浙江省中学生网络成瘾与抑郁症状多病趋势及相关因素分析  

Analysis of multimorbidity trends and influencing factors of internet addiction and depression symptoms among middle school students in Zhejiang Province

作　　者：顾昉[1] 杨颖 郑卫军[3] 李娟娟 高雷 沈郁 孟佳[1] 章荣华[1] 董彬[4] Gu Fang;Yang Ying;Zheng Weijun;Li Juanjuan;Gao Lei;Shen Yu;Meng Jia;Zhang Ronghua;Dong Bin(Division of School Health,Department of Nutrition and Food Safety,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,China;Section of Inner Infection Prevention,Zhejiang Medical&Health Group Hangzhou Hospital,Hangzhou 310022,China;School of Public Health,Zhejiang Chinese Medical University,Hangzhou 310053,China;School of Public Health,Peking University/Institute of Child and Adolescent Health,Peking University,Beijing 100191,China)

机构地区：[1]浙江省疾病预防控制中心营食所学校卫生科,杭州310051 [2]浙江省医疗健康集团杭州医院院感科,杭州310022 [3]浙江中医药大学公共卫生学院,杭州310053 [4]北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京100191

出　　处：《中华预防医学杂志》2025年第2期167-173,共7页Chinese Journal of Preventive Medicine

摘　　要：目的:分析浙江省中学生网络成瘾与抑郁症状多病趋势及其相关因素。方法:于2018—2023年,采用多阶段分层整群随机抽样方法,选取浙江省12~18岁中学生,使用网络成瘾量表和流调中心抑郁量表判定其网络成瘾和抑郁情况,当两者均存在时则为多病。采用多因素logistic回归模型分析中学生网络成瘾与抑郁症状的多病相关因素,采用趋势χ^(2)检验分析网络成瘾、抑郁症状和多病患病率的变化趋势。结果:共纳入193505名研究对象,2018—2023年中学生网络成瘾和抑郁症状多病患病率波动在2.7%~3.5%,网络成瘾患病率波动在4.7%~6.0%,抑郁症状患病率波动在18.7%~25.1%。多因素logistic回归分析显示,与非住校和不摄入含糖饮料的学生相比,住校学生(OR=1.34,95%CI:1.26~1.42)、低频率含糖饮料摄入(OR=1.59,95%CI:1.46~1.73)和高频率含糖饮料摄入(OR=3.91,95%CI:3.55~4.31)与中学生多病的风险增加。相比于低频率中高强度运动和睡眠不足的学生,中高强度运动频率的增加(中频率OR=0.54,95%CI:0.50~0.58);高频率(OR=0.49,95%CI:0.44~0.55)以及保持充足睡眠(OR=0.52,95%CI:0.49~0.56)的中学生多病的风险降低。2018—2023年中学生的多病患病率变化差异无统计学意义(χ^(2)趋势=3.82,P=0.051),网络成瘾患病率呈现上升趋势(χ^(2)趋势=20.54,P<0.001),抑郁症状患病率呈现下降趋势(χ^(2)趋势=181.41,P<0.001)。结论:2018—2023年浙江省中学生的网络成瘾和抑郁症状的多病患病率趋势平稳,网络成瘾患病率呈上升趋势,抑郁症状患病率呈下降趋势,多病风险与学生住校、摄入含糖饮料、运动缺乏和睡眠不足相关。ObjectiveTo analyze the multimorbidity trends and influencing factors of internet addiction and depressive symptoms among middle school students in Zhejiang Province.MethodsFrom 2018 to 2023,a multistage stratified random cluster sampling method was used to select middle school students aged 12 to 18 in Zhejiang Province.Internet addiction and depression status were measured by the Internet Addiction Scale and the Center for Epidemiologic Studies Depression Scale.When both symptoms were present,it was defined as multimorbidity.The multivariate logistic regression model was used to analyze the influencing factors of multimorbidity among middle school students,and a trend Chi-square test was used to analyze the changing trends of internet addiction,depression and multimorbidity prevalence.ResultsA total of 193505 students were included in the study.From 2018 to 2023,the prevalence of multimorbidity of internet addiction and depressive symptoms among middle school students ranged from 2.7%to 3.5%.The prevalence of internet addiction ranged from 4.7%to 6.0%,while the prevalence of depressive symptoms ranged from 18.7%to 25.1%.Multivariate logistic regression showed that boarding students(OR=1.34,95%CI:1.26-1.42),low-frequency(OR=1.59,95%CI:1.46-1.73),and high-frequency sugary drink consumption(OR=3.91,95%CI:3.55-4.31)increased the risk of multimorbidity among middle school students.In contrast,higher frequencies of moderate-to-high-intensity exercise(medium:OR=0.54,95%CI:0.50-0.58;high:OR=0.49,95%CI:0.44-0.55)and sufficient sleep(OR=0.52,95%CI:0.49-0.56)were protective factors.From 2018 to 2023,there was no significant change in the trend of multimorbidity prevalence among middle school students(χ²trend=3.82,P=0.051).The prevalence of internet addiction showed an upward trend(χ²trend=20.54,P<0.001),while depressive symptoms showed a downward trend(χ²trend=181.41,P<0.001).ConclusionThe prevalence of internet addiction and depression symptoms among middle school students in Zhejiang Province remains stable from 2

关 键 词：抑郁 网络成瘾 多病 中学生 横断面研究 

分 类 号：R74[医药卫生—神经病学与精神病学]