Li Wenzhen, Zhao Zhiya, Chen Dajie, Kwan Mei-Po, Tse Lap Ah
Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong, Hong Kong SAR, China.
Shenzhen Research Institute of the Chinese University of Hong Kong, Shenzhen, China.
Sci Rep. 2025 Mar 4;15(1):7565. doi: 10.1038/s41598-025-91522-x.
We aimed to assess the association of health locus of control with anxiety and depression, and explore the mediating effects of health risk behaviors. A multi-stage cluster random sampling method was used among Chinese college students. Logistic regression models were used to explore the associations of health locus of control with anxiety and depression. Structural equation models were used to explore the mediation roles of health risk behaviors in the associations of health locus of control with anxiety and depression. A total of 3,951 college students were included in this study. Internality was associated with lower prevalence of depression (OR = 0.94, 95% CI, 0.91-0.97), powerful others externality was also associated with lower prevalence of anxiety and depression (0.92, 0.88-0.96; 0.93, 0.89-0.96), while chance externality was associated with higher risk of anxiety and depression (1.13, 1.08-1.18; 1.24, 1.20-1.28). The mediated proportion of health risk behaviors in associations of internality, powerful others externality, chance externality with anxiety was 7.55%, 2.37% and 2.18%, respectively. The mediated proportion of health risk behaviors in associations of powerful others externality, chance externality with depression was 10.48% and 2.14%, respectively. Health locus of control is associated with anxiety and depression that are mediated by health risk behaviors.
我们旨在评估健康控制点与焦虑和抑郁之间的关联，并探讨健康风险行为的中介作用。在中国大学生中采用多阶段整群随机抽样方法。使用逻辑回归模型探讨健康控制点与焦虑和抑郁之间的关联。使用结构方程模型探讨健康风险行为在健康控制点与焦虑和抑郁关联中的中介作用。本研究共纳入3951名大学生。内控性与较低的抑郁患病率相关（比值比=0.94，95%置信区间，0.91-0.97），他人强大外控性也与较低的焦虑和抑郁患病率相关（0.92，0.88-0.96；0.93，0.89-0.96），而机遇外控性与较高的焦虑和抑郁风险相关（1.13，1.08-1.18；1.24，1.20-1.28）。健康风险行为在内控性、他人强大外控性、机遇外控性与焦虑关联中的中介比例分别为7.55%、2.37%和2.18%。健康风险行为在他人强大外控性、机遇外控性与抑郁关联中的中介比例分别为10.48%和2.14%。健康控制点与焦虑和抑郁相关，且健康风险行为起中介作用。
