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中国10~15岁少儿抑郁情况及影响因素分析

Prevalence and influence factors of depression among 10-15 years old children in China

  • 摘要: 目的 了解中国10~15岁少儿抑郁情况,为完善儿童保健政策提供基础资料。方法 采用多阶段分层抽样的方法抽取全国少儿样本2257人,采用流行病调查中心抑郁自评量表(CES-D)进行调查。结果 少儿抑郁平均得分为27.17分;单因素分析显示,年龄、母亲学历、过去一个月父母间争吵、过去一个月因病旷课及学校寄宿等因素对少儿抑郁得分有影响,差异均有统计学意义(P<0.05);二分类logistic回归分析结果显示,母亲学历较低(OR=11.761,95%CI=2.052~67.418)、不与父亲同住(OR=1.224,95%CI=1.020~1.468)、父母吵架(OR=1.017,95%CI=1.004~1.030)是少儿抑郁的危险因素(P<0.05),过去一个月没有因身体不适而旷课(OR=0.517,95%CI=0.337~0.793)是少儿抑郁的保护性因素(P<0.05)。结论 应对母亲学历较低、不与父亲同住、父母吵架及具有身体健康问题的少儿给予更多关注。

     

    Abstract: Objective To examine the prevalence of depression among children aged 10-15 years in China and to provide evidences for improving child health care strategies.Methods From the dataset of Chinese Family Panel Study in 2010, we selected 2257 children of 10-15 years old with multi-stage stratified sampling and surveyed them using Center for Epidemiologic Studies Depression Scale(CES-D).Results The average score of depression symptoms was 27.17 among the children.The results of univariate analysis indicated that age, maternal education, quarrelling with parent during previous one month, absence from school due to illness, and getting accommodation in school were influencing factors of depression among the children(all P<0.05).The results of mutivariate analysis showed that low maternal education(odds ratioOR=11.761, 95% confidence interval95% CI:2.052-67.418), not living with father(OR=1.224, 95% CI:1.020-1.468), and quarrelling between parents(OR=1.017, 95% CI:1.004-1.030) were risk factors(all P<0.05) and no absence from school due to illness in the previous one month(OR=0.517, 95% CI:0.337-0.793) was a protective factor of depression in the children(P<0.05).Conclusion We should pay more attentions to the children with mothers having low education, not living with their fathers, having parents of quarrelling with each other, and with physical conditions.

     

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