Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak

Background The outbreak of the 2019 coronavirus disease outbreak (COVID-19) had a detrimental impact on adolescents’ daily life and studying, which could increase the risk of depression. This study examined the prevalence of depressive symptoms (depression hereafter) among Chinese adolescents and it...

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Autores principales:	Han Qi, Rui Liu, Yuan Feng, Jia Luo, Si Man Lei, Teris Cheung, Gabor S. Ungvari, Xu Chen, Yu-Tao Xiang
Formato:	article
Lenguaje:	EN
Publicado:	PeerJ Inc. 2021
Materias:	Adolescents China COVID-19 Depression Prevalence Medicine R
Acceso en línea:	https://doaj.org/article/a7f93cd65a294e7f9f68f743dabd00b4
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spelling	oai:doaj.org-article:a7f93cd65a294e7f9f68f743dabd00b42021-11-13T15:05:07ZPrevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak10.7717/peerj.122232167-8359https://doaj.org/article/a7f93cd65a294e7f9f68f743dabd00b42021-11-01T00:00:00Zhttps://peerj.com/articles/12223.pdfhttps://peerj.com/articles/12223/https://doaj.org/toc/2167-8359Background The outbreak of the 2019 coronavirus disease outbreak (COVID-19) had a detrimental impact on adolescents’ daily life and studying, which could increase the risk of depression. This study examined the prevalence of depressive symptoms (depression hereafter) among Chinese adolescents and its associated factors. Methods An online survey was conducted during the COVID-19 outbreak in China. Adolescents aged 11–20 years who currently lived in China were invited to participate in the study. Data were collected with the “SurveyStar” platform using the Snowball Sampling method. Depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Results A total of 9,554 adolescents participated in the study. The prevalence of depression was 36.6% (95% CI [35.6%–37.6%]); the prevalence of mild and moderate-severe depression was 9.2% (95% CI [8.9%–9.5%]) and 27.4% (95% CI [26.9%–27.9%]), respectively. Female gender (OR = 1.235, P < 0.001), senior secondary school grade (OR = 1.513, P < 0.001), sleep duration of <6 h/day (OR = 2.455, P < 0.001), and living in Hubei province (total number of infected cases > 10,000) (OR = 1.245, P = 0.038) were significantly associated with higher risk of depression. Concern about COVID-19 (OR = 0.632, P < 0.001), participating in distance learning (OR = 0.728, P = 0.001), sleep duration of >8 h/day (OR = 0.726, P < 0.001), exercise of >30 min/day, and study duration of ≥4 h/day (OR = 0.835, P < 0.001) were associated with lower risk of depression. Conclusion Depression was common among adolescents in China during the COVID-19 outbreak. Considering the negative impact of depression on daily life and health outcomes, timely screening and appropriate interventions are urgently needed for depressed adolescents during the COVID-19 outbreak.Han QiRui LiuYuan FengJia LuoSi Man LeiTeris CheungGabor S. UngvariXu ChenYu-Tao XiangPeerJ Inc.articleAdolescentsChinaCOVID-19DepressionPrevalenceMedicineRENPeerJ, Vol 9, p e12223 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adolescents China COVID-19 Depression Prevalence Medicine R
spellingShingle	Adolescents China COVID-19 Depression Prevalence Medicine R Han Qi Rui Liu Yuan Feng Jia Luo Si Man Lei Teris Cheung Gabor S. Ungvari Xu Chen Yu-Tao Xiang Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak
description	Background The outbreak of the 2019 coronavirus disease outbreak (COVID-19) had a detrimental impact on adolescents’ daily life and studying, which could increase the risk of depression. This study examined the prevalence of depressive symptoms (depression hereafter) among Chinese adolescents and its associated factors. Methods An online survey was conducted during the COVID-19 outbreak in China. Adolescents aged 11–20 years who currently lived in China were invited to participate in the study. Data were collected with the “SurveyStar” platform using the Snowball Sampling method. Depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Results A total of 9,554 adolescents participated in the study. The prevalence of depression was 36.6% (95% CI [35.6%–37.6%]); the prevalence of mild and moderate-severe depression was 9.2% (95% CI [8.9%–9.5%]) and 27.4% (95% CI [26.9%–27.9%]), respectively. Female gender (OR = 1.235, P < 0.001), senior secondary school grade (OR = 1.513, P < 0.001), sleep duration of <6 h/day (OR = 2.455, P < 0.001), and living in Hubei province (total number of infected cases > 10,000) (OR = 1.245, P = 0.038) were significantly associated with higher risk of depression. Concern about COVID-19 (OR = 0.632, P < 0.001), participating in distance learning (OR = 0.728, P = 0.001), sleep duration of >8 h/day (OR = 0.726, P < 0.001), exercise of >30 min/day, and study duration of ≥4 h/day (OR = 0.835, P < 0.001) were associated with lower risk of depression. Conclusion Depression was common among adolescents in China during the COVID-19 outbreak. Considering the negative impact of depression on daily life and health outcomes, timely screening and appropriate interventions are urgently needed for depressed adolescents during the COVID-19 outbreak.
format	article
author	Han Qi Rui Liu Yuan Feng Jia Luo Si Man Lei Teris Cheung Gabor S. Ungvari Xu Chen Yu-Tao Xiang
author_facet	Han Qi Rui Liu Yuan Feng Jia Luo Si Man Lei Teris Cheung Gabor S. Ungvari Xu Chen Yu-Tao Xiang
author_sort	Han Qi
title	Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak
title_short	Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak
title_full	Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak
title_fullStr	Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak
title_full_unstemmed	Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak
title_sort	prevalence of depression and its associated factors among adolescents in china during the early stage of the covid-19 outbreak
publisher	PeerJ Inc.
publishDate	2021
url	https://doaj.org/article/a7f93cd65a294e7f9f68f743dabd00b4
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Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak

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