Association Between Body Mass Index and Depression, Anxiety, and Suicidality in University Students From Seven Regions of China: A Cross-Sectional Study.

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Asia-Pacific Journal of Public Health Pub Date : 2025-01-04 DOI:10.1177/10105395241311134

Ching Sin Siau, David Lester, Bob Lew, Kairi Kõlves, Jenny Mei Yiu Huen, John F Gunn, Won Sun Chen, Norhayati Ibrahim, Muhamad Nur Fariduddin, Hui Chin Koo, Cunxian Jia, Ian Griffin Prawiromaruto, Caryn Mei Hsien Chan

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Abstract

Our study explored the link between body mass index (BMI) and symptoms of depression, anxiety, and suicidality among university students in China. We conducted a cross-sectional study involving 11 251 undergraduates from seven provinces. Body mass index, physical health status, economic status, depression and anxiety symptoms, and suicidality were self-reported using validated questionnaires. Multiple logistic regression models were fitted for males and females. Results showed that of 11 251 participants (mean age = 20.7 ± 1.3), 22.6% were with underweight, 6.1% with overweight, and 2.7% with obesity. Females with class III obesity had higher suicide risk (adjusted odds ratio [aOR] = 2.05) and suicide attempt history (aOR = 3.55). Males with overweight and class I obesity had lower odds of depressive symptoms. Suicide attempt history was associated with higher odds of overweight for males (aOR = 2.58). Clinicians and public health authorities should take into consideration the implications of overweight and obesity levels on suicidality.

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中国7个地区大学生体重指数与抑郁、焦虑和自杀的关系：一项横断面研究

本研究探讨了中国大学生身体质量指数（BMI）与抑郁、焦虑和自杀症状之间的联系。我们对来自7个省份的11 251名大学生进行了横断面研究。体重指数、身体健康状况、经济状况、抑郁和焦虑症状以及自杀倾向均采用有效问卷进行自我报告。对男性和女性进行多元logistic回归模型拟合。结果显示，11 251名参与者（平均年龄= 20.7±1.3）中，体重不足22.6%，超重6.1%，肥胖2.7%。III类肥胖女性的自杀风险（校正优势比[aOR] = 2.05）和自杀企图史（aOR = 3.55）较高。超重和1级肥胖的男性出现抑郁症状的几率较低。自杀企图史与男性较高的超重几率相关（aOR = 2.58）。临床医生和公共卫生当局应考虑到超重和肥胖水平对自杀的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.30

自引率

4.00%

发文量

147

审稿时长

6 months

期刊介绍： Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.