重庆市青少年不健康减重与抑郁症状的关系  

Relationship between unhealthy weight loss and depressive symptoms among adolescents in Chongqing City

作　　者：唐银霜 金凤 蒲杨 张菁麟 王宏[1] Tang Yinshuang;Jin Feng;Pu Yang;Zhang Jinglin;Wang Hong(School of Public Health,Research Center for Medicine and Social Development,Innovation Center for Social Risk Governance in Health,Chongqing Medical University,Chongqing 401331,China)

机构地区：[1]重庆医科大学公共卫生学院,医学与社会研究中心,健康领域社会风险预测治理协同创新中心,重庆401331

出　　处：《卫生研究》2022年第5期773-779,共7页Journal of Hygiene Research

基　　金：重庆市教育委员会人文社会科学研究项目(No.18SKGH016)。

摘　　要：目的 了解重庆市青少年不健康减重行为与抑郁症状的关系。方法2019年10-11月,采用分层整群抽样方法抽取重庆市城乡各4所完全中学,采用不健康减重行为问卷和流调中心用抑郁量表(CES-D scale)对初一至高三年级学生的减重行为和抑郁症状进行调查。共纳入3969名研究对象,包括男生1479(37.26%)名,女生2490(62.73%)名。采用χ-2检验分析一般人口学特征与抑郁症状的关系,采用二分类Logistic回归模型分析不健康减重行为与抑郁症状的关系。结果 3969名研究对象中,不健康减重行为报告数为2972(74.88%)人,抑郁症状检出数为1459(36.76%)人。单因素分析显示,不同性别(χ^(2)=34.83,P<0.01)、城乡(χ^(2)=6.75,P<0.01)、父亲教养方式(χ^(2)=159.64,P<0.01)、母亲教养方式(χ^(2)=160.10,P<0.01)、家庭经济条件(χ^(2)=63.88,P<0.01)、学习压力(χ^(2)=207.53,P<0.01)、亲密朋友数(χ^(2)=177.52,P<0.01)和学校健康教育课数(χ^(2)=31.60,P<0.01)的青少年抑郁症状检出率不同。二分类Logistic回归分析显示,不健康减重行为是青少年抑郁症状检出的危险因素(OR=1.436,P<0.01),不健康减重等级与抑郁症状检出率呈正相关(OR>0,P<0.01)。结论 重庆市青少年不健康减重行为与抑郁症状呈正相关。OBJECTIVE To investigate the relationship between unhealthy weight loss behaviors and depressive symptoms among adolescents in Chongqing.METHODS From October to November in 2019, 4 urban combined junior and senior high school and 4 rural combined junior and senior high school in Chongqing were selected by stratified cluster sampling method, and the unhealthy weight loss behavior questionnaire and the center for epidemiological studies depression scale(CES-D scale) were used to investigate the weight loss behavior and depression symptoms of junior one to senior three students. A total of 3969 subjects were enrolled, including 1479(37.26%) males and 2490(62.73%) females. Chi-square test was used to analyze the relationship between general demographic characteristics and depressive symptoms, and binary Logistic regression model was used to analyze the relationship between unhealthy weight loss behavior and depressive symptoms.RESULTS Among the 3969 subjects, 2972(74.88%) reported unhealthy weight loss behaviors, and 1459(36.76%) had depressive symptoms. There were significant differences in depressive symptoms among adolescents with different gender(χ^(2)=34.83, P<0.01), school type(χ=6.75,P<0.01), father’s parenting style(χ^(2)=159.64, P<0.01), mother’s parenting style(χ^(2)=160.10, P<0.01), family economic conditions(χ^(2)=63.88, P<0.01), learning pressure(χ^(2)=207.53, P<0.01), number of close friends(χ^(2)=177.52, P<0.01)and number of school health education classes(χ^(2)=31.60, P<0.01). Binary Logistic regression analysis showed that unhealthy weight loss behavior was a risk factor for depressive symptoms(OR=1.436, P<0.01), and unhealthy weight loss level was positively correlated with the prevalence of depressive symptoms(OR>0, P<0.01).CONCLUSION There was a positive correlation between unhealthy weight loss behavior and depressive symptoms among adolescents in Chongqing.

关 键 词：青少年 不健康减重 抑郁症状 

分 类 号：R179[医药卫生—妇幼卫生保健] R181.37[医药卫生—公共卫生与预防医学] R395.6[哲学宗教—心理学]