绍兴市初中生焦虑检出率及影响因素  

Detection rate of anxiety symptoms and its influencing factors among 3397 middle school students, Shaoxing

作　　者：周伟[1] 马岩[1] 方益荣[1] 屠春雨[1] 

机构地区：[1]绍兴市疾病预防控制中心,浙江绍兴312071

出　　处：《现代预防医学》2016年第1期106-110,共5页Modern Preventive Medicine

摘　　要：目的了解绍兴市初中生焦虑症状检出率,并分析其影响因素。方法采用整群抽样方法选取调查对象,使用儿童焦虑性情绪障碍筛查表（SCARED）对其抑郁症状进行评估。单因素分析运用卡方检验和Mann-Whitney U法秩和检验,多因素分析应用非条件Logistic回归分析。结果本次调查发放问卷3 500份,回收有效问卷3 397份,问卷回收率为97.06%。3 397名初中生焦虑症状检出率为18.9%（641/3 397）。城镇户籍[OR值（95%CI）=2.065（1.722-2.477）],高年级[OR值（95%CI）=2.073（1.662-2.585）],自评学习负担中等和重度[OR值（95%CI）分别为1.439（1.179-1.754）和1.597（1.348-1.892）],体力活动缺乏[OR值（95%CI）=2.141（1.664-2.755）]等是焦虑症状的危险因素,性格外向[OR值（95%CI）=0.583（0.460-0.738）],对自己体型无所谓及满意[OR值（95%CI）分别为0.762（0.617-0.940）和0.605（0.475-0.770）]是焦虑症状的保护因素。结论绍兴市初中生焦虑症状检出率呈较快增长趋势,不同群体的焦虑症状不同,应有针对性地加强预防和干预。Objective To explore the detection rate of anxiety symptoms among 3397 middle students in Shaoxing, and to analyze its influencing factors. Methods Cluster random sampling method was adopted to select middle school students. Their anxiety symptoms were evaluated by Screen for Child Anxiety Related Emotional Disorders（SCARED）. Chi-square test and Mann-Whitney U method were used to do single-factor analysis, while multiple-factor analysis was finished by binary logistic regression. Results3397 qualified questionnaires were collected from the total number of 3500 questionnaires, and the compliance rate was 97.06%.The overall detection rate of anxiety symptoms was 18.9%（641/3397）. The result of multiple-factor analysis revealed that urban students（OR=2.065, 95%CI： 1.722-2.477）, students in senior grade（OR=2.073, 95%CI： 1.662-2.585）, students with medium and hard learning burden（OR=1.439, 95% CI： 1.179-1.754; OR=1.597, 95% CI： 1.348-1.892） and students with lack of physical activity（OR=2.141, 95%CI： 1.664-2.755） were detected as anxiety symptoms more commonly than other students. While outgoing students（OR=0.583, 95%CI： 0.460-0.738）, and students who did not care about their own body type or were satisfied with it（OR=0.762, 95%CI： 0.617-0.940） or OR=0.605, 95%CI： 0.475-0.770） were detected as anxiety symptoms less commonly than others. Conclusion The detection rate of anxiety symptoms among middle school students in Shaoxing showed a trend of rapid growth, and different anxiety symptoms appeared among different people, so pertinent measures should be taken to prevent and intervene anxiety symptoms.

关 键 词：焦虑症状 检出率 影响因素 初中生 

分 类 号：R161.5[医药卫生—公共卫生与预防医学]