浙江省中学生网络成瘾与抑郁症状多病趋势及影响因素分析

Q3 Medicine
F Gu, Y Yang, W J Zheng, J J Li, L Gao, Y Shen, J Meng, R H Zhang, B Dong
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引用次数: 0

摘要

目的:分析浙江省中学生网络成瘾和抑郁症状的多发病趋势及影响因素。方法:2018 - 2023年,采用多阶段分层随机整群抽样方法,对浙江省12 ~ 18岁中学生进行抽样调查。通过网络成瘾量表和流行病学研究中心抑郁量表测量网络成瘾和抑郁状态。当两种症状同时出现时,定义为多重发病。采用多元logistic回归模型分析中学生多重发病的影响因素,采用趋势卡方检验分析网络成瘾、抑郁和多重发病的变化趋势。结果:共纳入193 505名学生。从2018年到2023年,中学生网络成瘾和抑郁症状的患病率在2.7%至3.5%之间。网络成瘾的患病率从4.7%到6.0%不等,而抑郁症状的患病率从18.7%到25.1%不等。多因素logistic回归显示,寄宿生(OR=1.34, 95%CI: 1.26-1.42)、低频率(OR=1.59, 95%CI: 1.46-1.73)和高频率含糖饮料消费(OR=3.91, 95%CI: 3.55-4.31)增加了中学生多重发病的风险。相比之下,中高强度运动的频率较高(中等:OR=0.54, 95%CI: 0.50-0.58;高:OR=0.49, 95%CI: 0.44-0.55)和充足睡眠(OR=0.52, 95%CI: 0.49-0.56)是保护因素。2018 - 2023年,中学生多病患病率变化趋势无统计学意义(χ²趋势=0.43,P=0.051)。网络成瘾患病率呈上升趋势(χ²趋势=20.54,Pχ²趋势=181.41,p)结论:2018 - 2023年浙江省中学生网络成瘾及抑郁症状患病率保持稳定。网络成瘾的患病率呈上升趋势,而抑郁症状的患病率呈下降趋势。多重疾病的风险与学生寄宿、饮用含糖饮料、缺乏锻炼和睡眠不足有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Analysis of multimorbidity trends and influencing factors of internet addiction and depression symptoms among middle school students in Zhejiang Province].

Objective: To analyze the multimorbidity trends and influencing factors of internet addiction and depressive symptoms among middle school students in Zhejiang Province. Methods: From 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. Results: A total of 193 505 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). Conclusion: The prevalence of internet addiction and depression symptoms among middle school students in Zhejiang Province remains stable from 2018 to 2023. The prevalence of internet addiction shows an upward trend, while the prevalence of depression symptoms shows a downward trend. The risk of multimorbidity is related to students' boarding, consumption of sugary drinks, lack of exercise, and insufficient sleep.

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来源期刊
中华预防医学杂志
中华预防医学杂志 Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
12678
期刊介绍: Chinese Journal of Preventive Medicine (CJPM), the successor to Chinese Health Journal , was initiated on October 1, 1953. In 1960, it was amalgamated with the Chinese Medical Journal and the Journal of Medical History and Health Care , and thereafter, was renamed as People’s Care . On November 25, 1978, the publication was denominated as Chinese Journal of Preventive Medicine . The contents of CJPM deal with a wide range of disciplines and technologies including epidemiology, environmental health, nutrition and food hygiene, occupational health, hygiene for children and adolescents, radiological health, toxicology, biostatistics, social medicine, pathogenic and epidemiological research in malignant tumor, surveillance and immunization.
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