首页|中学生校园欺凌和其他伤害相关行为与抑郁症状的关联分析

中学生校园欺凌和其他伤害相关行为与抑郁症状的关联分析

扫码查看
目的 通过分析校园欺凌和伤害相关行为与抑郁症状之间的关联,探讨抑郁症状的影响因素,为制订中学生抑郁症状防制措施提供参考.方法 2022年10月采用多阶段分层整群抽样法在济宁市11县(市、区)抽取37所学校10 330名初中、高中、职高学生参与校园欺凌和伤害相关行为及CES-D抑郁自评问卷调查,运用多因素logis-tic 回归模型分析中学生伤害和校园欺凌行为与抑郁症状的关联.结果 232名(2.25%)中学生曾遭受过校园欺凌,8 257名(79.93%)中学生曾有过伤害相关行为,1 292名(12.51%)中学生存在抑郁症状.其中,遭受校园欺凌行为的学生中有52.16%存在抑郁症状,遭受伤害相关行为的学生中有32.65%存在抑郁症状.控制性别、学段、户籍等因素后进行多因素logistic回归分析显示:遭受校园欺凌(OR=7.43,95%CI:5.61~9.83)、曾遭受严重伤害(OR=2.91,95%CJ:2.18~3.88)、与他人打架(OR=2.72,95%CI:2.21~3.34)、被家长打骂(OR=4.58,95%CI:3.87~5.41)与抑郁症状的发生风险呈正相关.结论 遭受校园欺凌、伤害和被家长打骂与中学生抑郁发生的风险相关.预防校园欺凌和伤害相关行为对减少青少年抑郁发生尤为重要.
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

王梅、许雅茹、宋峰、王媛媛、江顺利、梁玉民

展开 >

济宁市疾病预防控制中心学校卫生监测评价科,山东济宁 272000

山东省戴庄医院精神四科,山东 济宁 272000

济宁医学院公共卫生学院,山东济宁 272000

中学生 校园欺凌 伤害行为 抑郁 回归分析

2025

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2025.39(1)