Association between latent class of health-risk behaviors and depressive symptoms among middle school students
10.19485/j.cnki.issn2096-5087.2024.06.004
- Author:
SUN Qiang
;
LI Xiaoyong
;
GONG Qinghai
;
PAN Wenjie
;
HUANG Yan
- Publication Type:Journal Article
- Keywords:
middle school students;
health-risk behavior;
depressive symptoms;
latent class analysis
- From:
Journal of Preventive Medicine
2024;36(6):474-478
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the association between latent class of health-risk behaviors and depressive symptoms among middle school students, so as to provide the evidence for the prevention and intervention of depressive symptoms among middle school students.
Methods:Students in two junior high schools, two senior high schools and one vocational high school in Yinzhou District, Ningbo City, Zhejiang Province, were selected using a stratified multi-stage cluster sampling method. Demography and health-risk behaviors were collected using questionnaire surveys, depressive symptoms were investigated using the Center for Epidemiological Studies Depression-10 Scale, and latent class analysis was conducted for health-risk behaviors. The association between different latent classes and depressive symptoms was analyzed using a multivariable logistic regression model.
Results:A total of 1 247 students were surveyed, including 641 boys (51.40%) and 606 girls (48.60%). There were 452 junior high school students (36.25%), 532 high school students (42.66%) and 263 vocational high school students (21.09%). Latent class analysis showed that health-risk behaviors in students were classified into three groups, namely healthy behavior group (52.93%), poor diet group (39.94%) and high-risk behavior group (7.14%), and the detection rates of depressive symptoms were 7.12%, 18.88% and 52.81%, respectively, with a statistically significant difference between groups (P<0.05). Multivariable logistic regression analysis showed that after adjusting for age, gender, native place, only child and living on campus, the poor diet group (OR=3.107, 95%CI: 2.086-4.627) and high-risk behavior group (OR=15.401, 95%CI: 9.031-26.262) had higher risks of depressive symptoms compared with the healthy behavior group.
Conclusion:Having high-risk behaviors and poor diet may increase the risk of developing depressive symptoms among middle school students.
- Full text:2024072508523828058中学生健康危险行为潜在类别与抑郁症状的关联分析.pdf
