云南屏边苗族地区农村中学生生活行为方式与抑郁症状的相关性  

Association between Lifestyle Behaviors and Depressive Symptoms of middle school students in rural area of Miao nationality in Pingbian,Yunnan Province

作　　者：李霄霄 李杨 胡梦蝶 陈树兵 洪旭 徐洪吕 Xiaoxiao LI;Yang LI;Mengdie HU;Shubing CHEN;Xu HONG;Honglv XU(School of Medicine,Kunming University;Community Nursing Research Team,Kunming Yunnan 650214;No.5 Middle School of Pingbian,Honghe Yunnan 652399;No.2 Middle School of Pingbian,Honghe Yunnan 661199,China)

机构地区：[1]昆明学院医学院 [2]昆明学院社区护理研究团队,云南昆明650214 [3]屏边县第五中学,云南红河652399 [4]屏边县第二中学,云南红河661199

出　　处：《昆明医科大学学报》2024年第6期85-93,共9页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(82160622);云南省“兴滇英才支持计划”青年人才专项基金资助项目(XDYC-QNRC-2022-0289)。

摘　　要：目的探讨云南屏边苗族地区农村中学生生活行为方式与抑郁症状的关联,为改变青少年不健康生活行为方式和改善抑郁症状提供数据支持。方法在云南屏边县随机整群选取2所中学的819名初中生,通过调查问卷面对面收集中学生生活行为方式数据,使用抑郁-焦虑-压力量表(Depression Anxiety Stress Scale,DASS-21)评估抑郁症状,使用广义线性模型分析生活行为方式与抑郁症状的关联。结果中学生抑郁症状检出率为33.21%,女生抑郁症状检出率高于男生(39.20%vs26.72%),差异有统计学意义(P<0.05)。学习日视屏时间(β=0.283,95%CI=0.114~0.452)、白天户外活动时间(β=-0.292,95%CI=-0.512~-0.071)、早餐行为(β=-0.263,95%CI=-0.455~-0.071)、新鲜食物消费(β=-0.291,95%CI=-0.529~-0.053)、零食消费(β=0.294,95%CI=0.019~0.569)均与中学生抑郁症状关联(P值均<0.05)。学习日视屏时间(β=0.297,95%CI=0.074~0.520)、白天户外活动时间(β=-0.369,95%CI=-0.673~-0.065)、早餐行为(β=-0.288,95%CI=-0.567~-0.010)、新鲜食物消费(β=-0.423,95%CI=-0.735~-0.110)与男生抑郁症状关联(P值均<0.05)。学习日视屏时间(β=0.306,95%CI=0.056~0.557)、抽烟(β=0.679,95%CI=0.044~1.314)、早餐行为(β=-0.304,95%CI=-0.576~-0.031)、西式快餐消费(β=-1.278,95%CI=-2.425~-0.131)与女生抑郁症状关联(P值均<0.05)。结论屏边苗族地区农村中学生抑郁症状检出率较高,并与不健康生活行为方式相关,改变不健康生活行为方式是预防青少年抑郁症状的关键。Objective To explore the association between lifestyle behaviors and depressive symptoms of middle school students in rural area of Miao nationality in Pingbian,Yunnan Province,and to provide a data reference for changing unhealthy lifestyle behaviors for improving depressive symptoms in adolescents.Methods A total of 819 middle school students from 2 middle schools were randomly selected.A face-to-face questionnaire survey was conducted to collect data on the lifestyle and behavior of middle school students.Depressive symptoms were assessed using the Depression Anxiety Stress Scale(DASS-21),and the association between lifestyle and depressive symptoms was analyzed using a generalized linear model.Results The detection rate of depressive symptoms in middle school students was 33.21%,and the detection rate of depression symptoms in girls was higher than that in boys(39.20%vs 26.72%),the difference was statistically significant(P<0.05).Learn daily screen time(β=0.283,95%CI=0.114-0.452),outdoor time during the day(β=-0.292,95%CI=-0.512--0.071),breakfast behavior(β=-0.263,95%CI=-0.455--0.071),fresh food consumption(β=-0.291,95%CI=-0.529--0.053),snack consumption(β=0.294,95%CI=0.019-0.569)were associated with depressive symptoms in middle school students(all P<0.05).Learn daily screen time(β=0.297,95%CI=0.074-0.520),Learn daily screen time(β=-0.369,95%CI=-0.673--0.065),breakfast behavior(β=-0.288,95%CI=-0.567--0.010),fresh food consumption(β=-0.423,95%CI=-0.735--0.110)were associated with depressive symptoms in boys(all P<0.05).Learn daily screen time(β=0.306,95%CI=0.056-0.557),smoking(β=0.679,95%CI=0.044-1.314),breakfast behavior(β=-0.304,95%CI=-0.576--0.031),western fast food consumption(β=-1.278,95%CI=-2.425--0.131)were associated with depressive symptoms in girls(all P<0.05).Conclusion The study suggests that the prevalence of depressive symptoms is high among middle school students in rural area of Miao nationality in Pingbian,and it is related to unhealthy lifestyle behaviors.Changing unhealthy life

关 键 词：抑郁症状 生活行为方式 饮食行为 中学生 

分 类 号：R179[医药卫生—妇幼卫生保健]