Background The prevalence of clinically diagnosed depressive disorders (DD) in Chinese left-behind children (LBC) remains unknown. We aim to estimate the prevalence of DD, discuss the associations between DD and self-harm (SH) behaviors in a large representative sample of Chinese LBCs chosen from Yunnan province. Methods A total of 5462 LBCs were selected from the most recent datasets of the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), a mega population-based two-phase cross-sectional survey. Weighted prevalence rates and designed Logistic regression were adopted to estimate the prevalence of DD and the association between DD and SH. Results The weighted prevalence of lifetime and current DD were 4.22% (95% CI: 3.13-6.00%) and 3.84% (95% CI: 2.85-5.00%) in Chinese LBCs. Higher lifetime and current DD prevalence rates were observed in girls and those reported adverse parental marital status and SH behaviors. The absence of DD was associated with significantly decreased odds of SH behavior (OR = 0.06), repetitive SH (OR = 0.09), using multiple SH methods (OR = 0.09), and severe SH (OR = 0.15). Subsequently performed stratified analyses identified prominent effect modification by sex and age, as a stronger association between DD and SH was found in girls (OR = 0.02 versus OR = 0.07 in boys) and younger adolescents (OR = 0.08 versus OR = 0.22 in older adolescents). Conclusion The prevalence of DD was high in Chinese LBCs. DD was associated with prominently increased risk of SH behaviors in LBCs. Attention and intervention are needed in this vulnerable population.
基金：
Union Project of Yunnan Science and Technology Bureau and Kunming Medical University [202401AY070001-001]; National Natural Science Foundation of China [82360670, 72264019, 82060601]; Applied foundation of Kunming Medical University and Yunnan Provincial Department of Science [202101AY070001-051]; NHC Key Laboratory of Drug Addiction Medicine [2020DAMARA-006]
第一作者机构：[1]Kunming Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, 1168 West Chunrong Rd, Kunming, Yunnan, Peoples R China
共同第一作者：
通讯作者：
通讯机构：[2]Kunming Med Univ, Affiliated Hosp 1, Psychiat Dept, Kunming, Yunnan, Peoples R China[3]Kunming Med Univ, Affiliated Hosp 1, Mental Hlth Inst Yunnan, Kunming, Yunnan, Peoples R China[4]Yunnan Clin Res Ctr Mental Hlth, Kunming, Yunnan, Peoples R China
推荐引用方式(GB/T 7714)：
Ran Hailiang,Chang Wei,Xu Chuanzhi,et al.Depressive disorders in Chinese left-behind children and adolescents from Yunnan province: prevalence and association with self-harm behaviors[J].ARCHIVES OF PUBLIC HEALTH.2024,82(1):doi:10.1186/s13690-024-01393-3.
APA：
Ran, Hailiang,Chang, Wei,Xu, Chuanzhi,Che, Yusan,Fang, Die...&Xiao, Yuanyuan.(2024).Depressive disorders in Chinese left-behind children and adolescents from Yunnan province: prevalence and association with self-harm behaviors.ARCHIVES OF PUBLIC HEALTH,82,(1)
MLA：
Ran, Hailiang,et al."Depressive disorders in Chinese left-behind children and adolescents from Yunnan province: prevalence and association with self-harm behaviors".ARCHIVES OF PUBLIC HEALTH 82..1(2024)
