中学生烟酒-过度网络使用和睡眠不足与抑郁症状的关联  

Association of tobacco/alcohol-excessive Internet usage and insufficient sleep with depressive symptoms among middle school students

作　　者：鲍晓妍 黄雨婷 杜伟 罗春燕[2] 杨东玲[2] 张喆[2] 范丽君 张凤云 BAO Xiaoyan;HUANG Yuting;DU Wei;LUO Chunyan;YANG Dongling;ZHANG Zhe;FAN Lijun;ZHANG Fengyun(School of Public Health,Southeast University,Nanjing 210009,Jiangsu Province,China;不详)

机构地区：[1]东南大学公共卫生学院,江苏南京210009 [2]上海市疾病预防控制中心儿童青少年健康所

出　　处：《中国学校卫生》2024年第11期1609-1613,1618,共6页Chinese Journal of School Health

基　　金：国家社会科学基金项目(23CGL072);中央高校基本科研业务费(2242024S30029);上海市第六轮公共卫生三年行动项目(2023-2025)(GWVI-7)。

摘　　要：目的 探究中学生烟酒-过度网络使用和睡眠不足与抑郁症状的关联,为改善中学生心理健康状况提供参考。方法 采用整群随机抽样方法,于2022年9-11月抽取上海市18 484名初、高中学生作为研究对象,按照学生常见病和健康影响因素监测调查问卷中的相关条目判定烟酒-过度网络使用、睡眠不足和抑郁症状。采用χ^(2)检验进行组间比较,采用Logistic回归分析和似然比检验分析烟酒-过度网络使用和睡眠不足与抑郁症状的独立和聚合关联。结果 中学生烟酒-过度网络使用、睡眠不足和抑郁症状的自我报告率分别为14.7%,73.5%和16.3%。Logistic回归分析结果显示,烟酒-过度网络使用(OR=2.69,95%CI=2.44~2.97)和睡眠不足(OR=1.76,95%CI=1.58~1.95)与抑郁症状均呈正相关(P值均<0.05);与“无烟酒-过度网络使用且睡眠充足”中学生相比,“有烟酒-过度网络使用且睡眠不足”中学生检出抑郁症状更高(OR=4.71,95%CI=4.08~5.44,P<0.05)。进一步分层分析结果显示,相较于男生组和高中组,烟酒-过度网络使用和睡眠不足与抑郁症状的单独/联合关联在女生组和初中组中更加明显[烟酒-过度网络使用OR值(95%CI)分别为3.09(2.68~3.56)和4.74(3.86~5.83);睡眠不足OR值(95%CI)分别为1.86(1.60~2.17)和2.00(1.58~2.53);二者联合关联OR值(95%CI)分别为6.05(5.01~7.31)和9.15(6.98~11.99),P值均<0.05]。结论 烟酒-过度网络使用和睡眠不足与中学生抑郁症状有关。应关注性别和学校类型间差异,着眼于健康相关行为,制定中学生心理健康防控策略。Objective To explore the association of tobacco/alcohol-excessive Internet usage and insufficient sleep with depressive symptoms among middle school students,so as to provide a reference for improving mental health of middle school students.Methods In accordance with the cluster random sampling method,a total of 18484 middle school students in Shanghai were surveyed from September to November 2022.Tobacco/alcohol-excessive Internet usage and sleep duration with depressive symptoms were assessed using the relevant scale items included in the questionnaire of Surveillance for Common Disease and Health Risk Factors among Students.The χ^(2) test was used for inter group comparison,Logistic regression analysis and likelihood ratio test were used to analyze the independent and aggregated associations of tobacco/alcohol-excessive Internet use and insufficient sleep wiht depressive symptoms.Results Self-reported rates of tobacco/alcohol-excessive Internet usage,insufficient sleep and depressive symptoms among adolescents were 14.7%,73.5%and 16.3%,respectively.Tobacco/alcohol-excessive Internet usage(OR=2.69,95% CI=2.44-2.97)and insufficient sleep(OR=1.76,95%CI=1.58-1.95)were associated with depressive symptoms(P<0.05).Compared to middle school students with no tobacco/alcohol-excessive Internet usage and sufficient sleep,those with both tobacco/alcohol-excessive Internet usage and insufficient sleep showed the higher rate of depressive symptoms(OR=4.71,95%CI=4.08-5.44,P<0.05).Further stratified analysis results showed that,compared to the boys and the high school students,the separate and joint association of tobacco/alcohol-excessive Internet usage and insufficient sleep with depressive symptoms were more pronounced in the girls and the middle-school students[OR(95%CI)for tobacco/alcohol-excessive Internet usage were 3.09(2.68-3.56)and 4.74(3.86-5.83),respectively;OR(95%CI)for insufficient sleep were 1.86(1.60-2.17)and 2.00(1.58-2.53),respectively;and the OR(95%CI)for the joint association were 6.05(5.01-7.31)and 9.15(

关 键 词：吸烟 饮酒 因特网 行为 成瘾 回归分析 学生 

分 类 号：C913.5[经济管理] B844.2[社会学] TN711[哲学宗教—发展与教育心理学] Q428[哲学宗教—心理学]