Status quo and influencing factors of depression and anxiety among junior middle school students in Haikou City
Objective To investigate the status quo of depression and anxiety among junior middle school students in Haikou City,to analyze the influencing factors and to provide a scientific basis for promoting the students'mental health.Methods A total of 14,041 students were selected from 12 junior middle schools in the urban areas and towns of Haikou City by stratified cluster sampling method in 2022.Depression and anxiety questionnaire surveys were conducted,and the influencing factors were analyzed using logistic regression.Results Among the junior middle school students surveyed,23.62％had depressive symptoms,and 16.59％suffered from anxiety symptoms.The rates of insufficient sleep,insufficient time for physical activity,excessive use of electronic products and overweight & obesity were 52.90％,45.32％,41.17％and 21.49％respectively.Multivariate logistic regression analysis revealed that urban areas(OR=0.724,95％CI:0.657-0.799)and 7th grade(OR=0.792,95％CI:0.717-0.875)were protective factors for depressive symptoms.Female students(OR=1.549,95％CI:1.429-1.679),left-behind families(OR=1.624,95％CI:1.149-2.296),single-parent families(OR=1.493,95％CI:1.262-1.766),family per capita monthly income＜RMB3,000(OR=1.159,95％CI:1.059-1.268),fathers'education level of high school and below(OR=1.253,95％CI:1.098-1.430),the average sleep time＜9 h/d(OR=1.369,95％CI:1.261-1.486),the average physical activity time＜1 h/d(OR=1.345,95％CI:1.240-1.459),the average time for use of electronic products＞2 h/d(OR=1.347,95％CI:1.242-1.460)and overweight & obesity(OR=1.950,95％CI:1.780-2.137)were risk factors for depressive symptoms.The risk factors for anxiety symptoms were female students(OR=2.402,95％CI:2.186-2.639),urban areas(OR=1.302,95％CI:1.156-1.466),single-parent families(OR=1.480,95％CI:1.225-1.787),the average sleep time＜9 h/d(OR=1.544,95％CI:1.404-1.698),the average physical activity time＜1 h/d(OR=1.255,95％CI:1.144-1.377),the average time for use of electronic products＞2 h/d(OR=1.259,95％CI:1.148-1.380)and overweight & obesity(OR=1.671,95％CI:1.506-1.854).Conclusion The junior middle school students'depressive and anxiety symptoms are related to multiple factors such as urban and rural areas,genders,grades,family environment and healthy lifestyle.Hence corresponding measures should be taken to strengthen psychological interventions for the junior middle school students.
depressionanxietyinfluencing factorjunior middle school student
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