大学生非故意伤害发生特征及其与性取向和性别认同的关联

李如钰; 周小丁; 高琦; 成佩霞; 祝慧萍

doi:10.16835/j.cnki.1000-9817.2025251

大学生非故意伤害发生特征及其与性取向和性别认同的关联

doi: 10.16835/j.cnki.1000-9817.2025251

1.
首都医科大学公共卫生学院流行病与卫生统计学系，北京 100069
2.
首都医科大学公共卫生学院儿少卫生与妇幼保健学系

详细信息

作者简介:
李如钰(1999-)，女，山东泰安人，在读硕士，主要研究方向为伤害和精神卫生流行病学

通讯作者:
祝慧萍，E-mail：zhuhuiping@ccmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: C913.5 B844.2 R167
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出版历程
- 收稿日期: 2025-02-05
- 修回日期: 2025-04-08
- 网络出版日期: 2025-10-10
- 刊出日期: 2025-09-25

Characteristics of unintentional injury among college students and its association with sexual orientation and gender identity

1.
Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, China

摘要

摘要: 目的分析大学生非故意伤害的发生与性取向和性别认同之间的关联，为制定有针对性的伤害预防措施和干预策略提供科学依据。方法 2023年10月24日至11月18日，采用方便抽样方法从北京市2所普通高等学校抽取1 629名大学生进行问卷调查。采用自编伤害调查表了解大学生性别认同、性取向和过去1年非故意伤害的发生情况，同时采用症状自评量表(SCL-90)、匹兹堡睡眠质量指数(PSQI)、童年创伤问卷(CTQ)、特拉华欺凌受害量表(DBVS-S)评估其心理健康、睡眠质量、童年创伤和同辈欺凌状况，并进行性取向及性别认同分类。组间比较采用t检验和χ²检验，采用多因素Logistic回归分析不同性别认同与性取向大学生非故意伤害的发生风险。结果大学生非故意伤害发生率为16.94%，男生(17.08%)高于女生(16.90%)。与未发生非故意伤害的人群相比，发生非故意伤害者的睡眠质量和心理健康状况更差(t值分别为-3.92，-4.26)；是否有非自杀性自伤、人际暴力、童年创伤以及不同性别取向和性别认同大学生非故意伤害发生率差异均有统计学意义(χ²值分别为28.75，75.18，9.83，16.20，4.13)(P值均 < 0.05)。多因素Logistic回归分析结果显示，在调整年龄、性别、体质量指数等混杂因素后，非异性恋大学生发生非故意伤害风险增加(OR=1.61，95%CI=1.09~2.38)；既往曾有非自杀性自伤行为(OR=2.10，95%CI=1.02~4.37)和较差的心理健康状况(OR=1.54，95%CI=1.05~2.27)的非异性恋大学生发生非故意伤害风险增加(P值均 < 0.05)。结论大学生非故意伤害发生率较高，非异性恋群体非故意伤害发生风险增加，心理健康状况和非自杀性自伤行为是非异性恋大学生发生非故意伤害的相关因素。
- 创伤和损伤 /
- 同性恋 /
- 异性恋 /
- 回归分析 /
- 学生
Abstract: Objective To analyze the occurrence of unintentional injuries among college students and their association with sexual orientation and gender identity, so as to provide a targeted scientific basis for injury prevention measures and intervention strategies. Methods From October 24 to November 18, 2023, a sample of 1 629 college students from two general universities in Beijing was selected using convenience sampling method. A questionnaire survey was conducted to collect information on the gender identity, sexual orientation and occurrence of unintentional injuries among college students in the past year. The Symptom Checklist-90 (SCL-90), Pittsburgh Sleep Quality Index (PSQI), Childhood Trauma Questionnaire (CTQ), and Delaware Bullying Victimization Scale-Student (DBVS-S) were used to assess mental health, sleep quality, childhood trauma, and dysfunctional impulsivity status. Analyses of sexual orientation and gender identity were conducted. The t-test and Chi-square test were used for intergroup comparison, and multivariate Logistic regression analysis was used to examine risk factors for unintentional injuries among college students of different gender identities. Results The incidence rate of unintentional injuries among college students was 16.94%, with boys (17.08%) being higher than girls (16.90%). Compared with those who did not experience unintentional injuries (5.28±3.60, 118.68±41.38), college students who experienced unintentional injuries had poorer sleep quality and mental health status (6.38±3.93, 135.59±50.96)(t=-3.92, -4.26); the differences in the incidence of unintentional injury among college students with non-suicidal self-injury, interpersonal violence, childhood trauma, and different sexual orientations and gender identities were all statistically significant (χ²=28.75, 75.18, 9.83, 16.20, 4.13) (all P < 0.05). Multivariate Logistic regression analysis showed that after adjusting for age, gender and body mass index, non-heterosexual orientation increased the risk of unintentional injuries (OR=1.61, 95%CI=1.09-2.38), whereas existing non-suicidal self-injury behaviors (OR=2.10, 95%CI=1.02-4.37) and poorer mental health status (OR=1.54, 95%CI=1.05-2.27) increased the risk of unintentional injuries among non-heterosexual college students (all P < 0.05). Conclusions The incidence rate of unintentional injuries among college students is relatively high, with non-heterosexual groups having increased risk of unintentional injuries. Mental health status and non-suicidal self-injury behaviors are important factors related to unintentional injuries among non-heterosexual college students.
- Wounds and injuries /
- Homosexuality /
- Heterosexuality /
- Regression analysis /
- Students
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表 1 不同人口学特征大学生非故意伤害发生率比较

Table 1. Comparison of incidence rate of unintentional injury among college students with different demographic characteristics

人口学指标	选项	人数	非故意伤害人数	χ²值	P值
性别	男	404	69(17.08)	0.01	0.99
	女	1 225	207(16.90)
民族	汉族	1 299	230(17.71)	2.44	0.12
	少数民族	330	46(13.94)
居住地	城市	1 059	187(17.66)	0.96	0.33
	农村	570	89(15.61)
非自杀性自伤	否	1 538	242(15.73)	28.75	< 0.01
	是	91	34(37.36)
人际暴力	否	1 601	252(15.74)	75.18	< 0.01
	是	28	24(85.71)
同辈欺凌	否	1 323	217(16.40)	1.26	0.26
	是	306	59(19.28)
童年创伤	否	1 145	173(15.11)	9.83	< 0.01
	是	484	103(21.28)
性取向	异性恋	1 172	168(14.33)	16.20	< 0.01
	双性恋	160	40(25.00)
	同性恋	52	11(21.15)
	无性恋	87	21(24.14)
性别认同	顺性别	1 471	240(16.32)	4.13	0.04
	TGNC	158	36(22.78)
注： ()内数据为发生率/%。

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表 2 非异性恋大学生发生非故意伤害相关因素的Logistic回归分析(n=299)

Table 2. Logistic regression analysis of related factors of unintentional injury in among non-heterosexual college students(n=299)

自变量	β值	标准误	Wald χ²值	OR值(95%CI)	P值
年龄	0.06	0.11	0.28	1.06(0.86~1.30)	0.60
BMI	0.01	0.03	0.18	1.01(0.95~1.08)	0.67
生理性别	-0.20	0.46	0.18	0.82(0.33~2.04)	0.67
居住地	-0.52	0.36	2.02	0.60(0.29~1.22)	0.16
非自杀性自伤	0.74	0.37	3.93	2.10(1.02~4.37)	0.05
心理健康状况	0.43	0.20	4.76	1.54(1.05~2.27)	0.03
睡眠质量	-0.09	0.05	2.61	0.92(0.83~1.02)	0.11
同辈欺凌	0.62	0.37	2.87	1.86(0.91~3.83)	0.09
童年创伤	-0.03	0.36	0.01	0.97(0.48~1.96)	0.93
注：年龄、BMI、心理健康状况和睡眠质量得分为连续型变量，生理性别、居住地、有无非自杀性自伤、同辈欺凌、童年创伤分别以男性、城市、无非自杀性自伤、无同辈欺凌、无童年创伤为参照。

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