浙江省绍兴市青少年体力活动缺乏与心理健康状况的相关性分析  

Association between the prevalence of physical activity deficiency and depressive, anxiety symptoms and dissatisfaction of school life among adolescents in Shaoxing,Zhejiang province

作　　者：周伟[1] 方益荣[1] 马岩[1] 屠春雨[1] 

机构地区：[1]浙江省绍兴市疾病预防控制中心慢性非传染性疾病预防控制科,312017

出　　处：《中华健康管理学杂志》2015年第1期40-45,共6页Chinese Journal of Health Management

基　　金：国家自然科学基金（30972494）;绍兴市公益性技术应用研究计划项目（2012870060）

摘　　要：目的：调查浙江省绍兴市青少年体力活动缺乏与心理健康状况的相关性。方法采用儿童抑郁障碍自评量表、儿童焦虑性情绪障碍筛查表及青少年学校生活满意度问卷对绍兴市两所中学80个班的初中生进行问卷调查，共回收有效问卷3397份，其中城区中学1420名，乡镇中学1977名，平均年龄为（13.73±1.01）岁。运用χ2检验、秩和检验和多因素logistic回归模型对数据进行分析。结果 3397名初中生体力活动缺乏的比例为78.5%，抑郁、焦虑症状和学校生活不满意的检出率分别为55.2%、18.9%和31.1%。女性是体力活动缺乏的正相关因素，其OR值（95%CI）为1.597（1.348-1.892），城镇户籍、密切朋友数6个或以上是体力活动缺乏的负相关因素，其OR值（95%CI）分别为0.785（0.661-0.931）、、0.565（0.355-0.900）。调整人口社会学特征变量后，体力活动缺乏与抑郁、焦虑症状和学校生活不满意的高检出率存在正相关，其OR值（95%CI）分别为1.783（1.506-2.105）、2.141（1.664-2.755）和1.337（1.101-1.621）。结论绍兴市青少年体力活动缺乏，体力活动缺乏与抑郁、焦虑症状和学校生活不满意的检出率密切相关。Objective To understand the prevalence of physical activity deficiency and its association with depressive, anxiety symptoms and dissatisfaction of school life among adolescents in Shaoxing, Zhejiang province. Method A total of 3 397 valid questionnaires from adolescents from 80 classes of 2 middle schools （including 1 420 urban and 1 977 town adolescents） were investigated for the study, their average age was （13.73±1.01） years. The Depression Self-rating Scale for Children （DSRSC） and Screen for Child Anxiety Related Emotional Disorders （SCARED） were used to assess the mental health status, while the dissatisfaction of school life was evaluated by the School Life Satisfaction Rating Questionnaire for Adolescent （SLRQA）, and the data were analyzed by descriptive statistics and multivariate logistic regression models. Result The self-reported proportion of 3 397 adolescents with physical activity deficiency reached 78.5%, and the prevalence rate of depressive, anxiety symptoms and school life dissatisfaction were 55.2%, 18.9% and 31.1%, respectively. Adjusting on other potential confounders, the result of multivariate logistic regression showed that girls engaged in less physical activities, the OR value （95%CI） was 1.597 （1.348-1.892）, while the adolescents with town census register and adolescents having six or more close friends participated in more physical activities, their OR values were 0.785 （0.661-0.931） and 0.565 （0.355-0.900）, and insufficient physical activity was positively associated with depressive, anxiety and dissatisfaction of their school lives, their OR values were respectively 1.783 （1.506-2.105）, 2.141 （1.664-2.755） and 1.337 （1.101-1.621）. Conclusion High prevalence of physical activity deficiency appeared among adolescents in Shaoxing and was closely related to the presence of depressive, anxiety symptoms and school life dissatisfaction.

关 键 词：强体力活动 抑郁 焦虑 青少年 学校生活满意度 

分 类 号：B844.2[哲学宗教—发展与教育心理学]