Depression of Chinese fourth graders and its influencing factors
Objective Utilizing baseline survey data from the primary school cohort of the China education panel survey(CEPS),this study aims to examine the prevalence of depression among fourth-grade students in China and its influencing factors,using the epidemiological center depression scale as a measurement tool.Methods The study uses Stata 18.0 software and employs the chi-square test to compare the differences in depression in fourth-grade students with different characteristics.Logistic regression models are used to analyze the impact of various factors on students'risk of depression.Results The depression detection rate among fourth-grade students was 15.23%.Specifically,student's cognitive individual ability level(Middle:Low,OR=0.71,95%CI:0.61-0.83,P<0.001;High∶Low,OR=0.65,95%CI:0.52-0.81,P<0.001),academic performance(Middle:Low,OR=0.77,95%CI:0.66-0.88,P<0.001;High:Low,OR=0.61,95%CI:0.51-0.74,P<0.001),and academic pressure(Middle:Low,OR=1.33,95%CI:1.15-1.53,P<0.001;High:Low,OR=1.78,95%CI:1.47-2.14,P<0.001)significantly affect the risk of developing depression.At the school and family levels,positive parental relationships(Bad:Good,OR=1.53,95%CI:1.32-1.78,P<0.001),teacher-student relationships(Good:Bad,OR=0.81,95%CI:0.71-0.93,P=0.002),and peer relationships(Good∶Bad,OR=0.78,95%CI:0.68-0.89,P<0.001)can reduce the depression risk independently.Conclusions Factors including personal attributes,family environment,school,and peers all have varying degrees of influence on their depressive states.In light of these findings,concerted efforts should be made from the individual,family,and school perspectives in order to alleviate the level of depression in primary school students and promote their mental health.
Depression riskAdolescent mental healthFourth-grade students