Association between left-behind status and health risk behaviors among adolescents

WANG Chengchen; HOU Hao; DAI Xingyu; YANG Bingxiang; ZHOU Yang

doi:10.16835/j.cnki.1000-9817.2025297

Volume 46 Issue 10

Oct. 2025

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WANG Chengchen, HOU Hao, DAI Xingyu, YANG Bingxiang, ZHOU Yang. Association between left-behind status and health risk behaviors among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(10): 1387-1391. doi: 10.16835/j.cnki.1000-9817.2025297

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WANG Chengchen, HOU Hao, DAI Xingyu, YANG Bingxiang, ZHOU Yang. Association between left-behind status and health risk behaviors among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(10): 1387-1391. doi: 10.16835/j.cnki.1000-9817.2025297

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Association between left-behind status and health risk behaviors among adolescents

doi: 10.16835/j.cnki.1000-9817.2025297

WANG Chengchen^{1, 2},
HOU Hao^{3, 4},
DAI Xingyu³,
YANG Bingxiang^{3, 4},
ZHOU Yang^{1, 2
,
,}

1.
Department of Psychiatry, Wuhan Mental Health Center, Wuhan 430012, Hubei Province, China

Received Date: 2025-03-17
Rev Recd Date: 2025-05-09
Publish Date: 2025-10-25

Abstract

Abstract

Objective To examine the association between the left-behind status and health risk behaviors (HRB) among adolescents, so as to provide empirical evidence for identifying high-risk groups and developing intervention measures for HRB. Methods From October to November 2023, by using a combination of convenient sampling and cluster sampling, 14 964 adolescents from 6 schools in a county-level city in Hubei Province (3 junior high schools and 3 senior high schools) and 7 schools in a county-level city in Hunan Province (all junior high schools) were selected as the research subjects. The adolescents were divided into non-left-behind, father-absent, mother-absent, and both parents absent groups based on their left-behind status. A self-designed adolescent HRB questionnaire was utilized to investigate the prevalence of 12 types of HRBs and their co-existence among the subjects. Multifactorial Logistic regression and unordered multinomial Logistic regression analyses were used to explore the association between the left-behind status of adolescents and the occurrence of individual HRBs as well as the co-existence of multiple HRBs. Results After controlling for gender, age, only child, and subjective socioeconomic status, the results of the multiple factor Logistic regression analysis showed that having father in absence for working was positively associated with screen use long time on school days (OR=1.15, 95%CI=1.05-1.26) and rest days (OR=1.16, 95%CI=1.06-1.26); having mother in absence for working was significantly associated with increased risks of smoking (OR=1.68, 95%CI=1.22-2.32), spending long time on screen during school days (OR=1.19, 95%CI=1.00-1.41)and rest days (OR=1.36, 95%CI=1.16-1.59), skipping breakfast (OR=1.20, 95%CI=1.03-1.39), skipping dinner (OR=1.20, 95%CI=1.01-1.43), not eating fruit (OR=1.34, 95%CI=1.12-1.61), and consuming sugar-sweetened beverages (OR=1.30, 95%CI=1.09-1.55); having both parents in absence for working was positively associated with screen use on rest days (OR=1.51, 95%CI=1.38-1.65), skipping dinner (OR=1.15, 95%CI=1.04-1.27), not eating fruit (OR=1.80, 95%CI=1.62-1.99), and non-suicidal self-injury (OR=1.16, 95%CI=1.04-1.29), and negatively associated with fast food consumption (OR=0.72, 95%CI=0.65-0.79)(all P < 0.05).The results of unordered multiclass Logistic regression analysis showed that mother absence for working was associated with an increased risk of moderate and high co-occurrence of HRBs (OR=1.25, 95%CI=1.06-1.47; OR=1.67, 95%CI=1.30-2.13), both parents absence for working was also positively correlated with a high co-occurrence risk of HRBs (OR=1.29, 95%CI=1.11-1.50) (all P < 0.05). Conclusion Father absence for working is only related to adolescents' screen time, while adolescents with mother absence or both parents absent for working are priority groups for HRB prevention.
- Dangerous behavior,
- Regression analysis,
- Adolescent,
- Questionnaires

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References(25)

References

[1]	张一. 社会生态学风险因素与多基因风险评分的交互作用对青少年健康危害行为聚集的影响[D]. 合肥: 安徽医科大学, 2022. ZHANG Y. The effect of interaction between social ecological risk factors and polygenic risk score on clustering of health risk behaviors in adolescents[D]. Hefei: Anhui Medical University, 2022. (in Chinese)
[2]	杨妍婷, 严琼, 张喆, 等. 上海市2004—2019年青少年健康危险行为特征和变化趋势[J]. 中国学校卫生, 2022, 43(8): 1148-1151. doi: 10.16835/j.cnki.1000-9817.2022.08.007 YANG Y T, YAN Q, ZHANG Z, et al. Characteristics and trends of adolescents health risk behaviors in Shanghai from 2004 to 2019[J]. Chin J Sch Health, 2022, 43(8): 1148-1151. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.007
[3]	LIDAN L, FANG Y, CHENGRONG D, et al. Changing patterns and development challenges of child population in China[J]. Popul Res, 2018, 42(3): 65.
[4]	刘刚, 卢金逵, 徐菡, 等. 留守、非留守与随迁中学生健康危险行为比较[J]. 体育科学研究, 2022, 26(3): 12-18, 32. LIU G, LU J K, XU H, et al. A comparative study on health risk behaviors of left-behind, non-left-behind and migrant middle school students[J]. Phys Sci Res, 2022, 26(3): 12-18, 32. (in Chinese)
[5]	WANG F, LU J, LIN L, et al. Mental health and risk behaviors of children in rural China with different patterns of parental migration: a cross-sectional study[J]. Child Adolesc Psychiatry Ment Health, 2019, 13: 39. doi: 10.1186/s13034-019-0298-8
[6]	GOODMAN E, ADLER N E, KAWACHI I, et al. Adolescents' perceptions of social status: development and evaluation of a new indicator[J]. Pediatrics, 2001, 108(2): e31.
[7]	中华人民共和国国务院关于加强农村留守儿童关爱保护工作的意见[EB/OL]. (2016-02-04)[2024-07-30]. Available from: https://www.gov.cn/zhengce/zhengceku/2016-02/14/content_5041066.htm.
[8]	高树玲, 陈高凌. 多重创伤经历与绝望感对农村留守与非留守儿童抑郁的影响[J]. 湖北社会科学, 2022(12): 64-72. GAO S L, CHEN G L. Effects of multiple traumatic experiences and despair on depression of left-behind and non-left-behind children in rural areas[J]. Hubei Soc Sci, 2022(12): 64-72. (in Chinese)
[9]	朱佳珮. 青少年危险行为因素监测(YRBS)现状[J]. 中国学校卫生, 2005, 26(10): 876-878. ZHU J P. Current status of Youth Risk Behavior Surveillance (YRBS)[J]. Chin J Sch Health, 2005, 26(10): 876-878. (in Chinese)
[10]	梁德清. 高校学生应激水平及其与体育锻炼的关系[J]. 中国心理卫生杂志, 1994, 8(1): 5-6. LIANG D Q. Stress level of college students and its relationship with physical exercise[J]. Chin Ment Health J, 1994, 8(1): 5-6. (in Chinese)
[11]	石绪亮, 朱亚, 董江雪, 等. 自杀行为问卷—修订版(SBQ-R)在中国大学生群体中的信效度检验[J]. 中国健康心理学杂志, 2021, 29(4): 593-597. SHI X L, ZHU Y, DONG J X, et al. Reliability and validity of the Suicidal Behaviors Questionnaire-Revised (SBQ-R) in Chinese college students[J]. China J Health Psychol, 2021, 29(4): 593-597. (in Chinese)
[12]	张莹莹. 青少年恋爱相关问题、父母教养方式与非自杀性自伤的关联研究[D]. 济南: 山东大学, 2023. ZHANG Y Y. Association study on romantic relationship problems, parenting style, and non-suicidal self-injury in adolescents[D]. Jinan: Shandong University, 2023. (in Chinese)
[13]	翟娅妮, 王雪莱, 万宇辉, 等. 青少年生物节律紊乱与健康危险行为共存的相关性[J]. 中国学校卫生, 2024, 45(4): 470-474. doi: 10.16835/j.cnki.1000-9817.2024124 ZHAI Y N, WANG X L, WAN Y H, et al. Association between biorhythm disorders and the co-occurrence of health-risk behaviors in adolescence[J]. Chin J Sch Health, 2024, 45(4): 470-474. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024124
[14]	李圣瑜. 调查数据缺失值的多重插补研究[D]. 石家庄: 河北经贸大学, 2015. LI S Y. Study on multiple imputation of missing data in the survey data[D]. Sijiazhuang: Hebei University of Economics and Business, 2015. (in Chinese)
[15]	刘靖. 非农就业、母亲照料与儿童健康: 来自中国乡村的证据[J]. 经济研究, 2008, 43(9): 136-149. LIU J. Non-farm work, maternal care, and child health: evidence from rural China[J]. Econ Res J, 2008, 43(9): 136-149. (in Chinese)
[16]	吉园依, 徐寰宇, 张宇, 等. 四川省农村留守儿童健康危险行为潜类别分析[J]. 中国公共卫生, 2017, 33(9): 1297-1301. JI Y Y, XU H Y, ZHANG Y, et al. Health risk behaviors among rural left-behind children in Sichuan Province: a latent class analysis[J]. Chin J Public Health, 2017, 33(9): 1297-1301. (in Chinese)
[17]	王家军. 埃里克森人格发展理论与儿童健康人格的培养[J]. 学前教育研究, 2011(6): 37-40. WANG J J. Eriksson's theory of personality development and the cultivation of children's healthy personality in children[J]. Stud Presch Educ Res, 2011(6): 37-40. (in Chinese)
[18]	LIU L J, SUN X, ZHANG C L, et al. A survey in rural China of parent-absence through migrant working: the impact on their children's self-concept and loneliness[J]. BMC Public Health, 2010, 10(1): 32. doi: 10.1186/1471-2458-10-32
[19]	司帅, 张萌, 杨紫欣, 等. 情绪控制在青少年父母心理控制和人际和谐间的中介作用[J]. 中华行为医学与脑科学杂志, 2024, 33(4): 329-334. SI S, ZHANG M, YANG Z X, et al. The mediating role of emotional control between adolescent parents' psychological control and interpersonal harmony[J]. Chin J Behav Med Brain Sci, 2024, 33(4): 329-334. (in Chinese)
[20]	董光恒, 杨丽珠, 邹萍. 父亲在儿童成长中的家庭角色与作用[J]. 中国心理卫生杂志, 2006, 20(10): 689-691. DONG G H, YANG L Z, ZOU P. The family role and function of father in children's growth[J]. Chin Ment Health J, 2006, 20(10): 689-691. (in Chinese)
[21]	占萍萍, 古静静, 王金良. 父母教养方式类型与青少年网络成瘾的关系: 认知情绪调节策略的中介作用[J]. 心理与行为研究, 2023, 21(6): 776-783. ZHAN P P, GU J J, WANG J L. The relationship between parenting types and adolescent Internet addiction: the mediating role of cognitive emotion regulation strategies[J]. Stud Psychol Behav, 2023, 21(6): 776-783. (in Chinese)
[22]	纪颖, 何欢, 李子耕, 等. 家庭因素对农村留守儿童饮食行为的影响[J]. 中国学校卫生, 2020, 41(1): 32-35. doi: 10.16835/j.cnki.1000-9817.2020.01.009 JI Y, HE H, LI Z G, et al. Association between family factors with dietary behaviors of left-behind children in rural China[J]. Chin J Sch Health, 2020, 41(1): 32-35. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.01.009
[23]	DE WINTER A F, VISSER L, VERHULST F C, et al. Longitudinal patterns and predictors of multiple health risk behaviors among adolescents: the TRAILS study[J]. Prev Med, 2016, 84: 76-82. doi: 10.1016/j.ypmed.2015.11.028
[24]	徐涛, 余静, 张天成, 等. 贵州省农村初中生危害健康行为共存状况及与自我控制相关性研究[J]. 中国预防医学杂志, 2023, 24(9): 935-940. XU T, YU J, ZHANG T C, et al. Co-occurrence of health risk behaviors and its association with self-control among secondary school students in rural areas in Guizhou Province[J]. Chin Prev Med, 2023, 24(9): 935-940. (in Chinese)
[25]	XIAO Y, CHEN Y, MENG Q, et al. Suicide ideation and suicide plan in Chinese left-behind children: prevalence and associated factors[J]. J Affect Disord, 2019, 257: 662-668. doi: 10.1016/j.jad.2019.07.072