摘要
目的 应用logistic回归与决策树模型分析青少年抑郁焦虑症状共病的影响因素,为相关干预措施提供依据。方法 2022年10月,基于立意抽样和分层随机整群抽样法选取南京市8个监测区10 178名青少年作为研究对象,问卷调查青少年抑郁焦虑症状共病及其影响因素。构建logistic回归与决策树模型,应用受试者工作特征(receive operating characteristic, ROC)曲线下面积(area under curve, AUC)评价模型预测效果。结果 南京市青少年抑郁焦虑症状共病检出率为16.63%。Logistic回归与决策树模型分析结果均显示,自伤行为、学业满意程度、校园欺凌、学段和饮酒史是青少年抑郁焦虑症状共病的重要影响因素(均P<0.05)。Logistic回归模型AUC大于决策树模型(0.828∶0.787,Z=11.153,P<0.01)。结论 Logistic回归模型的预测效果优于决策树模型。应重点关注自伤行为、学业满意程度、校园欺凌对青少年抑郁焦虑症状共病的影响,帮助青少年养成良好的健康行为方式,促进青少年身心健康发展。
Objective To analyze the influencing factors of the comorbidity of depression and anxiety symptoms among adolescents by using logistic regression and decision tree model,and to provide basis for relevant intervention.Methods In October 2022,a combination of purposive sampling and stratified random cluster sampling method was employed to recruit 10178 adolescents across eight districts in Nanjing.Data were collected through a questionnaire assessing the comorbidity of depression and anxiety symptoms and potential influencing factors.Logistic regression and decision tree analyses were conducted to identify key predictors,with model performance evaluated using the receiver operating characteristic(ROC)area under curve(AUC).Results The prevalence of the comorbidity of depression and anxiety symptoms was 16.63%among adolescents.Both analytical models highlighted self-harm behavior,academic satisfaction,school bullying,educational phase and drinking history as significant influencing factors of these comorbid symptoms(all P<0.05).The area under ROC curve of logistic regression model was larger than that of decision tree model(0.828∶0.787,Z=11.153,P<0.01).Conclusions The predictive ability of the logistic regression model is better than that of the decision tree model.More attention should be paid to the influence of self-harm,academic satisfaction and school bullying on the comorbidity of depression and anxiety symptoms.Additionally,efforts should be made to help adolescents develop healthy behaviors,thereby promoting their physical and mental well-being.
作者
叶盛
杨月
卢雪蕾
刘辉
李俊同
刘黎
YE Sheng;YANG Yue;LU Xuelei;LIU Hui;LI Juntong;LIU Li(Section of School Health,Nanjing Municipal Center for Disease Control and Prevention,Nanjing 210003,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2024年第8期909-916,共8页
Chinese Journal of Disease Control & Prevention
基金
南京市疾病预防控制中心青年人才科研培育团队项目(NPY2304)。
关键词
青少年
抑郁
焦虑
共病
决策树模型
Adolescents
Depression
Anxiety
Comorbidity
Decision tree model
