摘要:
探索童年期同伴躯体暴力受害与青少年健康危险行为的关联,为进一步开展促进青少年健康的干预措施提供依据.方法 采用自填式不记名问卷调查方法,在北京及河南的2所高等职业院校抽取1 349名学生进行调查.结果 有29.43%报告在小学或初中有过下列1项或以上同伴躯体暴力受害的经历:被同学徒手打(24.31%)、被同学用书本/文具打(16.38%)和被同学用木棍或其他物品打(5.86%);男生报告率高于女生(43.22%,17.20%).多因素分析显示,男生(OR=3.39)、16岁前多数时间缺少父母双亲共同陪伴(OR=1.38)、家庭贫困(OR=1.45)是中小学同伴躯体暴力受害的危险因素.校正一般人口学因素后,中小学有同伴躯体暴力受害经历的儿童相对于没有该经历的儿童,在调查前12个月内忧郁或无望(OR=2.23)、自杀意念(OR=3.84)、自杀计划(OR=3.59)、醉酒(OR=1.38)、打架斗殴(OR=1.93)、调查前30 d内吸烟(OR=1.56)、饮酒(OR=1.42)、不健康减重行为(OR=2.62~2.85)的风险明显增高.结论 中小学同伴躯体暴力受害是青少年健康相关危险行为的危险因素.应该提高校园暴力对受害儿童心理健康影响的认识,重视校园暴力的预防工作.
关键词:
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暴力 /
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危险行为 /
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精神卫生 /
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青少年
Abstract:
Objective To investigate the prevalence of childhood peer physical violence victimization and to explore its associations with health-related risk behaviors in adolescents.Methods A self-administered questionnaire survey was conducted in adolescents from two higher vocational schools in Beijing and Henan province.Results Of the 1 349 students surveyed,29.43%reported having suffered one or more of the following peer physical violence victimization in primaiy school or secondary school:24.31% being beaten by hand,16.38% being hit by books or stationery and 5.86% being beaten with sticks or other items.The prevalence was significantly higher in boys than girls (43.22% vs.17.20%).Multivariate analysis showed that being male(OR =3.390),living without the company of both parents most of the time before 16 years old(OR=1.377) and having lower social economic status(OR =1.446) were risk factors for peer physical violence victimization.Logistic regression analysis indicated that,compared with respondents who reported no childhood peer physical violence victimization experiences,those who reported childhood peer physical violence victimization experiences were at significantly increased risk of many health-related risk behaviors,eg.feeling sad or hopeless(OR =2.232),suicidal ideation(OR =3.835),suicidal attempt(OR =3.587),getting drunk(OR =1.376),fighting (OR=1.930) during the past 12 months,smoking(OR=1.559),drinking(OR=1.421),unhealthy weight loss behaviors(OR=2.617-2.853) during the past 30 days and depressive symptoms(OR=2.763) after adjusting for general demographic factors.Conclusion Child who survived peer physical violence victimization in primary and secondary school is risk behaviors in adolescence,suggesting that awareness be raised of the impact of campus violence on the psychological health of the victimized children and attention should be paid to the prevention of campus violence.
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