重庆市某学校高中生早餐食用频次与健康危险行为的关系

胡春梅; 牛丽琼; 何玲玲

doi:10.16835/j.cnki.1000-9817.2021.01.013

重庆市某学校高中生早餐食用频次与健康危险行为的关系

doi: 10.16835/j.cnki.1000-9817.2021.01.013

重庆文理学院情绪和心理健康实验室，重庆 402160

基金项目:

2020年度教育部人文社会科学研究项目 20XJA190002

重庆市永川区社会事业和民生保障项目 2020CC1301

详细信息

作者简介:
胡春梅(1977-)，女，四川广汉人，硕士，教授，主要研究方向为学校心理健康

通讯作者:
何玲玲，E-mail：58545739@qq.com

中图分类号: R 153.2 G 637.8
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- 文章访问数: 437
- HTML全文浏览量: 289
- PDF下载量: 31
- 被引次数: 0
出版历程
- 收稿日期: 2020-07-19
- 修回日期: 2020-08-30
- 网络出版日期: 2021-04-01
- 刊出日期: 2021-01-25

Relationship between breakfast eating frequency and health-risk behavior of high school students in Chongqing

Laboratory of Emotion and Mental Health, Chongqing University of Arts and Sciences, Chongqing(402160), China

摘要

摘要: 目的了解高中生早餐食用频次与健康危险行为的关系，为引导高中生养成每天吃早餐习惯提供参考。方法采用方便抽样方法，在重庆某区选取1所高中，对其中3个年级的学生3 283名进行问卷调查。采用Logistic回归分析健康危险行为对早餐食用频次的影响。结果高中生每天吃早餐的有2 064名(62.9%)，不吃或有时吃早餐的有1 219名(37.1%)。不同性别、年级、生源地、能量饮料饮用、吸烟、饮酒、赌博、网络成瘾的高中生不健康早餐食用报告(不吃或有时吃)比例差异有统计学意义(χ²值分别为6.80，53.97，8.10，23.79，7.89，16.31，3.93，17.96，P值均＜0.05)，男生(36.1%)高于女生(33.3%)，饮用能量饮料学生(41.2%)高于不饮用学生(31.7%)，吸烟学生(40.9%)高于不吸烟学生(34.4%)，饮酒学生(40.3%)高于不饮酒学生(33.3%)，赌博学生(39.7%)高于不赌博学生(34.3%)，网络成瘾学生(40.0%)高于不成瘾学生(33.0%)。多因素Logistic回归分析显示，能量饮料饮用(OR=1.32，95%CI=1.12~1.55)、饮酒(OR=1.24，95%CI=1.02~1.51)、网络成瘾(OR=1.42，95%CI=1.19~1.68)与高中生不健康早餐食用频次呈正相关(P值均＜0.05)。结论社会、家庭、学校应加强引导高中生养成每天吃早餐的习惯，避免不吃早餐与危险行为聚集出现。
- 饮食习惯 /
- 危险行为 /
- 回归分析 /
- 健康教育 /
- 学生
Abstract: Objective To investigate the relationship between breakfast eating frequency and health-risk behavior of high school students in Chongqing, and provide a reference for conducting students to get a good habit of eating breakfast everyday. Methods A total of 3 283 high school students in Chongqing were selected to participate in a questionnarie by using convenience sampling method. Logistic regression analysis were condueted to analyze the influences made by the unhealty eating behaviors on eating frequency of breakfast. Results There were 2 064(69.2%) students eating breakfast everyday, 1 219(37.1%) students having no breakfast or eating breakfast sometimes. There were significant differences between different gender, grade, native place, drinking energy drink, smoking, drinking alcohol, gambling, internet addiction students' rate of unhealthy breakfast eating frequency(χ²=6.80, 53.97, 8.10, 23.79, 7.89, 16.31, 3.93, 17.96, P < 0.05), the males' (36.1%) was beyond the females'(33.3%), the energy drink drinkers'(41.2%) was beyond the non-drinkers'(31.7%), the smokers' (40.9%) was beyond the non-smokers'(34.4%), the alcohol drinkers'(40.3%) was beyond the non-drinkers'(33.3%), the gamblers'(39.7%) was beyond the non-gamblers'(34.3%), those having internet addictions' (40.0%) was beyond those having no addictions' (33.0%). Drinking energy drink(OR=1.32, 95%CI=1.12-1.55), drinking alcohol(OR=1.24, 95%CI=1.02-1.51), internet addiction(OR=1.42, 95%CI=1.19-1.68) were positively correlated with unhealthy breakfast eating frequency of high school students(P < 0.05). Conclusion Social, families and schools should strengthen the guidance of high school students to develop the habit of eating breakfast every day, and advoid the clustering of skipping breakfast and health-risk behaviors.
- Food habits /
- Dangerous behavior /
- Regression analysis /
- Health education /
- Students

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表 1 不同人口统计学特征及健康危险行为高中生不健康早餐食用行为报告率比较

Table 1. Comparison of unhealthy breakfast eating frequency among high school students with different demographic characteristics and healthrisk behaviors

组别	人数	不吃	有时吃	χ²值	P值
性别
男	1 519	52(3.4)	548(36.1)	6.80	0.01
女	1 764	31(1.8)	588(33.3)
年级
一	1 172	29(2.5)	417(35.6)	53.97	0.00
二	991	27(2.7)	255(25.8)
三	1 120	27(2.4)	464(41.4)
生源地
城市	1 957	48(2.5)	640(32.7)	8.10	0.00
农村	1 326	35(2.6)	496(37.4)
能量饮料饮用
饮用	986	22(2.2)	406(41.2)	23.79	0.00
不饮用	2 297	61(2.7)	730(31.7)
吸烟
吸	115	10(8.7)	47(40.9)	7.89	0.01
不吸	3 168	73(2.3)	1 089(34.4)
饮酒
喝	590	24(4.1)	238(40.3)	16.31	0.00
不喝	2 693	59(2.2)	898(33.3)
赌博
参加	204	8(3.9)	81(39.7)	3.93	0.05
不参加	3 079	75(2.4)	1 055(34.3)
网络成瘾
成瘾	738	28(3.8)	295(40.0)	17.96	0.00
非成瘾	2 545	55(2.2)	841(33.0)
注：()内数字为报告率/%。

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表 2 高中生早餐食用频次影响因素的多因素Logistic回归分析(n=3 283)

Table 2. Multivariate Logistic regression analysis of high school students' breakfasteating frequency(n=3 283)

自变量	亚组	β值	Wald χ²值	P值	OR值(OR值95%CI)
性别	男	-0.09	1.25	0.26	0.92(0.79~1.07)
年级	一	0.27	9.51	0.00	1.31(1.10~1.56)
	二	0.64	46.57	0.00	1.90(1.58~2.29)
生源地	城市	0.21	7.41	0.01	1.23(1.06~1.42)
能量饮料	不喝	0.28	11.27	0.00	1.32(1.12~1.55)
抽烟	不抽	0.29	2.00	0.16	1.34(0.89~2.01)
饮酒	不喝	0.22	4.66	0.03	1.24(1.02~1.51)
赌博	不参加	0.10	0.39	0.53	1.10(0.81~1.50)
网络成瘾	不成瘾	0.35	16.05	0.00	1.42(1.19~1.68)

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参考文献(20)

[1]	EDEFONTI V, ROSATO V, PARPINEL M, et al. The effect of breakfast composition and energy contribution on cognitive and academic performance: a systematic review[J]. Am J Clin Nutr, 2014, 100(2): 626-656. doi: 10.3945/ajcn.114.083683
[2]	赵旭红, 张妮, 陶涛, 等. 安徽与河北高中生早餐状况和学习效率的关系[J]. 中国学校卫生, 2017, 38(9): 1303-1306. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201709009.htm ZHAO X H, ZHANG N, TAO T, et al. Association between the breakfast status and learning efficiency of senior high school students[J]. Chin J Sch Health, 2017, 38(9): 1303-1306. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201709009.htm
[3]	SAMPASA-KANYINGA H, ROUMELIOTIS P, FARROW C V, et al. Breakfast skipping is associated with cyberbullying and school bullying victimization: a school-based cross-sectional study[J]. Appetite, 2014, 79(4): 76-82. http://smartsearch.nstl.gov.cn/paper_detail.html?id=98ad5473e8159b12d35eebc1148e75a4
[4]	ROSATO V, EDEFONTI V, PARPINEL M, et al. Energy contribution and nutrient composition of breakfast and their relations to overweight in free-living individuals: a systematic review[J]. Am Soc Nutr, 2016, 7(3): 455-465. http://pubmedcentralcanada.ca/pmcc/articles/PMC4863260/
[5]	WR J R, HOUSMAN J M, ODUM M, et al. Energy drink use linked to high-sugar beverage intake and BMI among teens[J]. Am J Health Behav, 2017, 41(3): 259-265. doi: 10.5993/AJHB.41.3.5
[6]	张福兰, 张天成, 熊静梅, 等. 2014年湘西州农村土家族和苗族中学生健康危险行为聚集模式的性别差异[J]. 卫生研究, 2017, 46(5): 767-771. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705017.htm ZHANG F L, ZHANG T C, XIONG J M, et al. Gender differences in cluster pattern of health-risk behaviors among rural middle school students in Tujia-Miao Autonomous Prefecture of Xiangxi[J]. J Hyg Res, 2017, 46(5): 767-771. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705017.htm
[7]	胡春梅, 李方珍, 余姝伶. 中等职业学校学生吸烟、饮酒、赌博与冲动性、感觉寻求的关系[J]. 现代预防医学, 2017, 44(20): 3753-3756. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201720026.htm HU C M, LI F Z, YU S L. Relationship between smoking, drinking, gambling and impulsiveness, and sensation seeking in students of secondary vocational schools[J]. Modern Prevent Med, 2017, 44(20): 3753-3756. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201720026.htm
[8]	胡春梅, 吕琪, 王蕾, 等. 大学生能量饮料饮用与感觉寻求关系[J]. 中国公共卫生, 2019, 35(11): 1575-1578. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201911031.htm HU C M, LYU Q, WANG L, et al. Relationship between energy drink consumption and sensation seeking in college students[J]. Chin J Public Health, 2019, 35(11): 1575-1578. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201911031.htm
[9]	季成叶. 中国青少年健康相关/危险行为调查综合报告2005[M]. 北京: 北京大学医学出版社, 2007: 61. JI C Y. Chinese adolescent health related/risky behavior survey comprehensive report 2005[M]. Beijing: Peking University Medical Press, 2007: 61.
[10]	郑梦琪, 刘辉, 洪镭, 等. 我国六城市高年级小学生早餐行为状况[J]. 中国学校卫生, 2017, 38 (2): 166-168. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201702005.htm ZHENG M Q, LIU H, HONG L, et al. Breakfast-eating behaviors among children in six cities of China[J]. Chin J Sch Health, 2017, 38(2): 166-168. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201702005.htm
[11]	GALLUCCI A R, MARTIN R J, MORGAN G B. The consumption of energy drinks among a sample of college students and college student athletes[J]. J Commun Health, 2016, 41(1): 109-118. doi: 10.1007/s10900-015-0075-4
[12]	GRACE K, ANNE E S, THOMAS J M, et al. Pubertal status, sensation-seeking, impulsivity, and substance use in high-school-aged boys and girls[J]. J Addict Med, 2013, 7(2): 116-121. doi: 10.1097/ADM.0b013e31828230ca
[13]	YOUNG K S. Internet addiction: the emergence of a new clinical disorder[J]. Cyber Psychol Behav, 1996, 1(3): 237-244.
[14]	叶新东. 网络成瘾研究概述[J]. 心理科学, 2004, 27(6): 1446-1448. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX200406043.htm YE X D. A review of researches on the Internet addiction[J]. Psychol Sci, 2004, 27(6): 1446-1448. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX200406043.htm
[15]	邓煜盛, 梁健平, 宗一楠, 等. 广州城区中小学生早餐与睡前加餐影响因素分析[J]. 中国学校卫生, 2018, 39(9): 1292-1296. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201809008.htm DENG Y S, LIANG J P, ZONG Y N, et al. Associated factors of breakfast and late evening snack among urban primary and middle school students in Guangzhou[J]. Chin J Sch Health, 2018, 39(9): 1292-1296. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201809008.htm
[16]	方晨晨. 早餐对学生成绩影响的分析研究[J]. 上海教育科研, 2018(8): 15-18. DOI: 10.16194/j.cnki.31-1059/g4.2018.08.005. FANG C C. Analysis and research on the influence of breakfast on students' achievement[J]. Shanghai Res Educ, 2018(8): 15-18. DOI: 10.16194/j.cnki.31-1059/g4.2018.08.005
[17]	POULOS N S, PASCH K E. Energy drink consumption is associated with unhealthy dietary behaviours among college youth[J]. Royal Soc Public Health, 2015, 11(5): 1-6. http://europepmc.org/abstract/med/25667166
[18]	黄慧, 谌红献, 李志凌, 等. 我国八家医院精神科与消化科就诊者饮酒及相关问题调查[J]. 中国心理卫生杂志, 2016, 30(4): 245-252. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201604004.htm HUANG H, CHEN H X, LI Z L, et al. Survey on drinking and drinking-related problems among patients with psychiatric or digestive diseases in eight hospitals in China[J]. Chin J Ment Health, 2016, 30(4): 245-252. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201604004.htm
[19]	胡春梅, 漆沫沙, 潘孝富, 等. 大学生睡眠质量在社交网络使用与认知失误间的中介作用[J]. 广东医学, 2018, 39(10): 1539-1542. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX201810026.htm HU C M, QI M S, PAN X F, et al. Mediating effects of sleep quality between social media use and cognitive failures of college students[J]. Guangdong Med J, 2018, 39(10): 1539-1542. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX201810026.htm
[20]	李荔, 徐培培, 杨媞媞, 等. 2010—2012年中国6-17岁儿童早餐频度与营养状况[J]. 卫生研究, 2018, 47(3): 373-377. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201803006.htm LI L, XU P P, YANG T T, et al. Relationship between breakfast and nutrition status study of children aged 6-17 in China from 2010 to 2012[J]. J Hyg Res, 2018, 47(3): 373-377. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201803006.htm