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新冠肺炎疫情期间广东省中小学生情绪行为问题及影响因素

阿尔孜古丽·喀喀尔 章舒心 黄思哲 陈赵 谭恺韫 梁景宏 陈亚军

阿尔孜古丽·喀喀尔, 章舒心, 黄思哲, 陈赵, 谭恺韫, 梁景宏, 陈亚军. 新冠肺炎疫情期间广东省中小学生情绪行为问题及影响因素[J]. 中国学校卫生, 2021, 42(8): 1129-1134. doi: 10.16835/j.cnki.1000-9817.2021.08.003
引用本文: 阿尔孜古丽·喀喀尔, 章舒心, 黄思哲, 陈赵, 谭恺韫, 梁景宏, 陈亚军. 新冠肺炎疫情期间广东省中小学生情绪行为问题及影响因素[J]. 中国学校卫生, 2021, 42(8): 1129-1134. doi: 10.16835/j.cnki.1000-9817.2021.08.003
KAKAER Aerziguli, ZHANG Shuxin, HUANG Sizhe, CHEN Zhao, TAN Kaiyun, LIANG Jinghong, CHEN Yajun. Emotional and behavioral problems and determinants among primary and middle school students aged 6 to 17-year-old in Guangdong Province during the COVID-19 pandemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1129-1134. doi: 10.16835/j.cnki.1000-9817.2021.08.003
Citation: KAKAER Aerziguli, ZHANG Shuxin, HUANG Sizhe, CHEN Zhao, TAN Kaiyun, LIANG Jinghong, CHEN Yajun. Emotional and behavioral problems and determinants among primary and middle school students aged 6 to 17-year-old in Guangdong Province during the COVID-19 pandemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1129-1134. doi: 10.16835/j.cnki.1000-9817.2021.08.003

新冠肺炎疫情期间广东省中小学生情绪行为问题及影响因素

doi: 10.16835/j.cnki.1000-9817.2021.08.003
基金项目: 

国家自然科学基金项目 81673193

详细信息
    作者简介:

    阿尔孜古丽·喀喀尔(1994-),女,新疆喀什人,在读硕士,主要研究方向为儿童体质和心理健康

    通讯作者:

    陈亚军,E-mail:chenyj68@mail.sysu.edu.cn

  • 中图分类号: B844.2  G444  G478

Emotional and behavioral problems and determinants among primary and middle school students aged 6 to 17-year-old in Guangdong Province during the COVID-19 pandemic

  • 摘要:   目的  了解广东省中小学生新冠肺炎疫情期间情绪行为问题现况及其影响因素,为制定针对性干预措施提供依据。  方法  于2020年3—4月,方便选取广州市、湛江市和中山市7 755名中小学生进行线上问卷调查,采用Conners父母症状问卷(PSQ)评定情绪行为问题,使用自编生活行为方式调查问卷收集中小学生的基本情况和情绪行为问题影响因素。采用χ2检验分析不同性别、学段中小学生情绪行为问题检出率的差异,采用Logistic回归模型分析情绪行为问题影响因素。  结果  广东省6~17岁中小学生情绪行为问题总检出率为14.8%,其中小学低年级学生、小学高年级学生、初中生和高中生情绪行为问题检出率分别为21.0%,14.4%,7.3%和10.1%。男生心身问题、多动指数检出率(3.4%,4.1%)高于女生(2.3%,2.5%),焦虑检出率(2.8%)低于女生(4.9%)(χ2值分别为8.08,14.40,25.38,P值均 < 0.05)。不同学段学生情绪行为问题各因子异常检出率差异均有统计学意义(χ2值分别为88.88,228.00,28.28,85.19,15.66,39.33,P值均 < 0.05)。Logistic回归分析结果显示,男生存在心身问题(OR=1.37,95%CI=1.04~1.82)、多动指数(OR=1.58,95%CI=1.21~2.06)异常的风险高于女生,发生焦虑(OR=0.50,95%CI=0.39~0.64)风险低于女生; 学段是情绪行为问题各因子异常的影响因素。视屏时间过长、睡眠时长不达标的学生更易出现情绪行为问题。  结论  广东省中小学生在新冠肺炎疫情期间情绪行为问题检出率较高,性别、学段、视屏时间和睡眠是中小学生情绪行为问题的影响因素,应进行针对性的分类干预。
  • 表  1  广东省不同性别不同学段学生情绪行为问题各因子检出率比较

    Table  1.   The detection rate of various factors of emotional and behavioral problems among students of different gender and learning stage in Guangdong Province

    组别 选项 人数 统计值 品行行为问题 学习问题 心身问题 冲动-多动 焦虑 多动指数
    性别 4 249 264(6.2) 309(7.3) 143(3.4) 270(6.4) 117(2.8) 173(4.1)
    3 506 210(6.0) 283(8.1) 80(2.3) 240(6.8) 173(4.9) 88(2.5)
    χ2 0.17 1.74 8.08 0.75 25.38 14.40
    P 0.68 0.19 < 0.01 0.39 < 0.01 < 0.01
    学段 小学低年级 2 835 260(9.2) 371(13.1) 78(2.8) 263(9.3) 128(4.5) 141(5.0)
    小学高年级 2 447 140(5.7) 168(6.9) 63(2.6) 172(7.0) 92(3.8) 72(2.9)
    初中 1 728 53(3.1) 42(2.4) 38(2.2) 50(2.9) 39(2.3) 34(2.0)
    高中 745 21(2.8) 11(1.5) 44(5.9) 25(3.4) 31(4.2) 14(1.9)
    χ2 88.88 228.00 28.28 85.19 15.66 39.33
    P < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01
    注: ( )内数字为检出率/%。
    下载: 导出CSV

    表  2  广东省中小学生情绪行为问题影响因素多因素Logistic回归分析(n=7 755)

    Table  2.   Multivariate Logistic analysis of the influencing factors of emotional and behavioral problems among primary and middle school students in Guangdong Province(n=7 755)

    自变量 品行行为问题 学习问题 心身问题
    P OR值(OR值95%CI) P OR值(OR值95%CI) P OR值(OR值95%CI)
    性别
      女 1.00 1.00 1.00
      男 0.95 1.01(0.83~1.22) 0.10 0.87(0.73~1.03) 0.03 1.37(1.04~1.82)
    学段
      高中 1.00 1.00 1.00
      小学低年级 < 0.01 3.47(2.19~5.51) < 0.01 11.06(6.00~20.38) < 0.01 0.50(0.34~0.75)
      小学高年级 0.00 2.07(1.29~3.33) < 0.01 5.25(2.82~9.77) < 0.01 0.47(0.31~0.70)
      初中 0.51 1.19(0.71~2.00) 0.07 1.86(0.95~3.65) < 0.01 0.42(0.26~0.66)
    父亲文化程度
      初中及以下 1.00 1.00 1.00
      高中或中专 0.54 1.09(0.83~1.42) 0.62 0.94(0.74~1.20) 0.62 0.91(0.63~1.32)
      大专或职大 0.67 0.92(0.62~1.35) 0.62 0.92(0.65~1.29) 0.09 0.58(0.31~1.08)
      大学本科及以上 0.14 1.37(0.90~2.08) 0.80 0.95(0.64~1.41) 0.38 1.31(0.72~2.38)
    母亲文化程度
      初中及以下 1.00 1.00 1.00
      高中或中专 0.18 0.83(0.63~1.09) 0.32 0.89(0.70~1.13) 0.30 0.82(0.56~1.20)
      大专或职大 0.75 1.06(0.74~1.53) 0.31 0.84(0.60~1.18) 0.89 1.04(0.60~1.80)
      大学本科及以上 0.99 1.00(0.64~1.54) 0.74 0.93(0.62~1.40) 0.90 0.96(0.50~1.83)
    家庭月总收入/元
      ≤5 000 1.00 1.00 1.00
      >5 000~9 999 0.54 0.92(0.71~1.20) 0.95 0.99(0.78~1.25) 0.52 0.88(0.60~1.29)
      10 000~15 999 0.48 0.89(0.64~1.23) 0.55 0.91(0.67~1.23) 0.38 0.80(0.49~1.31)
      ≥16 000 0.91 1.02(0.72~1.45) 0.51 1.12(0.80~1.55) 0.86 0.95(0.57~1.60)
      拒绝回答 0.45 0.88(0.62~1.23) 0.28 0.84(0.61~1.15) 0.04 1.53(1.02~2.29)
    中高强度体力活动
      达标 1.00 1.00 1.00
      未达标 0.25 1.21(0.88~1.67) 0.83 1.03(0.78~1.36) 0.95 1.01(0.68~1.52)
    平均每天视屏时长≥2 h
      达标 1.00 1.00 1.00
      未达标 < 0.01 2.86(2.33~3.51) < 0.01 2.76(2.29~3.32) < 0.01 1.76(1.33~2.33)
    睡眠时长
      达标 1.00 1.00 1.00
      未达标 < 0.01 1.57(1.22~2.01) < 0.01 1.37(1.10~1.71) 0.11 1.30(0.94~1.81)
    自变量 冲动多动 焦虑 多动指数
    P OR值(OR值95%CI) P OR值(OR值95%CI) P OR值(OR值95%CI)
    性别
      女 1.00 1.00 1.00
      男 0.19 0.88(0.74~1.06) < 0.01 0.50(0.39~0.64) < 0.01 1.58(1.21~2.06)
    学段
      高中 1.00 1.00 1.00
      小学低年级 < 0.01 3.08(2.01~4.72) 0.71 1.08(0.71~1.64) < 0.01 3.00(1.70~5.29)
      小学高年级 < 0.01 2.28(1.47~3.52) 0.52 0.87(0.57~1.33) 0.08 1.70(0.94~3.07)
      初中 0.86 0.96(0.58~1.57) 0.01 0.51(0.32~0.84) 0.49 1.25(0.66~2.37)
    父亲文化程度
      初中及以下 1.00 1.00 1.00
      高中或中专 0.96 1.01(0.78~1.29) 0.07 0.74(0.54~1.03) 0.49 1.13(0.80~1.59)
      大专或职大 0.04 0.67(0.45~0.97) 0.15 0.70(0.43~1.14) 0.20 0.71(0.42~1.20)
      大学本科及以上 0.65 0.91(0.60~1.37) 0.70 0.90(0.52~1.54) 0.76 1.09(0.63~1.90)
    母亲文化程度
      初中及以下 1.00 1.00 1.00
      高中或中专 0.62 0.94(0.72~1.21) 0.17 0.79(0.57~1.11) 0.81 0.96(0.67~1.36)
      大专或职大 0.12 1.32(0.93~1.88) 0.88 0.96(0.60~1.54) 0.14 1.42(0.89~2.27)
      大学本科及以上 0.35 1.23(0.80~1.89) 0.56 0.84(0.47~1.50) 0.88 1.05(0.58~1.90)
    家庭月总收入/元
      ≤5 000 1.00 1.00 1.00
      >5 000~9 999 0.06 0.79(0.61~1.01) 0.34 0.86(0.63~1.18) 0.04 0.69(0.49~0.98)
      10 000~15 999 0.28 0.84(0.62~1.15) 0.91 0.98(0.66~1.45) 0.58 0.89(0.59~1.34)
      ≥16 000 0.54 0.90(0.64~1.26) 0.12 0.68(0.42~1.10) 0.59 0.88(0.55~1.40)
      拒绝回答 0.22 0.82(0.60~1.13) 0.15 0.74(0.50~1.11) 0.44 0.84(0.55~1.30)
    中高强度体力活动
      达标 1.00 1.00 1.00
      未达标 0.56 0.92(0.70~1.22) < 0.01 0.58(0.42~0.80) 0.89 1.03(0.69~1.53)
    平均每天视屏时长≥2 h
      达标 1.00 1.00 1.00
      未达标 < 0.01 2.34(1.93~2.84) < 0.01 1.61(1.26~2.06) < 0.01 3.22(2.43~4.26)
    睡眠时长
      达标 1.00 1.00 1.00
      未达标 0.03 1.29(1.03~1.62) < 0.01 1.70(1.24~2.32) 0.01 1.53(1.10~2.13)
    下载: 导出CSV
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出版历程
  • 收稿日期:  2020-11-29
  • 修回日期:  2021-02-08
  • 网络出版日期:  2021-08-20
  • 刊出日期:  2021-08-25

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