江苏省中学生不健康生活方式与抑郁症状、焦虑症状和压力的关联研究  

The association between unhealthy lifestyle and depressive symptoms,anxiety symptoms,and stress among secondary school students in Jiangsu Province

作　　者：杨文漪 王艳[1] 张锡彦 李佩璇 王欣 信义亮 陈天娇[2] 杨婕[1] Yang Wenyi;Wang Yan;Zhang Xiyan;Li Peixuan;Wang Xin;Xin Yiliang;Chen Tianjiao;Yang Jie(Institute for the Promotion of Child and Adolescent Health,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;School of Public Health,Peking University/Institute of Child and Adolescent Health,Peking University,Beijing 100191,China)

机构地区：[1]江苏省疾病预防控制中心儿童青少年健康促进所,南京210009 [2]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181-188,共8页Chinese Journal of Preventive Medicine

摘　　要：目的:分析江苏省中学生不健康生活方式与抑郁症状、焦虑症状和压力的关联。方法:于2023年9—11月采用多阶段分层整群随机抽样方法在江苏省13个设区市选取中学生并对其不健康生活方式(低体力活动、吸烟、饮酒、网络成瘾、睡眠质量差及不健康饮食)及抑郁症状、焦虑症状和压力情况进行问卷调查。采用多因素logistic回归模型和混合图模型构建网络,分析不健康生活方式与抑郁症状、焦虑症状、压力的关联。结果:本研究最终共纳入中学生81 414名,其中女生39 725名(48.79%),男生41 689名(51.21%)。抑郁症状、焦虑症状和压力的患病率分别为18.55%、32.09%和12.91%。多因素logistic回归模型分析显示,调整年龄、性别、城乡、是否住校和家庭类型等因素后,与无不健康生活方式的学生相比,低体力活动、吸烟、饮酒、网络成瘾、睡眠质量差及不健康饮食的学生出现抑郁症状的风险显著增加(分别为 OR=1.12,95% CI:1.07~1.17;OR=1.60,95% CI:1.49~1.72;OR=1.79,95% CI:1.71~1.88;OR=3.05,95% CI:2.77~3.36;OR=6.66,95% CI:6.40~6.93;OR=1.29,95% CI:1.24~1.34),出现焦虑症状的风险显著增加(分别为 OR=1.09,95% CI:1.05~1.13;OR=1.42,95% CI:1.33~1.52;OR=1.76,95% CI:1.69~1.83;OR=2.40,95% CI:2.17~2.65;OR=5.79,95% CI:5.59~6.00;OR=1.16,95% CI:1.12~1.21),吸烟、饮酒、网络成瘾及睡眠质量差的学生出现压力的风险显著增加(分别为 OR=1.49,95% CI:1.38~1.61;OR=1.79,95% CI:1.70~1.89;OR=2.25,95% CI:2.04~2.48;OR=6.74,95% CI:6.43~7.06)。混合图模型构建的网络中睡眠质量差(桥强度=0.48)为连接不健康生活方式与抑郁症状、焦虑症状和压力的桥中心性最强的节点。 结论:低体力活动、吸烟、饮酒、网络成瘾、睡眠质量差及不健康饮食增加江苏省中学生抑郁症状、焦虑症状的风险;吸烟、饮酒、网络成瘾、睡眠质量差增加江苏省中学生出现压力的风险,睡眠质量是缓解其负性情绪的重要�ObjectiveTo analyze the association between unhealthy lifestyles and depressive symptoms,anxiety symptoms and stress among secondary school students in Jiangsu Province.MethodsFrom September to November 2023,a multistage stratified cluster random sampling method was used to select secondary school students from 13 districts and cities in Jiangsu Province.A questionnaire survey was conducted on their unhealthy lifestyles(low physical activity,smoking,drinking,internet addiction,poor sleep quality,and unhealthy diet),as well as their depressive symptoms,anxiety symptoms and stress.The multivariate logistic regression model and mixed graph model were used to construct a network and analyze the association between unhealthy lifestyles and depressive symptoms,anxiety symptoms and stress.ResultsA total of 81414 secondary school students were finally included in this study,including 39725(48.79%)female students and 41689(51.21%)male students.The prevalence of depressive symptoms,anxiety symptoms and stress were 18.55%,32.09%and 12.91%,respectively.The multivariate logistic regression model showed that after adjusting for age,gender,urban-rural status,residential status,and family type,compared with students without unhealthy lifestyles,students with low physical activity,smoking,alcohol consumption,internet addiction,poor sleep quality,and unhealthy diet had a significantly increased risk of depressive symptoms(OR=1.12,95%CI:1.07-1.17;OR=1.60,95%CI:1.49-1.72;OR=1.79,95%CI:1.71-1.88;OR=3.05,95%CI:2.77-3.36;OR=6.66,95%CI:6.40-6.93;OR=1.29,95%CI:1.24-1.34)and a significantly increased risk of anxiety symptoms(OR=1.09,95%CI:1.05-1.13;OR=1.42,95%CI:1.33-1.52;OR=1.76,95%CI:1.69-1.83;OR=2.40,95%CI:2.17-2.65;OR=5.79,95%CI:5.59-6.00;OR=1.16,95%CI:1.12-1.21).Students who smoked,drank alcohol,had internet addiction,and had poor sleep quality had a significantly increased risk of stress(OR=1.49,95%CI:1.38-1.61;OR=1.79,95%CI:1.70-1.89;OR=2.25,95%CI:2.04-2.48;OR=6.74,95%CI:6.43-7.06).The node with poor sleep quality(bridge strength=0

关 键 词：抑郁 焦虑 压力 网络分析 横断面研究 

分 类 号：R749[医药卫生—神经病学与精神病学]