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大学生进食障碍亚临床状态及相关因素分析

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目的 调查大学生的进食障碍亚临床状态并分析其相关因素,为青少年进食障碍的防治工作提供参考依据。方法 2023年11-12月采用分层整群随机抽样法在江苏省扬州市1所本科院校和1所专科院校选取5 201名在读大学生为研究对象,使用调查表对大学生一般资料、进食障碍亚临床状态、体形认知、抑郁症状、焦虑症状、心理健康素养进行调查。采用x2检验进行进食障碍亚临床状态检出率的组间比较,相关因素分析采用二元Logistic回归模型。结果 大学生进食障碍亚临床状态检出率为16。0%。二元Logistic回归分析结果显示,处于恋爱状态(OR=1。22,95%CI=1。04~1。44)、超重和肥胖(OR值分别为 2。75,3。82,95%CI 值分别为 2。24~3。38,2。89~5。06)、高估体形(OR=2。04,95%CI=1。68~2。49)、抑郁症状(OR=2。53,95%CI=1。99~3。21)、焦虑症状(OR=2。63,95%CI=2。16~3。20)、心理健康素养未达标(OR=1。37,95%CI=1。11~1。70)的大学生进食障碍亚临床状态风险更高,低体重(OR=0。15,95%CI=0。10~0。22)和低估体形(OR=0。37,95%CI=0。27~0。51)的大学生风险更低(P值均<0。05)。结论 大学生进食障碍亚临床状态的检出率较高,并与恋爱状态、体质量指数分级、体形认知、抑郁症状、焦虑症状及心理健康素养相关。应采取综合性干预措施,改善大学生进食障碍亚临床状态,促进大学生身心健康。
Analysis of sub-clinical eating disorders and associated factors in college students
Objective To investigate the sub-clinical eating disorders among college students and to analyze associated factors,so as to provide a basis for the prevention and treatment of eating disorders among adolescents.Methods From November to De-cember 2023,a total of 5 201 college students were selected by stratified random cluster sampling from one undergraduate college and one specialized college in Yangzhou City,Jiangsu Province.Data on general information,sub-clinical eating disorders,body image perception,depressive symptoms,anxiety symptoms,and mental health literacy were collected using questionnaires.The Chi-square test was used to compare the detection rates of sub-clinical eating disorders between groups,and binary Logistic regres-sion was employed to analyze associated factors.Results The detection rate of sub-clinical eating disorders among college students was 16.0%.Binary Logistic regression analysis showed that the prevalence of sub-clinical eating disorders among college students was higher in the following categories:being in a relationship(OR=1.22,95%CI=1.04-1.44),being overweight and obese(OR=2.75,3.82,95%CI=2.24-3.38,2.89-5.06),overestimation of body shape(OR=2.04,95%CI=1.68-2.49),being in a depres-sive state(OR=2.53,95%CI=1.99-3.21),experiencing anxiety(OR=2.63,95%CI=2.16-3.20),and having substandard men-tal health literacy(OR=1.37,95%CI=1.11-1.70).Conversely,low body weight(OR=0.15,95%CI=0.10-0.22)and underesti-mation of body shape(OR=0.37,95%CI=0.27-0.51)were associated with a lower risk(P<0.05).Conclusions The detection rate of sub-clinical eating disorders among college students is high,and it is associated with relationship status,body mass index classification,body shape perception,depressive and anxiety symptoms,and mental health literacy.Comprehensive interventions should be implemented to improve the sub-clinical eating disorders and promote the physical and mental health of college students.

Eating disordersMental healthRegression analysisStudents

张也、韩婷、姚宏雯、孙丽萍、赵旻欣、朱陆姣、张菁菁、廖月霞

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扬州大学护理学院/公共卫生学院,江苏 225009

进食障碍 精神卫生 回归分析 学生

扬州市卫生健康委员会横向委托项目2023年江苏省研究生科研与实践创新计划项目2023年江苏省高等学校大学生创新创业训练计划项目

SJCX23_2040XCX20230886

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(8)