Gao Chenchen, Sun Yumei, Zhang Feifei, Zhou Fang, Dong Chaoqun, Ke Ziwei, Wang Qingyan, Yang Yeqin, Sun Hongyu
School of Nursing, Wenzhou Medical University, Wenzhou, China.
Division of Humanity & Social Sciences, School of Nursing, Peking University, Beijing, China.
Int J Nurs Sci. 2021 Jun 5;8(3):347-353. doi: 10.1016/j.ijnss.2021.05.013. eCollection 2021 Jul 10.
First-year college students had exposure to unhealthy lifestyle behaviors that correlate with a high prevalence of anxiety and depression. Regarding to the modifiable lifestyle behaviors factors, this study investigated the prevalence and correlation of multiple lifestyle behaviors, anxiety and depression in a sample of Chinese first-year college students.
Cross-sectional data were extracted from app of health lifestyle behaviors survey from September to October 2019. Anxiety, depression, eating regular meals, consumption of snacks in-between meals, consumption of fruit, dessert and sugar-sweetened beverages, smoking and secondhand smoke exposure, consuming alcohol, physical activity, sedentary time were assessed by self-report. Socio-demographic including age, gender, education, family income, religion, and health condition were captured. Logistic regression was used to explore the association of multiple lifestyle behaviors, anxiety and depression.
Totally 1,017 participants were included in the study. The prevalence of anxiety and depression (from mild to severe) were 40.3% and 45.3%, respectively. In multivariable analyses, religion (believe in Buddhism, = 2.438, 95%CI: 1.097-5.421; believe in Christian, = 5.886, 95%CI: 1.604-21.597), gender (Female, = 1.405, 95%CI: 1.001-1.971), secondhand smoke exposure ( = 1.089, 95%CI: 1.001-1.184), and eating regular meals ( = 0.513, 95%CI: 0.346-0.759) were associated with anxiety. Family income ( = 0.732, 95%CI: 0.596-0.898), eating regular meals ( = 0.641, 95%CI: 0.415-0.990), frequency of breakfast ( = 0.813, 95%CI: 0.690-0.959), with a chronic disease ( = 1.902, 95%CI: 1.335-2.712), and consumption of nocturnal snack ( = 1.337, 95%CI: 1.108-1.612) were associated with depression.
These results highlighted the need for early lifestyle behavior intervention, especially modifying diet patterns considering the background of religion, health condition, and social-economic status in first-year college students to improve their mental health.
大学一年级学生接触到与焦虑和抑郁高患病率相关的不健康生活方式行为。关于可改变的生活方式行为因素，本研究调查了中国大学一年级学生样本中多种生活方式行为、焦虑和抑郁的患病率及相关性。
横断面数据取自2019年9月至10月健康生活方式行为调查应用程序。通过自我报告评估焦虑、抑郁、规律进餐、餐间吃零食、食用水果、甜点和含糖饮料、吸烟和二手烟暴露、饮酒、体育活动、久坐时间。收集社会人口统计学信息，包括年龄、性别、教育程度、家庭收入、宗教信仰和健康状况。采用逻辑回归探索多种生活方式行为、焦虑和抑郁之间的关联。
本研究共纳入1017名参与者。焦虑和抑郁（从轻度到重度）的患病率分别为40.3%和45.3%。在多变量分析中，宗教信仰（信仰佛教，β = 2.438，95%CI：1.097 - 5.421；信仰基督教，β = 5.886，95%CI：1.604 - 21.597）、性别（女性，β = 1.405，95%CI：1.001 - 1.971）、二手烟暴露（β = 1.089，95%CI：1.001 - 1.184）和规律进餐（β = 0.513，95%CI：0.346 - 0.759）与焦虑相关。家庭收入（β = 0.732，95%CI：0.596 - 0.898）、规律进餐（β = 0.641，95%CI：0.415 - 0.990）、早餐频率（β = 0.813，95%CI：0.690 - 0.959）、患有慢性病（β = 1.902，95%CI：1.335 - 2.712）和夜间吃零食（β = 1.337，95%CI：1.108 - 1.612）与抑郁相关。
这些结果凸显了早期生活方式行为干预的必要性，尤其是考虑到大学一年级学生的宗教信仰、健康状况和社会经济地位背景，调整饮食模式以改善他们的心理健康。
