title: [The relationship among depression, anxiety, stress and addictive substance use behavior in 5 935 secondary vocational students].
abstract: Objective:To investigate the relationship among depression, anxiety, stress and addictive substance use behavior in secondary vocational students.Methods:Cluster sampling method and the Adolescent Health-related Behaviors Questionnaire were used to collect demographic characteristics, psychological symptoms, and addictive substance usage among 5 935 students in nine vocational schools in Chongqing, Zhaoqing, Ningbo, and Taiyuan. Multivariate logistic regression analysis was used to analyze the relationship between the addictive substance use behavior and psychological factors.Results:The detection rates of depression, anxiety and stress were 46.5% (n=2 762), 58.7% (n=3 483), and 29.8% (n=1 770), respectively. The prevalence of addictive substances was 74.8% (n=4 440), traditional drugs was 0.8% (n=50), new drugs was 2.8% (n=166), other addictive drugs was 4.1% (n=241). Multivariate logistic regression analysis showed that compared with the normal psychological states of secondary vocational students, theORvalue of mild depression tendency alcohol and tobacco use behavior of secondary vocational students was 1.45; theORvalues of mild anxiety, moderate anxiety, severe anxiety and very serious anxiety were 1.46, 1.46, 1.71, and 1.83, respectively; the traditional drugs use behaviors were 5.51, and 2.61, respectively, for the severe anxiety and very serious anxiety. Compared with the normal psychological state of secondary vocational students, theORvalues of the severe anxiety and very severe anxiety were 2.56, and 2.66, respectively, for severe anxiety and very serious anxiety. Compared with normal psychological status of secondary vocational students, theORvalues of mild, moderate, severe, and very severe anxiety were 2.14, 2.47, 2.39, and 3.45, respectively; allPvalues <0.05.Conclusion:Anxiety and mild depression were risk factors of tobacco and alcohol use in secondary vocational students; severe and above anxiety were the risk factors of drug use in secondary vocational students; anxiety was the risk factor for other addictive drug use in secondary vocational students.
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
authors.forename: X D
authors.initials: XD
authors.lastname: Yu
authors.forename: J C
authors.initials: JC
authors.lastname: Yu
authors.forename: Q F
authors.initials: QF
authors.lastname: Wu
authors.forename: J Y
authors.initials: JY
authors.lastname: Chen
authors.forename: Y C
authors.initials: YC
authors.lastname: Wang
authors.forename: D
authors.initials: D
authors.lastname: Yan
authors.forename: S W
authors.initials: SW
authors.lastname: Teng
authors.forename: Y T
authors.initials: YT
authors.lastname: Zhao
authors.forename: J P
authors.initials: JP
authors.lastname: Cao
authors.forename: S Q
authors.initials: SQ
authors.lastname: Li
authors.forename: Y Q
authors.initials: YQ
authors.lastname: Yan
authors.forename: J
authors.initials: J
authors.lastname: Gong
authors.forename: K
authors.initials: K
authors.lastname: Yao
authors.forename: H
authors.initials: H
authors.lastname: Zhou
authors.forename: Z Z
authors.initials: ZZ
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking; D001007:Anxiety / Q000453:epidemiology; D002681:China / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D005191:Family Characteristics; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D014829:Vocational Education
keywords: Anxiety; Behavior, addictive; Depression; Pressure