Depressive symptoms and associated factors among middle school and college students from 2021 to 2023 in Hunan Province
10.16835/j.cnki.1000-9817.2025027
- VernacularTitle:湖南省2021—2023年大中学生抑郁症状及相关因素分析
- Author:
LIAN Xinyao, WANG Fei, WANG Yaqi, WANG Huan, GUO Jianhui, SHI Di, WANG Shaoguan, ZOU Zhiyong, CHEN Yanhua, LI Jing
1
Author Information
1. School of Public Health/Institute of Child and Adolescent Health, Peking University, Beijing (100191) , China
- Publication Type:Journal Article
- Keywords:
Depression;
Mental health;
Regression analysis;
Students
- From:
Chinese Journal of School Health
2025;46(1):96-101
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status and trends of depressive symptoms among middle school and college students in Hunan Province, and to explore the primary related factors of depressive symptoms, so as to provide a scientific basis for strengthening mental health among students.
Methods:A total of 279 382 students in Hunan Province were selected through a stratified cluster random sampling method from 2021 to 2023. National Survey Questionnaire on Common Diseases and Health Influencing Factors among Students was adopted for the survey, and the Center for Epidemiological Studies Depression Scale was used to assess their depressive symptoms. The χ 2 test and trend χ 2 test were used to analyze depressive symptoms prevalence and trends, and multivariable Logistic regression was used to analyze the related factors of depressive symptoms.
Results:The prevalence of depressive symptoms among students in Hunan Province from 2021 to 2023 were 19.66%, 20.17% and 21.47%, respectively, showing an upward trend ( χ 2 trend =9.07, P <0.01). In addition, the results of the multivariable Logistic regression analysis showed that students with healthy diet ( OR=0.43, 95%CI =0.40-0.45), adequate sleep ( OR=0.88, 95%CI =0.86-0.90), and acceptable screen time ( OR=0.61, 95%CI =0.60-0.62) had lower risks in depressive symptoms detection, while students with smoking ( OR= 1.95, 95%CI =1.88-2.02), secondhand smoke exposure ( OR=1.33, 95%CI =1.30-1.36) and Internet addiction ( OR= 4.19 , 95%CI =4.05-4.34) had higher risks in depressive symptoms detection, with differences in the degree of association among different genders, educational stages and urban rural groups ( OR=0.40-6.04, Z =-12.69-11.98) ( P <0.05).
Conclusions:There is an increasing trend of depressive symptoms among middle school and college students in Hunan Province from 2021 to 2023.Targeted depression prevention measures should be taken for students with different demographic characteristics to promote their mental health.
