2019—2023年南通市中学生抑郁症状影响因素及变化趋势分析

doi:10.12183/j.scjpm.2026.0207

摘要/Abstract

摘要： 目的分析南通市中学生2019—2023年抑郁症状状况,为中学生心理健康干预提供参考。方法采用多阶段分层整群抽样,在2019—2023年选取南通市中学生为研究对象,c²检验和logistic回归用以分析抑郁症状影响因素,平均年度百分比变化率（AAPC）等评价其变化趋势。结果纳入2019—2023年南通市12~18岁中学生9 831名,男生5 184名,女生4 647名,抑郁症状检出率为20.3%（1 991例）。Logistic回归分析结果：性别（OR=0.676）、城乡（OR=1.399）、学段（OR=1.177）、家庭类型（OR=0.655）、校园欺凌（OR=8.515）、吸烟（OR=2.353）、饮酒（OR=2.914）、网络成瘾（OR=4.229）、户外活动不足（OR=1.407）、睡眠不足（OR=2.037）均为抑郁症状的影响因素（均P<0.05）。2019—2023年抑郁症状检出率呈下降趋势（AAPC=-4.91%）。郊县学生、初中生抑郁症状检出率呈现先升后降趋势（郊县：2019—2021：APC=5.19%;2021—2023：APC=-22.67%;初中生：2019—2021：APC=5.82%;2021—2023：APC=-20.92%）,城区学生、高中生抑郁症状检出率呈现下降趋势（城区：AAPC=-1.68%;高中生：AAPC=-1.93%）。结论 2019—2023年南通市中学生抑郁症状检出率呈下降趋势。应对暴露于危险因素的学生尽早干预,防止抑郁症状加重。

中图分类号:

R179

朱星辰, 黄建萍, 陈睿, 任庆新, 安娜. 2019—2023年南通市中学生抑郁症状影响因素及变化趋势分析[J]. 华南预防医学, 2026, 52(2): 207-211.

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