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|本期目录/Table of Contents|

青少年超重肥胖及校园欺凌与抑郁的关系研究(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年14期
页码:
2574-2578
栏目:
儿少卫生与妇幼保健
出版日期:
2022-07-30

文章信息/Info

Title:
Study on relationship of overweight/obesity and school bullying with depression in adolescents
作者:
康利1张福艳1范晖2
1. 自贡市疾病预防控制中心疾控二所,四川 自贡643000;
2. 川北医学院预防医学系,四川 南充637000
Author(s):
KANG Li* ZHANG Fu-yan FAN Hui
*Zigong Center for Disease Control and Prevention, Zigong, Sichuan 643000, China
关键词:
超重肥胖欺凌抑郁
Keywords:
Overweight Obesity Bullying Depression
分类号:
R174;G444
DOI:
10.20043/j.cnki.MPM.202201196
文献标识码:
A
摘要:
目的 了解青少年超重肥胖及校园欺凌对抑郁的联合作用,为防控青少年抑郁提供科学证据。方法 2020年于自贡市进行一次横断面调查,共调查三个区两个县的11所中学。对所有研究对象进行抑郁、校园欺凌等问卷调查和身高、体重等体格测量。使用多重线性模型和logistic模型在控制协变量后分析超重肥胖与校园欺凌的联合作用与抑郁的关系。结果 3 022名青少年(51.8%男性;平均年龄14.5岁)纳入本研究,超重肥胖率为17.3%,校园欺凌率为20.2%,抑郁平均得分为11.8,抑郁倾向占比25.6%。超重肥胖青少年相对于体重正常青少年其受到校园欺凌的可能性更高(23.3% vs 19.5%,P = 0.046)。相对于无超重肥胖且未受到校园欺凌的青少年,无超重肥胖但受到校园欺凌的青少年和超重肥胖且受到校园欺凌的青少年抑郁得分更高(β = 3.88,P<0.001; β = 5.04,P<0.001)、抑郁倾向更明显(OR = 2.37,95%CI:1.88~2.98,P<0.001;OR = 3.11,95%CI:2.07~4.65,P<0.001);超重肥胖但未受到校园欺凌的青少年的抑郁得分和抑郁倾向无差异。无超重肥胖且未受到校园欺凌、超重肥胖但未受到校园欺凌、无超重肥胖但受到校园欺凌、超重肥胖且受到校园欺凌四组抑郁的患病风险呈上升趋势(OR = 1.49,95%CI:1.35~1.63,P<0.001)。结论 需关注超重肥胖青少年的校园欺凌现象,以预防其出现抑郁倾向。
Abstract:
Objective To understand the joint effect of adolescent overweight/obesity and school bullying on depression, and to provide scientific evidence for the prevention and control of adolescent depression. Methods A cross-sectional survey was conducted in 11 middle schools from two counties and three districts of Zigong in 2020. Participants were asked to complete a questionnaire to collect information for depression and bullying at school and to undergo physical examinations for weight and height. Multiple linear models and logistic models were used to analyze the association of overweight/obesity and bullying at school with depression after controlling for covariates. Results In total 3 022 adolescents (51.8% male; mean age: 14.5 years) were included in this study, with overweight/obesity rate of 17.3%, school bullying rate of 20.2%, mean depression score of 11.8, and depressive tendency of 25.6%. Overweight and obese adolescents were more likely to be bullied in school than normal weight adolescents (23.3% vs. 19.5%, P=0.046). Adolescents who were not overweight and obese but were bullied at school had higher depression scores (β=3.88, P<0.001; β=5.04, P<0.001) and more pronounced depressive tendencies (OR=2.37, 95%CI: 1.88-2.98, P<0.001; OR=3.11, 95%CI: 2.07-4.65, P<0.001) than adolescents who were not overweight and obese and were not bullied at school. There were no differences in depression scores and depressive tendencies among adolescents who were overweight and obese but not exposed to school bullying. There was an increasing risk of depression in four groups: no overweight/obesity and no school bullying, overweight/obesity but no school bullying, no overweight/obesity but school bullying, and overweight/obesity and school bullying (OR=1.49, 95%CI: 1.35-1.63, P<0.001). Conclusion Attention to school bullying in overweight and obese adolescents is needed to prevent depressive tendencies.

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备注/Memo

备注/Memo:
基金项目:成都医学院四川应用心理学研究中心资助项目(CSXL-212A 18);川北医学院博士科研启动基金(CBY18-QD02)
作者简介:康利,女,副主任医师,研究方向:学校卫生工作
通信作者:范晖,E-mail: 1577371399@qq.com
更新日期/Last Update: 2022-07-28