Huang Xuexue, Wang Xiaoqing, Hu Jie, Xue Yanni, Wei Yanyan, Wan Yuhui, Song Xianbing, Wang Rui, Zhang Bao, Fang Jun, Zhang Shichen
MOE Key Laboratory of Population Health Across Life Cycle, Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, Hefei, China.
Front Psychiatry. 2021 Nov 18;12:753695. doi: 10.3389/fpsyt.2021.753695. eCollection 2021.
The present study aimed to examine the interactive associations between physical activity and mental health literacy with anxiety and depressive symptoms in Chinese college students. A cross-sectional study was conducted from May to July 2020. A total of 7,512 students were recruited from two medical colleges in Hefei and Anqing city in Anhui Province, China. Physical activity, mental health literacy, anxiety and depressive symptoms were measured by self-reported validated instruments. Analyses were conducted with logistic regression models. The prevalence of anxiety and depressive symptoms was 8.6% and 16.4%, respectively. Insufficient physical activity was significantly associated with depressive symptoms ( = 1.359, 95% 1.184-1.561) and anxiety symptoms ( = 1.492, 95%: 1.237-1.799). Inadequate mental health literacy was significantly associated with depressive symptoms ( = 3.089, 95%: 2.607-3.662) and anxiety symptoms ( = 3.675, 95%: 2.861-4.721). Low physical activity rank ( = 1.438, 95%: 1.151-1.798) was significantly related with depressive symptoms but not anxiety symptoms. The students who had inadequate mental health literacy and insufficient physical activity had the highest risks of depressive symptoms ( = 5.049, 95% : 3.649-6.987) and anxiety symptoms ( = 5.270, 95% : 3.338-8.321). These finding indicated that Chinese college students having insufficient physical activity and inadequate mental health literacy are at risk of exhibiting anxiety and depressive symptoms. Early intervention programs for college students with mental health problems should be considered to enhance their mental health literacy and to increase their physical activities.
本研究旨在探讨中国大学生身体活动与心理健康素养之间的交互作用对焦虑和抑郁症状的影响。于2020年5月至7月进行了一项横断面研究。从中国安徽省合肥市和安庆市的两所医学院招募了7512名学生。通过经过验证的自我报告工具测量身体活动、心理健康素养、焦虑和抑郁症状。采用逻辑回归模型进行分析。焦虑和抑郁症状的患病率分别为8.6%和16.4%。身体活动不足与抑郁症状（比值比=1.359，95%置信区间：1.184 - 1.561）和焦虑症状（比值比=1.492，95%置信区间：1.237 - 1.799）显著相关。心理健康素养不足与抑郁症状（比值比=3.089，95%置信区间：2.607 - 3.662）和焦虑症状（比值比=3.675，95%置信区间：2.861 - 4.721）显著相关。身体活动排名低（比值比=1.438，95%置信区间：1.151 - 1.798）与抑郁症状显著相关，但与焦虑症状无关。心理健康素养不足且身体活动不足的学生出现抑郁症状（比值比=5.049，95%置信区间：3.649 - 6.987）和焦虑症状（比值比=5.270，95%置信区间：3.338 - 8.321）的风险最高。这些发现表明，身体活动不足且心理健康素养不足的中国大学生有出现焦虑和抑郁症状的风险。应考虑针对有心理健康问题的大学生开展早期干预项目，以提高他们的心理健康素养并增加他们的身体活动。
