Health literacy and depressive symptoms and their relationship in junior high school students in Chongqing

Qianqian HE; Yang PU; Feng JIN; Hong WANG

doi:10.16016/j.1000-5404.202010098

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Health literacy and depressive symptoms and their relationship in junior high school students in Chongqing

Public Health and Preventive Medicine | 更新时间：2026-01-09

- Health literacy and depressive symptoms and their relationship in junior high school students in Chongqing
- Journal of Third Military Medical University Vol. 43, Issue 7, Pages: 670-675(2021)
- 作者机构：
  
  400016 重庆，重庆医科大学公共卫生与管理学院，医学与社会发展研究中心, 健康领域社会风险预测治理协同创新中心
- 作者简介：
- 基金信息：
  
  Supported by the Humanity and Social Science Project of Chongqing Municipal Education Commission(18SKGH016)
- DOI：10.16016/j.1000-5404.202010098
  CLC： G635.5;R195;R749.4
- Received：16 October 2020，
  
  Revised：2020-11-30，
  
  Published：15 April 2021
- 稿件说明：
移动端阅览
Qianqian HE, Yang PU, Feng JIN, et al. Health literacy and depressive symptoms and their relationship in junior high school students in Chongqing[J]. Journal of Third Military Medical University, 2021, 43(7): 670-675.
DOI：

Qianqian HE, Yang PU, Feng JIN, et al. Health literacy and depressive symptoms and their relationship in junior high school students in Chongqing[J]. Journal of Third Military Medical University, 2021, 43(7): 670-675. DOI： 10.16016/j.1000-5404.202010098.

摘要

目的

探讨重庆市初中生健康素养水平与抑郁症状的关系，为促进青少年心理健康提供建议。

方法

采用分层整群抽样，对重庆市某主城区4所初中（乡镇和城区各2所）共计1 703名学生进行问卷调查。采用χ

检验、Logistic回归分析等分析数据。

结果

在1 703名参与者中，抑郁症状发生率为26.8%。总体健康素养、功能性健康素养、互动性健康素养、评判性健康素养的具备率分别为41.8%、44.8%、38.4%、60.1%。单因素分析发现：无抑郁症状个体（46.9%）的总体健康素养具备率明显高于有抑郁症状的个体（27.9%）（χ

=49.867，

0.001）。无抑郁症状个体3个维度的健康素养具备率也显著高于有抑郁症状的个体（

均

0.001）。在调整性别、年龄、年级、学校类型以及是否为独生子女后，Logistic回归分析表明：具备科学健康观、合理营养、问题解决能力和健康决定能力（

均

0.05）是抑郁症状的保护因素。

结论

具备健康素养的初中生抑郁症状发生率更低，健康素养的科学健康观、合理饮食、问题解决能力和健康决定能力因子与抑郁症状的发生率呈负相关。

Abstract

Objective

To explore the relationship between health literacy and depressive symptoms in junior high school students in Chongqing

and to provide suggestions for improving adolescent mental health.

Methods

A total of 1 703 students were subjected by stratified cluster sampling from 4 junior high schools (2 in urban and 2 in rural areas) in a main district of Chongqing. Chi-square test and logistic regression analysis were used to study the data.

Results

Amon

g 1 703 participants

the incidence of depressive symptoms was 26.8%. The overall health literacy

functional health literacy

interactive health literacy and critical health literacy were 41.8%

44.8%

38.4% and 60.1%

respectively. Univariate analysis showed that the overall health literacy rate of individuals without depressive symptoms was significantly higher than that of individuals with depressive symptoms (46.9%

27.9%

Chi

-square=49.867

0.001). The health literacy rates of the individuals without depressive symptoms in the 3 dimensions were also significantly higher than those of the individuals with depressive symptoms (

0.001). After the adjustment for gender

age

grade

school type and whether they were only children in family

logistic regression analysis indicated that scientific health concept

reasonable nutrition

problem-solving ability and health decision-making ability were protective factors for depressive symptoms (

0.05).

Conclusion

The incidence of depressive symptoms in the students with health literacy is quite low. The factors of scientific health concept

reasonable diet

problem-solving ability and health decision-making ability of health literacy are negatively correlated with the incidence of depression symptoms.

关键词

Keywords

references

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