Analysis of the association between health-related quality of life with social support and negative emotions among ethnic Korean children and adolescents
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摘要:
目的 了解朝鲜族儿童青少年健康相关生命质量状况及其与社会支持和负性情绪的关系,为朝鲜族儿童青少年身心健康发展提供帮助。 方法 2018年4—6月采用随机分层整群抽样的方法,在吉林省吉林市、延边市选取4 024名朝鲜族儿童青少年进行生命质量、社会支持和负性情绪的调查,采用多元线性回归分析的方法了解之间的关联。 结果 朝鲜族儿童青少年健康相关生命质量平均得分为(81.01±12.64)分,其中学校功能、情感功能、社会功能、生理功能平均得分分别为(80.16±15.36)(73.07±19.85)(88.52±14.03)(82.65±14.17)分。多元线性回归分析显示,朝鲜族中小学生的负性情绪与生命质量有负向关联(β=-0.24,P<0.01),社会支持与生命关联质量有正向关联(β=0.17,P<0.01),负性情绪和社会支持的交互作用与朝鲜族中小学生的生命质量有负向关联(β=-0.19,P<0.01)。 结论 朝鲜族儿童青少年健康相关生命质量尚可,社会支持对负性情绪起到缓解作用,可降低负性情绪对生存质量的影响。 Abstract:Objective To understand the health-related quality of life status of ethnic Korean children and adolescents and its relationship with social support and negative emotions, and to provide assistance to the healthy development of ethnic Korean children and adolescents. Methods From April to June 2018 in Jilin Province, 4 024 ethnic Korean children and adolescents were selected for the survey of quality of life, social support, and negative emotion, and multiple linear regression analysis was used to understand the relationships between them. Results The average score of the quality of life of ethnic Korean children and adolescents was (81.01±12.64)points. The average scores for school function, emotional function, social function and physiological function were (80.16±15.36) points, (73.07±19.85) points, (88.52±14.03) points and (82.65±14.17) points, respectively. Multiple linear regression analysis showed that the negative emotions of ethnic Korean primary and middle school students had a negative association with effect on quality of life (β=-0.24, P < 0.01), social support had a positive predictive effect on quality of life (β=0.17, P < 0.01), and the interaction between negative emotions and social support played a negative role in quality of life of ethnic Korean primary and middle school students (β =-0.19, P < 0.01). Conclusion The health-related quality of life of ethnic Korean children and adolescents is acceptable. Social support can alleviate negative emotions to reduce the impact of negative emotions on quality of life. -
Key words:
- Quality of life /
- Social support /
- Emotions /
- Mental health /
- Students /
- Minority groups
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表 1 朝鲜族不同人口学特征儿童青少年健康相关生命质量得分比较(x±s)
Table 1. Comparison of health-related quality of life scores among children and adolescents of Korean nationality with different demographic characteristics(x±s)
人口学指标 选项 人数 统计值 学校功能 情感功能 社会功能 生理功能 生命质量 性别 男 2 114 80.11±15.42 74.12±19.56 88.26±14.56 83.75±13.95 81.86±12.45 女 1 910 80.21±15.11 72.01±20.32 88.99±13.85 81.35±14.52 80.16±12.85 t值 -0.21 3.36 -1.63 5.35 4.26 P值 0.84 <0.01 0.10 <0.01 <0.01 学段 小学 2 251 83.25±13.51 77.62±18.52 91.25±13.12 84.86±13.09 84.12±11.56 初中 1 773 75.16±16.32 67.53±21.25 86.42±15.11 80.12±15.12 77.62±12.26 t值 17.20 16.07 10.84 10.65 17.24 P值 <0.01 <0.01 <0.01 <0.01 <0.01 家庭月收入/元 ≥15 000 401 81.75±13.42 74.35±22.25 89.95±13.75 84.02±14.62 82.62±12.79 10 000~14 999 620 81.62±15.22 74.62±20.12 89.62±14.52 83.86±14.02 82.53±12.62 5 000~9 999 1 540 80.74±14.91 73.92±19.62 89.75±12.86 83.26±13.92 82.12±12.11 2 000~4 999 1 283 79.12±15.25 72.16±19.82 86.25±14.99 81.06±14.22 80.26±12.75 <2 000 180 77.25±15.97 70.62±21.12 84.62±17.51 80.25±16.35 79.12±15.25 F值 11.24 5.46 15.12 8.95 14.12 P值 <0.01 <0.01 <0.01 <0.01 <0.01 父亲学历 小学 252 75.42±17.41 70.25±20.12 85.45±15.01 80.52±14.26 78.36±12.95 初中 1 207 76.95±15.42 71.29±19.52 87.12±15.03 80.49±14.35 79.25±12.62 高中 1 267 81.12±14.91 73.56±20.35 88.69±13.85 83.02±14.02 81.62±12.45 大学 1 298 87.12±14.32 75.22±20.12 91.25±12.99 84.86±13.82 83.56±12.25 F值 64.25 15.12 26.12 28.25 45.12 P值 <0.01 <0.01 <0.01 <0.01 <0.01 母亲学历 小学 459 76.12±16.11 70.11±20.11 85.64±15.36 80.32±13.92 78.26±12.62 初中 1 200 77.82±15.42 71.35±20.25 88.56±14.02 80.82±14.25 80.16±12.45 高中 1 247 81.25±14.82 74.35±19.45 89.12±14.32 83.16±14.35 82.15±12.51 大学 1 118 84.16±14.42 75.42±19.85 90.68±12.62 84.89±13.25 84.94±12.95 F值 61.25 19.85 28.16 30.25 49.12 P值 <0.01 <0.01 <0.01 <0.01 <0.01 父母关系 亲密 726 85.12±14.01 80.16±19.52 91.35±13.12 86.71±13.42 85.62±12.65 和谐 1 884 81.42±14.41 74.82±18.92 90.35±12.25 83.79±13.42 82.84±11.62 良好 422 78.25±15.61 72.26±18.89 87.12±16.11 81.24±13.89 80.16±11.86 稳定 508 76.42±15.06 69.25±19.55 85.45±15.72 80.01±14.85 78.25±12.82 不良 136 77.25±15.16 62.52±19.35 83.56±15.62 77.62±15.22 75.56±13.86 争执 216 74.35±17.11 64.56±21.26 83.22±16.55 77.02±14.62 75.12±13.82 冲突 95 72.61±18.13 64.98±21.06 82.51±17.52 78.03±15.82 74.82±14.25 暴力 37 69.12±16.42 52.89±22.52 78.12±16.99 71.75±15.82 69.13±13.85 F值 34.56 41.25 30.25 34.25 55.26 P值 <0.01 <0.01 <0.01 <0.01 <0.01 表 2 朝鲜族儿童青少年健康相关生命质量与负性情绪和社会支持的相关系数(r值,n=4 024)
Table 2. The correlation coefficient of Korean children and adolescents' health-related quality of life, negative emotions and social support (r, n=4 024)
变量 学校功能 社会功能 情感功能 生理功能 生命质量 朋友支持 家人支持 重要支持 社会支持 负性情绪 -0.38 -0.38 -0.49 -0.39 -0.53 -0.28 -0.31 -0.23 -0.31 焦虑 -0.37 -0.36 -0.48 -0.36 -0.49 -0.25 -0.27 -0.21 -0.27 压力 -0.39 -0.38 -0.49 -0.37 -0.52 -0.25 -0.28 -0.21 -0.28 抑郁 -0.36 -0.37 -0.42 -0.33 -0.46 -0.29 -0.34 -0.25 -0.32 社会支持 0.24 0.28 0.23 0.21 0.29 0.91 0.87 0.91 重要支持 0.19 0.26 0.17 0.17 0.24 0.76 0.68 家人支持 0.22 0.23 0.24 0.19 0.28 0.66 朋友支持 0.22 0.28 0.18 0.21 0.26 注:P值均<0.01。 表 3 朝鲜族儿童青少年负性情绪社会支持对生命质量的多元线性回归分析(n=4 024)
Table 3. Multiple linear regression analysis of negative emotion social support for Korean children and adolescents on the quality of life (n=4 024)
自变量 β值 标准误 B值 t值 性别 -0.05** 0.28 -1.37 -4.98 学段 -0.14** 0.29 -3.29 -11.52 家庭收入 -0.04** 0.15 -0.59 -4.14 父母关系 -0.17** 0.28 -0.97 -3.61 父亲学历 -0.04* 0.21 0.58 2.93 母亲学历 0.04* 0.19 0.51 2.73 负性情绪 -0.24** 0.06 -0.28 -5.89 社会支持 0.17** 0.01 0.16 11.91 负性情绪×社会支持 -0.19** 0.01 -0.01 -4.72 注:*P<0.05,**P<0.01。 -
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