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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 understand the distribution of health risk behaviors and depression among middle school students in Nanjing, Jiangsu Province, and to explore the relationship between the two. Methods A questionnaire survey was conducted among 2 118 middle school students in 5 schools in Nanjing from September to October in 2010 by using questionnaire of mental health of adolescents. Results Among the 2 118 middle school students surveyed, 21.6%, 6.0% and 4.4% of the students with health risk behaviors of 1, 2, 3 and above, respectively. The prevalence of depression was 46.0%, among which mild, moderate, The detection rate of major depressive symptoms were 29.4%, 13.4% and 3.3% respectively. The prevalence of depressive symptoms in high school students and students with health risk behaviors were higher than those in junior high school students without health risk behaviors, the differences were statistically significant (P <0.05). Multivariate logistic regression analysis showed that the prevalence of depressive symptoms increased with the increase of the number of health risk behaviors (χ2 trend = 58.9, P <0.05), and adjusted the percentage of attributable attribution risk PARc%) was 14.8%. Conclusions Health risk behavior is a risk factor for depressive symptoms and should be taken seriously by schools, families and the society.