高海拔地区塔吉克族中学生睡眠与非自杀性自伤行为的关联

孙英; 王伟国

doi:10.16835/j.cnki.1000-9817.2021.08.016

高海拔地区塔吉克族中学生睡眠与非自杀性自伤行为的关联

doi: 10.16835/j.cnki.1000-9817.2021.08.016

孙英¹,
王伟国^2, ,

1.
新疆农业大学农学院, 乌鲁木齐 830052
2.
北京师范大学马克思主义学院

详细信息

作者简介:
孙英(1976-)，女，新疆人，硕士，副教授，主要研究方向为儿童青少年心理健康教育

通讯作者:
王伟国，E-mail：wang_weguo197@126.com

中图分类号: G478 B844.2 G444
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- 文章访问数: 839
- HTML全文浏览量: 367
- PDF下载量: 39
- 被引次数: 0
出版历程
- 收稿日期: 2021-01-19
- 修回日期: 2021-03-15
- 网络出版日期: 2021-08-20
- 刊出日期: 2021-08-25

Relationship between sleep and non-suicidal self-injury behaviors of Tajik middle school students in high altitude areas

SUN Ying¹,
WANG Weiguo^{2
, ,}

1.
College of Agriculture, Xinjiang Agricultural University, Urumqi(830052), China

摘要

摘要: 目的分析高海拔地区塔吉克族中学生睡眠状况与非自杀性自伤行为(non-suicidal self-injury, NSSI)的关联，为改善中学生身心健康发展状况提供借鉴。方法采用分层随机整群抽样方法对新疆塔什库尔干地区1 224名塔吉克族中学生进行睡眠、NSSI、一般人口学状况等方面的调查，采用Logistic回归分析睡眠与NSSI之间的关系。结果高海拔地区塔吉克族中学生NSSI检出率为7.92%。有18.71%的学生存在失眠问题，14.62%的学生在过去1周有过至少1次做噩梦。中学生在不同性别、年级、自评身体状况、父亲学历、母亲学历、家庭月收入、吸烟状况、饮酒状况等方面NSSI检出率相比较，差异均有统计学意义(χ²值分别为6.45，19.12，13.83，12.39，8.32，11.45，17.31，9.72，P值均<0.05)。Logistic回归分析显示，上学日睡眠时间≥9 h/d与NSSI存在负相关(OR=0.62)；周末睡眠时间<5 h/d(OR=1.81)、5~<7 h/d(OR=1.45)，失眠(OR=1.33)、做噩梦(OR=1.64~3.27)与NSSI呈正相关(P值均<0.05)。方法塔吉克族中学生睡眠时间不足，失眠和做噩梦是非自杀性自伤行为的影响因素。应加强对高海拔地区塔吉克族中学生的睡眠干预，促进身心健康发展。
- 睡眠 /
- 自我伤害行为 /
- 精神卫生 /
- 回归分析 /
- 学生 /
- 少数民族
Abstract: Objective To analyze the relationship between sleep and non-suicidal self-injury (NSSI) behaviors of Tajik middle school students in high altitude areas, and to provide references for physical and mental health promotion in middle school students. Methods The stratified random cluster sampling method was used to select 1 224 Tajik middle school students in the Taxkorgan area of Xinjiang as participants. Sleep, NSSI, general demographic were investigated, and Logistic regression analysis was used to analyze the relationship between sleep and NSSI. Results The detection rate of NSSI among Tajik middle school students in high altitude areas was 7.92%. About 18.71% of the students had insomnia problems and 14.62% of students had nightmares at least once in the past week. The detection rates of NSSI differed in gender, grades, physical conditions, father's education, mother's education, family monthly income, smoking status, and drinking status (χ²=6.45, 19.12, 13.83, 12.39, 8.32, 11.45, 17.31, 9.72, respectively, all P<0.05). Logistic regression analysis showed that sleep time ≥9 h/d on school days was negatively correlated with NSSI(OR=0.62); weekend sleep time <5 h/d(OR=1.81), weekend sleep time 5-7 h/d(OR=1.45), insomnia(OR=1.33), nightmares(OR=1.64-3.27) were positively correlated with NSSI(P<0.05). Conclusion Insufficient sleep time, insomnia and nightmares are the influencing factors of non-suicidal self-injury behavior in Tajik middle school students. Sleep intervention for Tajik middle school students in high altitude areas should be strengthened to promote physical and mental health.
- Sleep /
- Self-injurious behavior /
- Mental health /
- Regression analysis /
- Students /
- Minority groups

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表 1 高海拔地区不同组别塔吉克族中学生NSSI检出率比较

Table 1. Comparison of detection rates of non-suicidal self-harm behavior among Tajik middle school students in different groups in high altitude areas

组别	选项	人数	NSSI人数	χ²值	P值
性别	男生	631	62(9.83)	6.45	0.01
	女生	593	35(5.90)
年级	初一	435	53(12.18)	19.12	<0.01
	初二	398	28(7.04)
	初三	391	16(4.09)
城乡	城镇	565	47(8.32)	0.22	0.64
	乡村	659	50(7.59)
是否独生子女	是	247	20(8.10)	0.01	0.92
	否	977	77(7.88)
自评身体状况	差	66	12(18.18)	13.83	<0.01
	一般	506	46(9.09)
	好	652	39(5.98)
父亲学历	小学及以下	217	28(12.90)	12.39	<0.01
	初中	518	37(7.14)
	高中	309	15(4.85)
	大专及以上	179	17(9.50)
母亲学历	小学及以下	409	28(6.85)	8.32	0.04
	初中	466	33(7.08)
	高中	233	19(8.15)
	大专及以上	116	17(14.66)
家庭月收入/元	<3 000	333	40(12.01)	11.45	<0.01
	3 001~4 000	366	20(5.46)
	4 001~5 000	333	22(6.61)
	≥5 001	191	15(7.85)
吸烟状况	否	1 120	80(7.14)	17.31	<0.01
	偶尔	78	10(12.82)
	经常	25	7(28.00)
饮酒状况	否	735	46(6.26)	9.72	<0.01
	偶尔	425	41(9.65)
	经常	64	10(15.63)
注： ()内数字为检出率/%。部分条目存在缺失值。

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表 2 高海拔地区塔吉克族中学生NSSI影响因素Logistic回归分析[n=1 224, OR值(OR值95%CI)]

Table 2. Logistic regression analysis of non-suicidal self-injury behavior of Tajik middle school students in high altitude areas [n=1 224, OR(OR 95%CI)]

自变量	选项	人数	模型1	模型2	模型3
上学日睡眠时间/(h·d^-1)	<5	23	2.38(1.35~4.16)^**	1.86(1.04~3.27)^*	1.07(0.61~1.99)
	5~<7	583	1.21(0.75~1.89)	1.12(0.69~1.77)	0.88(0.54~1.42)
	7~<9	514	1.00	1.00	1.00
	≥9	104	0.62(0.36~0.96)^*	0.65(0.39~1.04)	0.62(0.36~0.98)^*
周末睡眠时间/(h·d^-1)	<5	11	2.74(1.81~4.15)^**	2.21(1.42~3.34)^**	1.81(1.14~2.78)^*
	5~<7	504	1.68(1.33~2.07)^**	1.58(1.24~1.97)^**	1.45(1.14~1.82)^**
	7~<9	562	1.00	1.00	1.00
	≥9	147	1.05(0.84~1.24)	1.07(0.87~1.29)	1.14(0.92~1.38)
失眠	否	1 196	1.00	1.00	1.00
	是	28	2.31(1.96~2.67)^**	2.08(1.76~2.43)^**	1.33(1.11~1.59)^**
每周做噩梦次数	无	368	1.00	1.00	1.00
	<1	562	1.99(1.67~2.34)^**	2.03(1.69~2.41)^**	1.64(1.36~1.93)^**
	1~2	243	3.62(2.93~4.35)^**	3.66(2.97~4.48)^**	2.52(2.02~3.11)^**
	≥3	51	6.55(4.98~8.61)^**	6.37(4.78~8.47)^**	3.27(2.36~4.45)^**
注： P<0.05，*P<0.01。

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