Relationship between school bullying，sleep duration and depressive symptoms among middle school students in Anhui Province
10.16835/j.cnki.1000-9817.2022.10.025
- VernacularTitle:安徽省中学生遭受校园欺凌和睡眠时间与抑郁症状的关联
- Author:
WU Jing, CHEN Guoping, WANG Zhiqiang, ZHANG Yukun, LI Weidong
1
Author Information
1. Department of Food Nutrition and School Health,Anhui Provincial Center for Disease Control and Prevention, Hefei (230601) , China
- Publication Type:期刊文章
- Keywords:
Violence;
Sleep;
Depression;
Mental health;
Regression analysis;
Students
- From:
Chinese Journal of School Health
2022;43(10):1547-1550
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the relationship between school bullying, sleep duration and depressive symptoms among middle school students in Anhui Province, and to provide reference for depression prevention among middle school students.
Methods:Stratified cluster random sampling was used to select 35 364 middle school students in Anhui Province. Depressive symptoms assessed by the Center for Epidemiological Survey-Depression Scale (CES-D), school bullying and sleep duration were self reported through questionnaire survey, which was administered during September to November 2020. Logistic regression was used to analyze the effects of school bullying and sleep duration on depressive symptoms in middle school students, and the interaction effects were analyzed using multiplicative and additive effects models.
Results:The total rate of depressive symptoms among middle school students was 19.29%. After controlling for gender, residence, school level, family structure, smoking and other confounding factors, logistic regression analyses showed that school bullying and sleep deprivation were both associated with depressive symptoms in middle school students with OR(95%CI ) values of 3.34(3.14-3.55) and 1.48(1.37-1.61), respectively. Interaction analysis revealed no multiplicative interaction between school bullying and sleep deprivation on depressive symptoms ( OR=1.17, 95%CI = 0.98 -1.39), but additive interactions were observed in the association ( OR=4.84, 95%CI =4.36-5.37). The relative excess risk of interactions was 1.50(1.39-1.59), with attributable proportions being 0.31(0.26-0.36) and synergy index being 1.64(1.47- 1.89 ).
Conclusion:School bullying and sleep deprivation are significantly associated with depressive symptoms synergistically among middle school students. Therefore, school bullying prevention and sufficient sleep can help alleviate depressive symptoms.
