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校园欺凌与女生月经初潮年龄提前的相关性

周可静 熊华利 唐大乂

周可静, 熊华利, 唐大乂. 校园欺凌与女生月经初潮年龄提前的相关性[J]. 中国学校卫生, 2023, 44(9): 1355-1359. doi: 10.16835/j.cnki.1000-9817.2023.09.017
引用本文: 周可静, 熊华利, 唐大乂. 校园欺凌与女生月经初潮年龄提前的相关性[J]. 中国学校卫生, 2023, 44(9): 1355-1359. doi: 10.16835/j.cnki.1000-9817.2023.09.017
ZHOU Kejing, XIONG Huali, TANG Dayi. Association between school bullying and the early age at menarche among girls[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1355-1359. doi: 10.16835/j.cnki.1000-9817.2023.09.017
Citation: ZHOU Kejing, XIONG Huali, TANG Dayi. Association between school bullying and the early age at menarche among girls[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1355-1359. doi: 10.16835/j.cnki.1000-9817.2023.09.017

校园欺凌与女生月经初潮年龄提前的相关性

doi: 10.16835/j.cnki.1000-9817.2023.09.017
基金项目: 

重庆市荣昌区卫生健康委卫生计划项目 荣卫发〔2022〕第43号

详细信息
    作者简介:

    周可静(1989-),女,重庆市荣昌人,大学本科,主管医师,主要从事学校卫生工作

    通讯作者:

    熊华利,E-mail:woaibbs@126.com

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: G478  R179  G444

Association between school bullying and the early age at menarche among girls

  • 摘要:   目的  分析校园欺凌与女生月经初潮年龄(age at menarche, AAM)提前的相关性,为促进女生青春期健康成长提供参考。  方法  2022年4月采用分层随机整群抽样的方法,在重庆市荣昌区全区范围内选择987名月经来潮中学女生为调查对象,开展问卷调查和体格检查。使用t检验,方差分析,Dunnett-t检验分析经历校园欺凌与AAM的组间差异,采用多因素Logistic回归分析经历校园欺凌与AAM提前的相关性。  结果  987名月经来潮女生的平均AAM为(12.13±1.03)岁,AAM提前检出率为22.90%。未经历欺凌事件与经历欺凌事件女生的AAM分别为(12.18±0.96)(11.86±1.44)岁,差异有统计学意义(t=3.71,P<0.01);经历1,2,3种及以上校园欺凌事件的平均AAM分别为(12.08±1.38)(11.74±1.07)(11.61±1.63)岁;未经历校园欺凌事件与经历1,2,3种及以上女生的AAM差异有统计学意义(F=6.99,P<0.01)。多因素Logistic回归分析发现,调整混杂因素后,经历校园欺凌事件(OR=2.71,95%CI=2.04~4.27)、被有意排斥在集体活动之外或被孤立(OR=2.58,95%CI=1.69~4.67)、被打、踢、推、挤或关在屋里(OR=2.85,95%CI=1.39~4.92)、因为身体缺陷或长相而被取笑(OR=2.74,95%CI=1.77~5.02)、经历1种校园欺凌事件(OR=2.33,95%CI=1.52~4.23)、经历2种校园欺凌事件(OR=3.36,95%CI=1.82~7.36)、经历3种及以上校园欺凌事件(OR=2.89,95%CI=1.74~5.71)均与女生AAM提前相关(P值均<0.05)。  结论  校园欺凌与女生AAM提前相关,加强学校防欺凌教育对于促进女生青春期健康生长发育具有重要意义。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  不同组别女生AAM提前检出率比较

    Table  1.   Comparison on detection rate of early age at menarche among different groups

    组别 人数 AAM提前检出人数 χ2 P
    年龄/岁
       12~15 558 161(28.85) 25.79 <0.01
       16~18 429 65(15.15)
    家庭结构
       和父母同时居住 511 113(22.11) 0.37 0.54
       其他类型 476 113(23.74)
    住校
       否 256 82(32.03) 16.33 <0.01
       是 731 144(19.70)
    吃油炸食物频率/(次·d-1)
       0 316 67(21.20) 0.50 0.48
       <1 626 149(23.80)
       ≥1 45 10(22.22)
    喝含糖饮料频率/(次·d-1)
       0 250 50(20.00) 1.95 0.16
       <1 658 155(23.56)
       ≥1 79 21(26.58)
    吃新鲜水果频率/(次·d-1)
       0 105 24(22.86) 1.51 0.22
       <1 380 82(21.58)
       1 378 83(21.96)
       ≥2 124 37(29.84)
    吃新鲜蔬菜频率/(次·d-1)
       0 83 19(22.89) 0.32 0.58
       <1 177 54(30.51)
       1 429 78(18.18)
       ≥2 298 75(25.17)
    每天吃早餐情况
       不吃 19 7(36.84) 4.75 0.03
       有时吃 208 56(26.92)
       天天吃 760 163(21.45)
    BMI分类
       消瘦 20 3(15.00) 22.46 <0.01
       正常 729 143(19.62)
       超重 178 54(30.34)
       肥胖 60 26(43.33)
    高血压
       否 711 140(19.69) 14.81 <0.01
       是 276 86(31.16)
    经历校园欺凌事件
       否 825 165(20.00) 23.91 <0.01
       是 162 61(37.65)
    被恶意取笑
       从未 876 180(20.55) 24.36 <0.01
       有时/经常 111 46(41.44)
    被索要财物
       从未 953 213(22.35) 4.69 0.03
       有时/经常 34 13(38.24)
    被有意排斥在集体活动之外或被孤立
       从未 915 198(21.64) 11.25 <0.01
       有时/经常 72 28(38.89)
    被威胁恐吓
       从未 947 211(22.28) 5.04 0.03
       有时/经常 40 15(37.50)
    被打、踢、推、挤或关在屋里
       从未 961 215(22.37) 5.70 0.02
       有时/经常 26 11(42.31)
    因为身体缺陷或长相而被取笑
       从未 920 199(21.63) 12.33 <0.01
       有时/经常 67 27(40.30)
    校园欺凌事件合计/种
       0 825 165(20.00) 21.88 <0.01
       1 76 26(34.21)
       2 35 15(42.86)
       ≥3 51 20(39.22)
    注:()内数字为检出率/%。
    下载: 导出CSV

    表  2  校园欺凌与女生AAM提前的Logistic回归分析(n=987)

    Table  2.   Logistic analysis between school bullying and early AAM among girls(n=987)

    自变量 选项 模型1 模型2
    β 标准误 Wald χ2 OR值(95%CI) β 标准误 Wald χ2 OR值(95%CI)
    经历校园欺凌事件 0.88 0.18 5.81 2.42(1.68~3.47)* 0.99 0.23 7.34 2.71(2.04~4.27)*
    被恶意取笑 有时/经常 1.01 0.21 6.64 2.74(1.81~4.13)* 0.21 0.30 9.41 1.23(0.82~2.21)
    被索要财物 有时/经常 0.77 0.36 11.42 2.15(1.06~4.37)* 0.30 0.29 9.04 1.35(0.68~2.37)
    被有意排斥在集体活动之外或被孤立 有时/经常 0.84 0.26 8.06 2.30(1.40~3.80)* 0.95 0.30 9.56 2.58(1.69~4.67)*
    被威胁恐吓 有时/经常 0.74 0.34 10.61 2.09(1.08~4.04)* 0.21 0.22 6.85 1.23(0.79~1.89)
    被打踢推挤或关在屋里 有时/经常 0.93 0.41 12.79 2.54(1.15~5.62)* 1.05 0.28 8.80 2.85(1.39~4.92)*
    因为身体缺陷或长相而被取笑 有时/经常 0.89 0.26 8.27 2.45(1.46~4.08)* 1.01 0.31 9.78 2.74(1.77~5.02)*
    经历校园欺凌事件/种 1 0.73 0.26 8.12 2.08(1.26~3.44)* 0.85 0.31 9.63 2.33(1.52~4.23)*
    2 1.10 0.35 9.71 3.00(1.50~5.99)* 1.21 0.40 12.65 3.36(1.82~7.36)*
    ≥3 0.95 0.30 10.01 2.58(1.43~4.64)* 1.06 0.35 10.99 2.89(1.74~5.71)*
    注:模型1为未调整混杂因素,模型2为调整年龄、家庭结构、住校、饮食情况、BMI分类、高血压因素;*P<0.05。
    下载: 导出CSV
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  • 收稿日期:  2023-05-19
  • 修回日期:  2023-07-04
  • 网络出版日期:  2023-09-28
  • 刊出日期:  2023-09-25

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