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Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak
Qi, Han1; Liu, Rui1; Feng, Yuan1; Luo, Jia1; Lei, Si Man2; Cheung, Teris3; Ungvari, Gabor S.4,5; Chen, Xu1; Xiang, Yu Tao6,7
2021-11-11
Source PublicationPEERJ
ISSN2167-8359
Volume9Pages:e12223
Abstract

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.

KeywordAdolescents China Covid-19 Depression Prevalence
DOI10.7717/peerj.12223
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaScience & Technology - Other Topics
WOS SubjectMultidisciplinary Sciences
WOS IDWOS:000719472400006
PublisherPEERJ INC
Scopus ID2-s2.0-85119376215
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Citation statistics
Document TypeJournal article
CollectionFaculty of Education
Faculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
Institute of Translational Medicine
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorQi, Han
Corresponding AuthorChen, Xu; Xiang, Yu Tao
Affiliation1.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
2.Faculty of Education, University of Macau, Macao
3.School of Nursing, Hong Kong Polytechnic University, Hong Kong
4.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
5.The University of Notre Dame Australia, Fremantle, Australia
6.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
7.Centre for Cognitive and Brain Sciences, University of Macau, Macao
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Qi, Han,Liu, Rui,Feng, Yuan,et al. Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak[J]. PEERJ, 2021, 9, e12223.
APA Qi, Han., Liu, Rui., Feng, Yuan., Luo, Jia., Lei, Si Man., Cheung, Teris., Ungvari, Gabor S.., Chen, Xu., & Xiang, Yu Tao (2021). Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak. PEERJ, 9, e12223.
MLA Qi, Han,et al."Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak".PEERJ 9(2021):e12223.
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