摘要:
了解中学生心理亚健康和手机使用依赖行为对意外伤害的影响,为青少年意外伤害的防控提供参考.方法 2015年11月-2016年1月采用分层整群抽样方法,在沈阳、蚌埠、新乡、乌兰察布、重庆和阳江市抽取22 628名初、高中学生为研究对象.采用“青少年亚健康多维评定问卷”“青少年手机使用依赖自评问卷”“伤害行为问卷”进行问卷调查.结果 中学生意外伤害的总体检出率为46.7%,其中擦伤、跌落伤、割伤3种伤害检出率分别为29.4%,19.7%,16.3%.心理亚健康组青少年和无心理亚健康组总意外伤害、擦伤、跌落伤、割伤检出率分别为55.1%和43.3%,34.8%和27.1%,26.0%和17.2%,23.0%和13.6%,差异均有统计学意义(x2值分别为261.62,134.12,228.63,302.79,P值均<0.01).有手机使用依赖行为的青少年和无手机使用依赖行为组总意外伤害、擦伤、跌落伤、割伤检出率分别为53.6%和44.4%,33.2%和28.0%,25.5%和17.8%,21.6%和14.5%,差异均有统计学意义(x2值分别为145.09,55.21,163.92,160.24,P值均<0.01).多因素Logistic回归分析显示,心理亚健康和手机使用依赖是意外伤害的独立危险因素,两者交互作用有增加意外伤害的发生风险.结论 青少年心理亚健康和手机使用依赖是意外伤害的重要影响因素,关注心理亚健康和手机使用依赖有益于意外伤害的防控.
关键词:
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依赖 /
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行为 /
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创伤和损伤 /
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便携式电话 /
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学生
Abstract:
Objective The present study aimed to determine the prevalence of unintentional injuries and examined psychopathological sub-healthy status and problematic mobile phone use with unintentional injuries in middle schools students,and to provide reference for its controlling and to prevention.Methods A total of 22 628 junior and high school students selected from Shenyang,Bengbu,Xinxiang,Ulanqua,Chongqing and Yangjiang in China were enrolled in this study from November 2015 to January 2016.Psychopathological sub-healthy status,PMPU,and unintentional injuries were measured with multidimensional sub-health questionnaire of adolescents (MSQA),self-rating questionnaire for adolescent problematic mobile phone use(SQAPMPU),and the questionnaire of unintentional injurious.Results The prevalence of unintentional injuries was 46.7%,the prevalence of scratch,falls,and cut were 29.4%,19.7%,16.3%,respectively.The prevalence of total unintentional injurious,scratch,falls,and cut among psychopathological sub-healthy status and control group were 55.1% vs 43.3%,34.8% vs 27.1%,26.0% vs 17.2%,23.0% vs 13.6%,respectively,and the difference was statistically significant(x2 =261.62,134.12,228.63,302.79,P<0.01).The prevalence of total unintentional injurious,scratch,falls,and cut among problematic mobile phone use and control group were 53.6% vs 44.4%,33.2% vs 28.0%,25.5% vs 17.8%,21.6% vs 14.5%,the difference was statistically significant(x2 =145.09,55.21,163.92,160.24,P<0.01).According to univariate logistic regression analysis,psychopathological sub-healthy status and problematic mobile phone use were independent risk factor for unintentional injurious.The interaction between them significantly increased the risk of unintentional injurious.Conclusion Adolescent psychopathological sub-healthy status and problematic mobile phone use are important factors in unintentional injurious,and concerning about the psychopathological sub-healthy status and problematic mobile phone use are beneficial to the prevention and control work of unintentional injurious.
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