云南大学生烟草暴露与抑郁症状的相关性研究  

Correlation between Tobacco Exposure and Depressive Symptoms among College Students in Yunnan Province

作　　者：艾梦玲 王宝 赵方略 胡东月 曾安娜 姜英虹 陆秋安[1,2] 陶剑 苏云鹏 徐洪吕[1,2] AI Mengling;WANG Bao;ZHAO Fanglue;HU Dongyue;ZENG Anna;JIANG Yinghong;LU Qiuan;TAO Jian;SU Yunpeng;XU Honglv(School of Nursing,Medical College of Kunming University,Kunming,650214,China;不详)

机构地区：[1]昆明学院医学院护理系,云南昆明650214 [2]昆明学院社区护理研究团队,云南昆明650214 [3]大理大学护理学院,云南大理671003

出　　处：《中国社会医学杂志》2024年第6期712-717,共6页Chinese Journal of Social Medicine

基　　金：云南省青年人才专项项目(XDYC-QNRC-2022-0289);昆明学院引进人才科研项目(YJL2103)。

摘　　要：目的探讨云南大学生烟草暴露与抑郁症状的关联,为高校开展大学生心理健康教育和烟草控制提供理论依据。方法在云南省昆明市和大理州整群选取4所高校的10121名大一年级学生,使用9条目患者健康问卷(PHQ-9)评估大学生抑郁症状,使用χ2检验和Logistic回归模型分析比较不同人口统计学特征大学生抑郁症状检出率与大学生烟草暴露的关联,并按性别和有无朋友进行分层。结果云南大学生抑郁症状检出率为39.2%,纸烟暴露率为7.9%,电子烟暴露率为1.5%,二手烟暴露率为59.5%。Logistic回归分析结果显示,控制混杂变量后大学生电子烟暴露(OR=1.67,95%CI=1.15~2.44,P=0.007)和二手烟暴露(OR=1.27,95%CI=1.16~1.39,P<0.001)与大学生抑郁症状关联,电子烟暴露与男生抑郁症状关联(OR=1.83,95%CI=1.13~2.97,P=0.014),二手烟暴露与女生抑郁症状关联(OR=1.33,95%CI=1.20~1.47,P<0.001),电子烟暴露(OR=1.64,95%CI=1.12~2.40,P=0.011)和二手烟暴露(OR=1.26,95%CI=1.15~1.38,P<0.001)与有朋友的大学生抑郁症状关联。结论云南大学生烟草暴露可能增加抑郁风险,高校需要采取有效的健康教育和控烟措施以预防大学生的抑郁症状。Objective To explore the association between tobacco exposure and depressive symptoms of college students in Yunnan province,and to provide theoreticalbasis for carry out mental health education and tobacco control among university students.Methods A total of 10121 first-year students from 4 universities in Kunming and Dali were selected to evaluate the depressive symptoms of college students using the Patient Health Questionnaire(PHQ-9).Chi-square test and Logistic regression model were used to analyze and compare the correlation between the depressive symptoms detection rate of college students with different demographic characteristics and tobacco exposure and depressive symptoms.Logistic regression model was stratified by gender and whether or not they had friends.Results The detection rate of depressive symptoms among college students in Yunnan was 39.2%,the exposure rate of paper cigarettes 7.9%,the exposure rate of electronic cigarettes 1.5%,and the exposure rate of second-hand cigarettes 59.5%.Logistic regression analysis showed that after controlling confounding variables,ecigarette exposure(OR=1.67,95%CI=1.15-2.44,P=0.007)and secondhand smoke exposure(OR=1.27,95%CI=1.16-1.39,P<0.001)were associated with depressive symptoms in college students.E-cigarette exposure was correlated with depressive symptoms in boys(OR=1.83,95%CI=1.13-2.97,P=0.014).Secondhand smoke exposure was associated with depressive symptoms in girls(OR=1.33,95%CI=1.20-1.47,P<0.001).E-cigarette exposure(OR=1.64,95%CI=1.12-2.40,P=0.011)and secondhand smoke exposure(OR=1.26,95%CI=1.15-1.38,P<0.001)were associated with depressive symptoms in college students with friends.Conclusion Tobacco exposure may increase the risk of depression in Yunnan college students.Effective health education and tobacco control measures should be taken to prevent depression symptoms in college students.

关 键 词：抽烟 烟草暴露 电子烟 二手烟 大学生 抑郁症状 

分 类 号：R749[医药卫生—神经病学与精神病学]