methods A total of 26091 high school students were sampled using a multistage stratified cluster sampling method from 13 cities of Jiangsu Province,and the prevalence and influencing factors of depression were investigated using the Center for Epidemiologic Studies Depression Scale(CES-D).The multivariate logistic regression analysis was used to analyze depression related influencing foctors.Results The overall prevalence of depressive tendencies was 25.6%among respondents,and was 23.1%among male respondents and 28.3% among female respondents.Multivariate logistic regression analysis showed that female,living in suburban areas,senior high school students,abnormal family(single-parent family,reconstituted family or grandparent family),parental abuse,smoking,alcohol consumption,insufficient sleep duration,reduced frequency of moderate-and high-intensity exercises,boarding,campus bullying and internet addiction were risk factors for depression among high school students(all P values <0.05).Conclusion The prevalence of depression is high among high school students,which has many influencing factors.Health education targeting depression should be given a high priority among high school students.