[1]何倩倩,蒲杨,金凤,等.重庆市某主城区初中生健康素养与抑郁症状现状及其关系研究[J].第三军医大学学报,2021,43(07):670-676.
 HE Qianqian,PU Yang,JIN Feng,et al.Health literacy and depressive symptoms and their relationship in junior high school students in Chongqing[J].J Third Mil Med Univ,2021,43(07):670-676.
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重庆市某主城区初中生健康素养与抑郁症状现状及其关系研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
43卷
期数:
2021年第07期
页码:
670-676
栏目:
公共卫生与预防医学
出版日期:
2021-04-15

文章信息/Info

Title:
Health literacy and depressive symptoms and their relationship in junior high school students in Chongqing
作者:
何倩倩蒲杨金凤王宏
重庆医科大学公共卫生与管理学院,医学与社会发展研究中心,健康领域社会风险预测治理协同创新中心
Author(s):
HE Qianqian PU Yang JIN Feng WANG Hong
Research Center for Medicine and Social Development, Collaborative Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, 400016, China
 
关键词:
健康素养抑郁症状初中生重庆
Keywords:
health literacy depressive symptoms junior school students Chongqing
分类号:
G635.5; R195; R749.4
文献标志码:
A
摘要:

目的探讨重庆市初中生健康素养水平与抑郁症状的关系,为促进青少年心理健康提供建议。方法采用分层整群抽样方法,对重庆市某主城区4所初中(乡镇和城区各2所)共计1 703名学生进行问卷调查。采用χ2检验、Logistic回归分析等方法分析数据。结果在1 703名参与者中,抑郁症状发生率为26.8%。总体健康素养、功能性健康素养、互动性健康素养、评判性健康素养的具备率分别为41.8%、44.8%、38.4%、60.1%。单因素分析发现:无抑郁症状个体(46.9%)的总体健康素养具备率明显高于有抑郁症状的个体(27.9%)(χ2=49.867,P<0.001)。无抑郁症状个体3个维度的健康素养具备率也显著高于有抑郁症状的个体(P均<0.001)。在调整性别、年龄、年级、学校类型以及是否为独生子女后,Logistic回归分析表明:具备科学健康观、合理营养、问题解决能力和健康决定能力(P均<0.05)是抑郁症状的保护因素。结论具备健康素养的初中生抑郁症状发生率更低,健康素养的科学健康观、合理饮食、问题解决能力和健康决定能力因子与抑郁症状的发生率呈负相关。

Abstract:

ObjectiveTo explore the relationship between health literacy and depressive symptoms in junior high school students in Chongqing, and to provide suggestions for improving adolescent mental health. MethodsA total of 1 703 students were subjected by stratified cluster sampling from 4 junior high schools (2 in urban and 2 in rural areas) in a main district of Chongqing. Chi-square test and logistic regression analysis were used to study the data. ResultsAmong 1 703 participants, the incidence of depressive symptoms was 26.8%. The overall health literacy, functional health literacy, interactive health literacy and critical health literacy were 41.8%, 44.8%, 38.4% and 60.1%, respectively. Univariate analysis showed that the overall health literacy rate of individuals without depressive symptoms was significantly higher than that of individuals with depressive symptoms (46.9% vs 27.9%, Chi-square=49.867, P<0.001). The health literacy rates of the individuals without depressive symptoms in the 3 dimensions were also significantly higher than those of the individuals with depressive symptoms (P<0.001). After the adjustment for gender, age, grade, school type and whether they were only children in family, logistic regression analysis indicated that scientific health concept, reasonable nutrition, problem-solving ability and health decision-making ability were protective factors for depressive symptoms (P<0.05). ConclusionThe incidence of depressive symptoms in the students with health literacy is quite low. The factors of scientific health concept, reasonable diet, problem-solving ability and health decision-making ability of health literacy are negatively correlated with the incidence of depression symptoms.

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更新日期/Last Update: 2021-04-02