Association of campus bullying and injury-related behavior with depres-sion symptoms among middle school students
Objective To investigate the factors affecting depression symptoms in middle school students and pro-vide novel insights for preventing and controlling students'depression with appropriate measures,the relationship of campus bullying and injury-related behaviors with depression symptoms were analyzed.Methods The 10 330 students from junior,senior and vocational high school(37 schools,11 counties)in Jining City were enrolled,with multi-stage stratified cluster sampling method.A questionnaire survey on injuries,campus bullying,and CES-D depression self-assessment was conducted.Multivariate Logistic regression model analysis was used to analyze the relationships of injuries and campus bullying with depression among middle school students.Results The 232(2.25%)students suffered campus bullying,8 257(79.93%)students had injury-related behaviors,and 1 292(12.51%)students suffered depression symptoms.Among them,52.16%of students being bullied and 32.65%of injured students had depression symptoms.After controlling for factors,such as gender,education level and household registration,a multi-variate logistic regression analysis was carried out.The re-sults showed that experiencing campus bullying(OR=7.43,95%CI:5.61-9.83),suffering serious injuries(OR=2.91,95%CI:2.18-3.88),fighting with others(OR=2.72,95%CI:2.21-3.34),and being scolded or beaten by parents(OR=4.58,95%CI:3.87-5.41)were all positively relationship with the prevalence of developing depression symptoms.Conclu-sions Suffering from campus bullying,injuries,and being scolded or beaten by parents are related to the risk of depression symptoms among middle school students.Preventing campus bullying and injury-related behavior are particularly important for reducing the incidence of adolescent depression symptoms.
Middle school studentCampus bullyingInjury-related behaviorDepressionRegression analysis