Gu Jiayi, Chen Si-Tong
School of Physical Education and Sport, Shanghai Normal University, Shanghai 200234, China.
Department of Physical Education, Shenzhen University, Shenzhen 518061, China.
Children (Basel). 2020 May 2;7(5):41. doi: 10.3390/children7050041.
Although much evidence has demonstrated the positive relationship of active school travel (AST) and physical health, little is known about the relationship of AST and mental health indicators among early adolescents, especially in Chinese populations. Thus, this study aimed to investigate the relationship of AST with depressive symptoms and its sex as well as age difference among early adolescents from Shanghai urban areas, China.
6478 adolescents (mean age = 13.6) in urban area were recruited, of whom boys accounted for 46.2%. A self-reported questionnaire in Chinese was used to collect data on AST and depressive symptoms, and other control variables. Multivariable logistic regression analyses were used to explore the relationships of AST with depressive symptoms.
Of all included participants, 53.2% of adolescents reported being active in AST without sex difference. The prevalence of depressive symptoms was 19.2% without sex difference. AST was associated with reporting no depressive symptoms in adolescents (adjusted OR = 1.20, 95%CI: 1.06-1.36). However, the relationship was significant in boys (adjusted OR = 1.34, 95%CI: 1.11-1.60), in those who were grade 8 (adjusted OR = 1.25, 95%CI: 1.01-1.55) and 9 (adjusted OR = 1.29, 95%CI: 1.01-1.65) adolescents.
AST may play an important role in preventing depressive symptoms among early adolescents. However, the relationship of AST with depressive symptoms differed by sex and age. More research is encouraged to explore the mechanism linking AST and depressive symptoms among adolescents, especially in different contexts.
尽管有大量证据表明积极的校园出行（AST）与身体健康之间存在正相关关系，但对于青少年早期，尤其是中国人群中AST与心理健康指标之间的关系知之甚少。因此，本研究旨在调查中国上海市区青少年早期AST与抑郁症状的关系及其性别和年龄差异。
招募了市区6478名青少年（平均年龄 = 13.6岁），其中男孩占46.2%。使用中文自填问卷收集有关AST、抑郁症状和其他控制变量的数据。采用多变量逻辑回归分析来探讨AST与抑郁症状之间的关系。
在所有纳入的参与者中，53.2%的青少年报告在AST方面表现积极，无性别差异。抑郁症状的患病率为19.2%，无性别差异。AST与青少年报告无抑郁症状相关（调整后的OR = 1.20，95%CI：1.06 - 1.36）。然而，这种关系在男孩中显著（调整后的OR = 1.34，95%CI：1.11 - 1.60），在八年级（调整后的OR = 1.25，95%CI：1.01 - 1.55）和九年级（调整后的OR = 1.29，95%CI：1.01 - 1.65）青少年中也显著。
AST可能在预防青少年早期抑郁症状方面发挥重要作用。然而，AST与抑郁症状的关系因性别和年龄而异。鼓励更多研究探索青少年中AST与抑郁症状之间的联系机制，尤其是在不同背景下。
