Analysis of depressive symptoms and associated factors among middle school students in Kaifeng City

ABSTRACT

Objective@#To understand the prevalence and influencing factors of depressive of middle school students in Kaifeng City, and to provide evidence for the prevention and control of depressive symptoms among middle school students. @*Methods@#A multistage stratified cluster random sampling method was used to select 4 058 middle school students in Kaifeng City from September to November 2019. A questionnaire survey was conducted using the Center for Epidemiologic Studies Depression Scale (CES-D).@*Results@#The prevalence of depressive symptoms among middle school students in Kaifeng City was 14.51%. The results of multivariable Logistic analysis showed that the risk of depressive symptoms in high school students was significantly higher than that of middle school students( OR =1.47). Call in sick, leaving school due to illness, serious injury, school bullying, fighting, domestic violence, smoking and internet addiction were positively associated with depressive symptoms( OR =1.37，1.67，1.91，2.69， 1.65 ，2.29，1.47，2.58， P <0.05). In addition, the interaction of fighting and smoking was associated with more depressive symptoms in middle school students.@*Conclusion@#The depression of middle school students is closely related to grade, family and campus environment. Developing a positive family and school environment, preventing adverse events in daily life are necessary measures to reduce the risk of depression symptoms for students.