Ph.D. Program in Global Health and Health Security, College of Public Health, Taipei Medical University, Taipei City, Taiwan.
Department of Health Communication and Education, Quang Ninh Provincial Center for Disease Control (CDC), Ha Long, Vietnam.
Front Public Health. 2023 Mar 9;11:1049836. doi: 10.3389/fpubh.2023.1049836. eCollection 2023.
Among Taiwanese adolescents, how the clustering of unhealthy behaviors, including insufficient physical activity, screen-based sedentary behavior and frequent sugar-sweetened beverage consumption affecting depressive symptom remains unclear. This study aims to examine the cross-sectional association between clustering of unhealthy behaviors and depressive symptom.
We analyzed 18,509 participants from the baseline survey of the Taiwan Adolescent to Adult Longitudinal Survey in 2015. The outcome was depressive symptoms, and the main exposures were insufficient physical activity, screen-based sedentary behaviors and frequent sugar-sweetened beverage consumption. Generalized linear mixed models were performed to find key factor associated with depressive symptom.
Depressive symptoms were common among participants (31.4%), particularly in female and older adolescents. After adjustments for covariates including sex, school type, other lifestyle factors and social determinants, individuals exhibiting clustering of unhealthy behaviors were more likely (aOR = 1.53, 95% CI: 1.48-1.58) to exhibit depressive symptoms than those who have no or only one unhealthy behavior.
Clustering of unhealthy behaviors is positively associated with depressive symptom among Taiwanese adolescents. The findings highlight the importance of strengthening public health interventions to improve physical activity and decrease sedentary behaviors.
在台湾青少年中，包括体力活动不足、久坐不动的屏幕行为和频繁饮用含糖饮料在内的多种不健康行为的聚集如何影响抑郁症状尚不清楚。本研究旨在检验不健康行为聚集与抑郁症状之间的横断面关联。
我们分析了 2015 年台湾青少年到成人纵向调查基线调查中的 18509 名参与者。结果是抑郁症状，主要暴露因素是体力活动不足、久坐不动的屏幕行为和频繁饮用含糖饮料。采用广义线性混合模型来确定与抑郁症状相关的关键因素。
参与者中抑郁症状较为常见（31.4%），尤其是女性和年龄较大的青少年。在调整了性别、学校类型、其他生活方式因素和社会决定因素等混杂因素后，表现出不健康行为聚集的个体更有可能出现抑郁症状（调整后的优势比[aOR] = 1.53，95%置信区间[CI]：1.48-1.58）。
在台湾青少年中，不健康行为的聚集与抑郁症状呈正相关。这些发现强调了加强公共卫生干预以改善体力活动和减少久坐行为的重要性。
