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Influencing factors of depressive symptoms in Zhejiang adolescents |
LI Juanjuan, ZHANG Ronghua, ZOU Yan, GU Fang, MENG Jia, GAO Lei, SHEN Yu
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Department of Nutrition and Food Safety, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
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Abstract Objective To investigate the prevalence and influencing factors of adolescent depression symptoms in Zhejiang, so as to provide reference for improving their mental health. Methods The middle school and university students in 11 cities of Zhejiang Province were selected by stratified cluster random sampling method. The depression symptoms of the adolescents were assessed by Center for Epidemiological Survey-Depression Scale ( CES-D ) and the influencing factors were analyzed by multivariate logistic regression model. Results A total of 25 855 students were investigated, and 25 614 ( 99.07% ) valid questionnaires were collected. The detection rate of depressive symptoms was 26.86%(6 879 cases). The detection rate of depressive symptoms in girls was 29.75%, which was higher than 24.12% in boys ( P<0.05). The detection rate of depressive symptoms in high school students was 31.74%, the highest compared with other grades. The multivariate regression analysis showed that female students ( OR=1.690, 95%CI: 1.592-1.794 ), resident students ( OR=1.071, 95%CI: 1.010-1.137 ) , internet addiction ( OR=2.948, 95%CI: 2.527-3.439 ) , attempt smoking ( OR=1.516, 95%CI: 1.359-1.690 ), drinking ( OR=1.624, 95%CI: 1.525-1.729 ), bullied in the past 30 days ( OR=3.143, 95%CI: 2.938-3.363 and having serious injuries within a year ( OR=1.369, 95%CI: 1.263-1.543 ) were associated with adolescents who had depressive symptoms. Conclusions The detection rate of depressive symptoms is relative 26.86% among adolescents of Zhejiang Province. The students who are female, live on campus, have internet addiction, have been bullied or seriously injured, smoke and drink are more likely to have depressive symptoms.
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Received: 20 August 2020
Revised: 27 October 2020
Published: 01 February 2021
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[1] BLAKEMORE S J.Adolescence and mental health[J]. Lancet,2019,393(10185):2030-2031. [2] 徐伏莲,黄奕祥. 青少年抑郁症状研究进展[J]. 中国学校卫生,2013,34(2):255-256. [3] 李玖玲,陈星,赵春华,等. 中国儿童青少年抑郁症状流行率的Meta分析[J]. 中国儿童保健杂志,2016,24(3):295-298. [4] 刘福荣,宋晓琴,尚小平,等. 中学生抑郁症状检出率的meta分析[J]. 中国心理卫生杂志,2020,34(2):123-128. [5] 聂晓璐,王红英,孙凤,等. 2000—2012年中国社区人群老年期抑郁情绪检出率——系统综述和更新的meta分析[J]. 中国心理卫生杂志,2013,27(11):805-814. [6] 吴曼,李嘉琛,余灿清,等. 中国30~79岁成年人负性生活事件与抑郁关联的性别差异研究[J]. 中华流行病学杂志,2017,38(11):1449-1453. [7] 孙力菁,罗春燕,周月芳,等. 上海市中学生抑郁症状和网络成瘾行为的相关性[J]. 中国学校卫生,2019,40(3):445-447. [8] 赵洁,王世嫘,林艳艳. 山东省初中生抑郁的流行病学特征及相关因素调查[J]. 青少年学刊,2015,23(5):16-18. [9] LEDFORD H.Who exactly counts as an adolescent?[J].Nature,2018,554(7693):429-431. [10] THAPAR A,COLLISHAW S,PINE D S.et al.Depression in adolescence[J]. Lancet,2012,379(9820):1056-1067. [11] 郑利锋,杨开仁,谭素仙,等. 青少年抑郁症状现况调查[J]. 预防医学,2018,30(4):338-340,344. [12] 季冬,陈虹,钞淼,等. 家庭氛围与父母受教育程度对青少年抑郁影响[J]. 中国公共卫生,2018,34(1):38-41. [13] 李巧,朱慧全,王丽卿,等. 海口城乡中小学生抑郁症状流行现况的比较研究[J]. 中国卫生统计,2016,33(6):989-990,993. [14] SHENSA A,ESCOBAR-VIERA C G,SIDANI J E,et al. Problematic social media use and depressive symptoms among U.S. young adults:a nationally-representative study[J]. Soc Sci Med,2017,182:150-157. [15] 王侠. 某高职学校学生抑郁症状和手机依赖与自杀意念的相关性研究[J]. 中国预防医学杂志,2017,18(8):55-58. [16] 代长顺,王永阳. 郑州市青少年抑郁症状和网络成瘾状况及其两者间的关系分析[J]. 现代预防医学,2020,47(11):1985-1988. [17] 王文靖,张志华,李一峰,等. 校园欺凌及其危害[J]. 伤害医学,2017,6(2):52-56. [18] 肖蓉,王齐秀子,郑泽珊. 大学生体育活动与抑郁的关系:性别差异的影响[J]. 中国运动医学杂志,2017,36(9): 812-816,822. |
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