青少年饮酒与自伤行为关系

归冰; 何影; 卢葳; 董玲玲; 杨宏; 朱兴采; 王仁利

doi:10.16835/j.cnki.1000-9817.2021.07.021

青少年饮酒与自伤行为关系

doi: 10.16835/j.cnki.1000-9817.2021.07.021

归冰¹,
何影^2, ,,
卢葳³,
董玲玲¹,
杨宏¹,
朱兴采¹,
王仁利¹

1.
凉山州第一人民医院皮肤科, 四川西昌 615000
2.
四川省医学科学院/四川省人民医院心身医学中心
3.
四川省医学科学院/四川省人民医院皮肤科

基金项目:

四川省医学会项目 S17038

详细信息

作者简介:
归冰(1977-)，女，四川西昌人，大学本科，副主任医师，主要从事皮肤性病工作

通讯作者:
何影，E-mail：heyinger@126.com

中图分类号: R179 G478 G444
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- 被引次数: 0
出版历程
- 收稿日期: 2021-02-23
- 修回日期: 2021-04-01
- 网络出版日期: 2021-07-23
- 刊出日期: 2021-07-25

Association of drinking behavior and self-injury behavior in adolescents

1.
Dermatological Depart, First People's Hospital of Liangshan, Xichang (615000), Sichuan Province, China

摘要

摘要: 目的探讨青少年饮酒行为与自伤行为的关系, 为相关部门预防青少年饮酒与自伤行为提供参考依据。方法使用饮酒行为问卷及自伤行为问卷收集饮酒与自伤信息, 对四川省凉山州整群抽取的4所中学9 247名中学生进行调查。采用单因素和多因素Logistic回归分析, 对饮酒行为和自伤行为关系进行分析。结果在9 247名初高中学生中, 尝试饮酒者占52.8%(4 885/9 247), 现在饮酒者占24.9%(2 304/9 247), 近1年有醉酒行为者占14.6%(1 350/9 247)。初次饮酒平均年龄为(12.47±3.05)岁。有自伤行为者占47.2%(4 400/9 247)。男生开始饮酒年龄越小(OR=1.52)、有醉酒行为(OR=1.35)及近期饮酒更频繁(OR=1.54)增加自伤发生率。女生开始饮酒年龄越小(OR=1.69)、有醉酒行为(OR=1.82)及家居城镇者(OR=1.20), 自伤风险更高。结论开始饮酒年龄越小、醉酒行为及频繁饮酒会增加青少年自伤风险, 且风险存在性别差异。
- 饮酒 /
- 自我伤害行为 /
- 精神卫生 /
- 回归分析 /
- 青少年
Abstract: Objective To explore the association between drinking behavior and self-injury behavior in adolescents. Methods A total of 9 247 students from 4 middle schools were investigated. Drinking behavior and self-injury behavior were collected from questionnaire survey. Univariate and multivariate Logistic regression analysis were used to analyze the relationship between drinking behavior and self-injury behavior. Results Among the 9 247 middle school students, 52.8% reported ever drinking, 24.9% reported drinking behavior in the past 30 days, and 14.6% reported been drunk in the past year. The average age of drinking for the first time was 12.47±3.05. About 47.2% of the participants had self-injury behavior. Male with younger drinking age (OR=1.52), had been drunken (OR=1.35) and frequent drinking (OR=1.54) increased the incidence of self-injury. Female reported drinking at younger age (OR=1.69), had been drunk (OR=1.82) and lived in cities and towns (OR=1.20) had a higher risk of self-injury. Conclusion Drinking at younger age, heavy and frequent drinking are associated with higher risk of self-injury in adolescents in sex-specific fashion.
- Alcohol drinking /
- Self-injurious behavior /
- Mental health /
- Regression analysis /
- Adolescent

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表 1 不同性别中学生自伤行为检出率比较

Table 1. Comparison of self-injury behaviors between male and female students

性别	人数	故意打自己	故意拉扯头发	故意撞头	故意咬伤自己	故意烫伤自己	故意掐身体肌肉	故意抓伤自己	故意割伤自己
男	4 521	1 004(22.2)	1 361(30.1)	882(19.5)	995(22.0)	348(7.7)	1 049(23.2)	543(12.0)	506(11.2)
女	4 726	1 063(22.5)	1 229(26.0)	832(17.6)	1 290(27.3)	288(6.1)	1 574(33.3)	747(15.8)	657(13.9)
χ²值		0.13	18.42	5.55	34.79	8.80	116.20	27.39	15.36
P值		0.71	0.00	0.02	0.00	0.00	0.00	0.00	0.00
注： ()内数字为检出率/%。

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表 2 不同组别中学生自伤行为检出率比较

Table 2. Comparison of self injurious behaviors among middle school students in different groups

组别	选项	人数	自伤行为人数	χ²值	P值
性别	男	4 521	2 024(44.8)	28.53	0.00
	女	4 726	2 376(50.3)
居住地	城镇	2 883	1 456(50.5)	14.65	0.00
	农村	6 372	2 944(46.2)
家庭经济收入	高	628	282(44.9)	3.25	0.20
	中	4 996	2 358(47.2)
	低	3 629	1 760(48.5)
年龄/岁	< 14	1 630	717(44.0)	16.29	0.00
	14~16	5 062	2 394(47.3)
	>16	3 047	1 289(42.3)
首次饮酒年龄/岁	< 16	2 777	1 544(55.6)	107.58	0.00
	≥16	6 752	2 856(42.3)
近1年是否醉酒	否	7 829	3 617(46.2)	68.53	0.00
	是	1 332	783(58.8)
近30 d饮酒天数/d	< 3	8 047	3 758(46.7)	41.82	0.00
	≥3	1 124	642(57.1)
注： ()内数字为检出率/%；部分项目应答存在缺失值。

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表 3 青少年自伤行为多因素Logistic回归分析

Table 3. Multivariate Logistic regression analysis of risk factors of self-injury behavior in male and female students

自变量	选项	男生(n=4 521)				女生(n=4 726)
自变量	选项	偏回归系数	标准误	OR值(OR值95%CI)	P值	偏回归系数	标准误	OR值(OR值95%CI)	P值
年龄/岁	< 14			1.00				1.00
	14~16	0.10	0.09	1.11(0.93~1.33)	0.25	-0.05	0.09	0.95(0.80~1.12)	0.55
	>16	0.22	0.11	1.25(1.01~1.54)	0.04	0.08	0.10	1.08(0.88~1.32)	0.46
居住地	农村			1.00				1.00
	城镇	0.03	0.08	1.03(0.89~1.20)	0.69	0.18	0.08	1.20(1.03~1.39)	0.02
首次饮酒年龄/岁	≥16			1.00				1.00
	< 16	0.42	0.08	1.52(1.29~1.78)	0.00	0.52	0.09	1.69(1.42~2.00)	0.00
近1年是否醉酒	否			1.00				1.00
	是	0.30	0.13	1.35(1.05~1.74)	0.02	0.60	0.16	1.82(1.32~2.51)	0.00
近30 d饮酒天数/d	< 3			1.00				1.00
	≥3	0.43	0.14	1.54(1.16~2.03)	0.01	-0.11	0.17	0.90(0.65~1.25)	0.53
近1年是否醉酒	是			1.00				1.00
	否	-0.32	0.23	0.73(0.46~1.14)	0.41	0.12	0.35	1.13(0.57~2.23)	0.74

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