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Table 2 Number and proportion of students with, and odds ratio for, depressive symptoms on CES-DC according to behavioral factors and school climate perception

From: Symptoms of mental health problems among Italian adolescents in 2017–2018 school year: a multicenter cross-sectional study

Independent variables

 

n (%)

Unadjusted models

Adjusted models A

Adjusted models B

  

OR (95% CI)

OR (95% CI)

OR (95% CI)

Gender

 Females

 

432 (28.7)

1

1

1

 Males

 

119 (10.4)

0.3 (0.2,0.4)

0.3 (0.3,0.4)

0.3 (0.3,0.4)

Higher parental education, years

 ≤ 8

 

80 (21.7)

1

1

1

 9–13

 

238 (20.1)

0.9 (0.7,1.2)

1.0 (0.8,1.4)

1.0 (0.7,1.4)

 ≥ 14

 

207 (20.5)

0.9 (0.7,1.2)

1.3 (0.9,1.7)

1.3 (0.9,1.7)

Substance use

 Tobacco smoking

No

311 (17.0)

1

1

1

 

Yes

240 (29.1)

2.0 (1.6,2.4)

1.8 (1.5,2.3)

1.9 (1.5,2.3)

 Perceived tobacco dependence

No

399 (17.7)

1

1

1

Yes

126 (36.2)

2.6 (2.1,3.4)

2.2 (1.7,2.9)

2.3 (1.7,3.0)

 Alcohol consumption

No

299 (19.4)

1

1

1

 

Yes

244 (22.7)

1.2 (1.0,1.5)

1.4 (1.1,1.7)

1.4 (1.1,1.7)

 Perceived drunkenness

No

477 (20.0)

1

1

1

 

Yes

56 (29.2)

1.6 (1.2,2.3)

1.9 (1.3,2.7)

1.9 (1.3,2.8)

Screen time

 TV

  0–3 h

 

382 (18.0)

1

1

1

  ≥ 4 h

 

157 (32.7)

2.2 (1.8,2.8)

1.9 (1.5,2.5)

1.9 (1.5,2.4)

 Social networks

  0–3 h

 

207 (14.4)

1

1

1

  4–5 h

 

145 (24.5)

1.9 (1.5,2.4)

1.5 (1.1,1.9)

1.4 (1.1,1.8)

  ≥ 6 h

 

188 (31.9)

2.8 (2.2,3.5)

1.9 (1.4,2.4)

1.8 (1.3,2.3)

 Web navigation

  0–3 h

 

472 (19.8)

1

1

1

  ≥ 4 h

 

67 (32.4)

1.9 (1.4,2.6)

1.6 (1.1,2.2)

1.5 (1.1,2.1)

Videogames

  0–3 h

 

490 (21.1)

1

1

1

  ≥ 4 h

 

48 (17.0)

0.8 (0.5,1.1)

1.3 (0.9,1.9)

1.2 (0.8,1.8)

Bullying

 Bullying

  Victims

No

207 (13.5)

1

1

1

 

Yes

340 (30.6)

2.8 (2.3,3.4)

2.7 (2.2,3.4)

2.7 (2.2,3.4)

  Author

No

305 (19.3)

1

1

1

 

Yes

240 (22.7)

1.2 (1.0,1.5)

1.2 (1.0,1.5)

1.2 (1.0,1.5)

 Physical bullying

  Victims

No

476 (19.4)

1

1

1

 

Yes

64 (37.0)

2.4 (1.8,3.4)

3.2 (2.2,4.7)

3.3 (2.3,4.7)

  Author

No

471 (20.3)

1

1

1

 

Yes

63 (21.4)

1.1 (0.8,1.4)

1.3 (1.0,1.9)

1.4 (1.0,1.9)

 Psychological bullying

  Victims

No

271 (15.9)

1

1

1

 

Yes

269 (29.0)

2.2 (1.8,2.6)

2.0 (1.6,2.4)

2.0 (1.6,2.5)

  Author

No

365 (19.5)

1

1

1

 

Yes

169 (22.5)

1.2 (1.0,1.5)

1.1 (0.9,1.3)

1.1 (0.9,1.4)

School climate

 Positive perception

 

293 (16.4)

1

1

1

 Negative perception

 

258 (29.7)

2.2 (1.8,2.6)

1.9 (1.6,2.4)

2.0 (1.6,2.5)

  1. Models A: adjusted for tobacco smoking, social networks use, bullying victimization, parental education, and sex Models B: multilevel regression models for institutes and centers adjusted as Models A