中国三省市大学生“躺平”行为现状及其与抑郁症状的关联

Prevalence of Lying Flat behaviors and its association with depressive symptoms among college students from three provinces and cities in China

目的了解中国高校大学生“躺平”行为现状,并分析其与抑郁症状的关联,为促进青少年身心健康发展提供科学依据。方法2023年7—10月,在江西省、辽宁省和北京市通过方便抽样方法分别选择3所高校,在校内发放问卷星链接,采用自编问卷获得大学生基本信息与“躺平”行为表现,采用患者健康问卷(PHQ-9)筛查抑郁症状大学生,共获得有效问卷4225份。采用χ^(2)检验比较不同人口学特征大学生“躺平”行为的报告率,采用有序Logistic回归分析不同“躺平”行为表现与抑郁症状之间的关联,并采用Z检验评估关联程度的差异。结果大学生学业“躺平”、生活“躺平”和社交“躺平”的报告率分别为32.7%,17.8%和17.5%,其中6.7%的大学生同时具有3种“躺平”行为。在同时具有3种“躺平”行为的大学生中,无、轻度、中度及以上抑郁症状的构成比分别为9.9%,30.5%和59.6%。有序Logistic回归分析结果显示,有3种“躺平”行为的学生易发生轻度、中度及以上抑郁症状[OR值(95%CI)分别为2.49(1.60~3.87),7.69(5.01~11.79),P值均<0.01]。结论大学生学业“躺平”行为最为普遍,学业、生活和社交“躺平”行为与抑郁症状均呈正相关。应重视大学生“躺平”行为与抑郁等心理健康状况,促进大学生身心健康发展。

Objective To understand the prevalence of Lying Flat behaviors and its association with depressive symptoms among Chinese college students,so as to provide a scientific basis for promoting the physical and mental health development of adolescents.Methods From July to October 2023,three universities were selected through convenient sampling from Jiangxi Province,Liaoning Province and Beijing City,respectively.Self-designed questionnaire links were distributed on campus to collect basic information and Lying Flat behaviors among college students,and the Patient Health Questionnaire-9(PHQ-9)was utilized to screen for students with depressive symptoms.Finally,a total of 4225 valid questionnaires were obtained.Chi-square was used to compare of report rates of Lying Flat behaviors across different demographic characteristics.Ordered Logistic regression analysis was used to explore the association between Lying Flat behaviors and depressive symptoms,with Z test used to assess variations in the strength of associations.Results The reporting rates of academic,life,and social Lying Flat were 32.7%,17.8%and 17.5%,respectively.And 6.7%of the participants were found of all three Lying Flat behaviors simultaneously.Among college students with three Lying Flat behaviors,the constituent ratios of no,mild,moderate and above depressive symptoms were 9.9%,30.5%and 59.6%,respectively.Additionally,college students who had three Lying Flat behaviors were more likely to show mild,moderate and above depressive symptoms[OR(95%CI)=2.49(1.60-3.87),7.69(5.01-11.79),P<0.01].Conclusions Academic Lying Flat behavior is most prevalent among college students.Academic,life and social Lying Flat behaviors are all significantly positively correlated with depressive symptoms.Attention should be paid to the Lying Flat behaviors and college students'psychological health conditions to promote their physical and mental health development.