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性别角色态度与青少年抑郁的关联
引用本文:张家帅,左霞云,余春艳,廉启国,钟向阳,涂晓雯,楼超华. 性别角色态度与青少年抑郁的关联[J]. 中国学校卫生, 2022, 43(2): 181-184+189. DOI: 10.16835/j.cnki.1000-9817.2022.02.005
作者姓名:张家帅  左霞云  余春艳  廉启国  钟向阳  涂晓雯  楼超华
作者单位:1.复旦大学公共卫生学院, 上海 200032
基金项目:世界卫生组织项目(ERC0003027);
摘    要:  目的  探究性别角色态度(gender role attitudes, GRA)与青少年抑郁的关联, 为促进青少年心理健康提供依据。  方法  采用分层整群抽样的方式选取上海市静安区3所公立初中的全部六至八年级学生1 549名, 于2017和2018年11—12月开展两次匿名电子问卷调查。采用GRA量表和抑郁量表收集研究对象对于家庭和两性关系中男女传统角色分配和权力不平等态度与抑郁情况, 利用多因素广义估计方程(generalized estimating equations, GEE)模型分析GRA与抑郁的关联。  结果  两次调查时GRA量表得分分别为(2.52±0.83)和(2.29±0.86)分, 抑郁量表得分为(15.92±5.08)和(16.48±5.29)分, 差异均有统计学意义(P值均<0.05)。在调整了年龄、被欺凌经历、身体满意度、社区凝聚力等协变量之后, 多因素GEE模型结果显示, 传统GRA与男女生的抑郁发生风险均显著相关(β=0.38, β=0.41, P值均<0.05)。  结论  传统GRA可能会增加青少年抑郁风险, 培养积极、平等的GRA有助于预防抑郁的发生。

关 键 词:性别特性   态度   抑郁   精神卫生   青少年
收稿时间:2021-08-18

Relationship between gender role attitudes and depression among adolescents
Affiliation:1.School of Public Health, Fudan University, Shanghai (200032), China
Abstract:  Objective  To explore the relationship between gender role attitudes (GRA) and adolescent depression to provide evidence for the promotion of mental health among adolescents.  Methods  A total of 1 549 students from grades 6 to 8 in three public middle schools in Jing'an District of Shanghai were selected by stratified cluster sampling. The baseline and follow-up surveys were conducted by anonymous electronic questionnaire on mobile tablets from November to December in 2017 and 2018, respectively. The GRA Scale and the Depression Scale were used to collect subjects' attitudes towards traditional role assignment and power inequality between men and woman and depression in family and sexual relationships. The multivariate Generalized Estimating Equations (GEE) model was adopted to examine the relationship between GRA and depression.  Results  The mean score of the GRA Scale was (2.52±0.83) and (2.29±0.86), while the score of Depression Scale was (15.92±5.08) and (16.48±5.29), in the baseline and follow-up survey, respectively (P<0.05). After controlling the covariates of age, bullied experience, body image, social cohesion, etc., the multivariate GEE model indicated traditional GRA was significantly associated with a higher risk of depression among both boys and girls (βboys=0.38, βgirls=0.41, P<0.05).  Conclusion  Traditional GRA may increase the risk of depression in adolescents, suggesting that cultivating a positive and equal GRA among this population group may help to prevent depression.
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