Analysis of mental health status of students in Inner Mongolia Autonomous Region
-
摘要:
目的 分析内蒙古自治区学生心理健康状况,为学校实施心理健康教育工作提供参考依据。 方法 以参加“2019年全国学生体质与健康调研”的内蒙古7个地级市65所中小学校和4所高校的18 867名9~22岁学生作为调查对象,2019年9—11月实施Kessler10量表(K10)的问卷调查。 结果 调查对象总体K10平均分值为(21.96±8.67)分,蒙古族学生(22.57±8.59分)高于汉族学生(21.53±8.70分)(t=8.18);乡村学生(22.42±8.32分)高于城市(21.40±9.05分)(t=8.04);小学生(19.56±8.61分)低于其他学段,高中生分值最高(23.30±8.75)(F=183.26)(P值均 < 0.01)。调查对象总体中,心理健康良好、一般、较差和差4个等级的构成比分别为25.62%,28.82%,26.44%和19.12%,心理问题检出率为45.57%。不同组别学生心理问题检出率比较结果显示,汉族和蒙古族分别为43.27%和48.85%,城、乡为41.70%和48.80%,男、女生为44.88%和46.26%,小学、初中、高中和大学生分别为33.60%,49.78%,52.85%和47.43%(χ2值分别为101.25,183.44,19.24,803.63,P值均 < 0.01)。多元线性回归分析发现,民族、城乡和学段是K10量表分值的相关因素[B值(B值95%CI)分别为0.78(0.05~1.04),0.81(0.06~1.06),0.93(0.08~1.03),P值均 < 0.05)]。 结论 内蒙古青少年学生心理健康状况不容乐观。政府、社会、家长和学校应关注学生心理健康软硬件环境建设,加强心理健康教育和服务力度,有效促进学生心理健康发展。 Abstract:Objective To analyze and evaluate the mental health of students in Inner Mongolia Autonomous Region, so as to provide a reference for conducting mental health education in schools. Methods A total of 18 867 students aged 9-22 were enrolled from 65 primary and secondary schools and 4 universities in Inner Mongolia that participated in the 2019 National Students' Physical Fitness and Health Survey. From September to November 2019, in conjunction with the national student physical health survey, a questionnaire-survey of the Kessler Psychological Distress Scale(K10) was carried out. Results The K10 average score of the survey subjects was (21.96±8.67). The score of the Mongolian nationality(22.57±8.59) was higher than that of the Han nationality(21.53 ±8.70)(t=8.18), the score of rural area (22.42±8.32) was higher than that of the urban area(21.40±9.05)(t=8.04), the primary-school students had the lowest score (19.56±8.61) and the senior high school students had the highest score(23.30±8.75)(F=183.26)(P < 0.01). In the overall survey subjects, the detection rates of the four levels in good, fair, poor and poor mental health were 25.62%, 28.82%, 26.44% and 19.12%, respectively, and the detection rate of psychological problems was 45.57%. The comparison of the detection rates of mental health problems among attributes showed that the rates of the Han and Mongolian nationalities were 43.27% and 48.85%, respectively(χ2=101.25); the rates of urban and rural areas were 41.70% and 48.80%, respectively(χ2=183.44); the rates of the male and the female were 44.88% and 46.26%, respectively(χ2=19.24)(P < 0.01). The prevalence psychological problems among students in primary-school, junior high school, senior high school and college were 33.60%, 49.78%, 52.85% and 47.43%, respectively(χ2=803.63, P < 0.01). Multiple linear regression showed that the detection of psychological problems of Mongolian nationality, urban area, the female and high school students was relatively high. Nationality, urban or rural areas and school stages were the influencing factors of K10 scores[B(B 95%CI)=0.78(0.05-1.04), 0.81(0.06-1.06), 0.93(0.08-1.03), P < 0.05)]. Conclusion Mental health problems are prevalent in adolescents in Inner Mongolia. The government, society, parents and schools should pay more attention to the construction of the software and hardware environment of students' mental health, strengthen mental health education and services, and effectively promote the development of students' mental health. -
Key words:
- Mental health /
- Students /
- Questionnaires /
- Regression analysis /
- Minority groups
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别学生K10分值比较
Table 1. Comparison of K10 average score of different attributes
组别 选项 人数 x±s t/F值 P值 民族 蒙古族 7 763 22.57±8.59 8.18 < 0.01 汉族 11 104 21.53±8.70 城乡 乡村 10 270 22.42±8.32 8.04 < 0.01 城市 8 597 21.40±9.05 性别 男 9 489 21.96±8.89 0.10 0.92 女 9 378 21.95±8.45 学段 小学 4 979 19.56±8.61 183.26 < 0.01 初中 4 648 22.62±8.22 高中 4 199 23.30±8.75 大学 5 041 22.59±8.62 表 2 城乡汉族学生各学段K10得分比较
Table 2. Comparison of K10 scores of Han students in urban and rural area
城市 学段 统计值 男 女 人数 x±s 人数 x±s 城市 小学 802 17.38±7.96 829 18.00±8.47 初中 673 21.73±9.11 612 21.94±8.42 高中 664 22.99±9.18 628 23.44±8.79 大学 787 22.39±9.27 708 22.79±9.47 F值 63.37 59.20 P值 < 0.01 < 0.01 乡村 小学 783 20.94±9.02 744 19.88±7.62 初中 708 22.00±7.56 701 21.78±6.69 高中 693 23.14±8.70 619 23.22±8.25 大学 579 22.47±9.29 574 22.50±8.03 F值 8.39 24.41 P值 < 0.01 < 0.01 表 3 城乡蒙古族学生各学段K10得分比较
Table 3. Comparison of K10 scores of Mongolian students in urban and rural area
城乡 学段 统计值 男 女 人数 x±s 人数 x±s 城市 小学 439 20.17±9.22 461 20.30±9.27 初中 354 22.64±9.31 339 23.17±8.08 高中 308 22.24±8.97 308 23.20±8.79 大学 357 22.73±8.72 328 21.81±7.95 F值 7.20 10.10 P值 < 0.01 < 0.01 乡村 小学 457 21.12±8.75 464 20.44±8.20 初中 637 24.23±7.97 624 23.98±8.52 高中 465 24.15±8.92 514 23.78±8.45 大学 783 22.71±8.27 925 22.84±7.74 F值 15.21 19.70 P值 < 0.01 < 0.01 表 4 不同组别学生心理健康状况分布比较
Table 4. Comparison of distribution of mental health status of students in different groups
组别 选项 人数 良好 一般 较差 差 χ2值 P值 民族 汉族 11 104 3 128(28.17) 3 171(28.56) 2 769(24.94) 2 036(18.34) 101.25 < 0.01 蒙古族 7 763 1 705(21.96) 2 266(29.19) 2 220(28.60) 1 572(20.25) 城乡 城市 8 597 2 564(29.82) 2 448(28.48) 1 974(22.96) 1 611(18.74) 183.44 < 0.01 乡村 10 270 2 269(22.09) 2 989(29.10) 3 015(29.36) 1 997(19.44) 性别 男 9 489 2 521(26.57) 2 709(28.55) 2 399(25.28) 1 860(19.60) 19.24 < 0.01 女 9 378 2 312(24.65) 2 728(29.09) 2 590(27.62) 1 748(18.64) 学段 小学 4 979 1 989(39.95) 1 317(26.45) 930(18.68) 743(14.92) 803.63 < 0.01 初中 4 648 951(20.46) 1 383(29.75) 1 377(29.63) 937(20.16) 高中 4 199 798(19.00) 1 182(28.15) 1 319(31.41) 900(21.43) 大学 5 041 1 095(21.72) 1 555(30.85) 1 363(27.04) 1 028(20.39) 注: ()内数字为构成比/%。 -
[1] 静进. 对当前儿童少年心理卫生问题的理解及对策建议[J]. 中国心理卫生, 2017, 31(12): 937-940. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201712016.htmJING J. Understanding and suggestions on current mental health problems of children andadolescents[J]. Chin Ment Health J, 2017, 31(12): 937-940. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201712016.htm [2] KIELING C, BAKER-HENNINGHAM H, BELEEB M, et al. Child and adolescent mental health worldwide: evidence for action[J]. Lancet, 2011, 378(9801): 1515-1525. doi: 10.1016/S0140-6736(11)60827-1 [3] CUI Y, LI F, LECKMAN J F, et al. The prevalence of behavioral and emotional problems among Chinese school children and adolescents aged 6-16: a national survey[J]. Eur Child Adolesc Psychiatry, 2020, 3: 1507-1512. https://pubmed.ncbi.nlm.nih.gov/32172341/ [4] ZHANG S C, YANG R, LI D L, et al. Association of health literacy and sleep problems with mental health of Chinese students in combined junior and senior high school[J]. PLoS One, 2019, 14(6): e0217685. doi: 10.1371/journal.pone.0217685 [5] 薛云云, 肖煜吟, 付航, 等. 青少年心理健康现状及改善对策: 基于上海市3家医院的调查结果[J]. 中国卫生政策研究, 2019, 12(2): 65-69. doi: 10.3969/j.issn.1674-2982.2019.02.010XUE Y Y, XIAO Y Y, FU H, et al. The status quo of child and adolescent mental health in China and its improvement strategies: based on survey results of three hospitals in Shanghai[J]. Chin J Health Policy, 2019, 12(2): 65-69. doi: 10.3969/j.issn.1674-2982.2019.02.010 [6] RAVENS-SIEBERER U, OTTO C, KRISTON L, et al. The longitudinal BELLA study: design, methods and first results on the course of mental health problems[J]. Eur Child Adolesec Psychiatry, 2015, 24(6): 651-663. doi: 10.1007/s00787-014-0638-4 [7] FLEMING R M, CLAKK T, DENNY S, et al. Stability and change in the mental health of New Zealand secondarily school students 2007-2012: results from the national adolescent health surveys[J]. Aust N Z J Psychiatry, 2014, 48(5): 472-480. doi: 10.1177/0004867413514489 [8] LOEKE1RO L M, JOKM A F, OLIVEIKA R A, et al. Mental health literacy about schizophrenia survey of Portuguese youth[J]. Early Interv Psychiatry, 2015, 9(3): 234-241. doi: 10.1111/eip.12123 [9] KESSLER R, MROCZEK D. An update of the development of mental health screening scales for the US national health interview study[Z]. Ann Arbort(MI): Survey Research Center of the Institute for Social Research, University of Michigan, 1992. [10] ANDREWS G T. Slade interpreting scores on the Kessler Psychological Distress Scale(Kessler 10)[J]. Aust N Z J Public Health, 2001, 25: 494-497. doi: 10.1111/j.1467-842X.2001.tb00310.x [11] 徐凌忠, 王建新, 孙辉, 等. Kessler10在我国的首次应用研究及其重要意义[J]. 卫生软科学, 2005, 19(6): 410-412. doi: 10.3969/j.issn.1003-2800.2005.06.013XU L Z, WANG J X, SUN H, et al. Researching the application of Kessler 10 for the first time and it's important significance[J]. Soft Sci Health, 2005, 19(6): 410-412. doi: 10.3969/j.issn.1003-2800.2005.06.013 [12] 周成超, 楚洁, 王婷, 等. 简易心理状况评定量表Kessler 10中文版的信度和效度评价[J]. 中国临床心理学杂志, 2008, 16(6): 627-629. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200806026.htmZHOU C C, CHU J, WANG T, et al. Reliability and validity of 10-item Kessler Scale (K10) Chinese Version in evaluation of mental health status of Chinese population[J]. Chin J Clin Psychol, 2008, 16(6): 627-629. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200806026.htm [13] 教育部. 教育部等六部门开展2019年全国学生体质与健康调研及国家学生体质健康标准抽查复核工作的通知[A/OL]. (2019-07-10)[2022-03-18]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/201907/t20190724_392121.html.Department of Physical Education of the PRC. Work manual of 2019 national student physical fitness and health survey and random check and review of national student physical fitness standards[A/OL]. (2019-07-10)[2022-03-18]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/201907/t20190724_392121.html. [14] 王丹, 高煜, 郑晓萌, 等. 中学生健康危险行为与心理健康状况的关系[J]. 中国学校卫生, 2021, 42(5): 693-696. doi: 10.16835/j.cnki.1000-9817.2021.05.013WANG D, GAO Y, ZHENG X M, et al. Relationship between health risk behaviors and mental health of middleschool students[J]. Chin J Sch Health, 2021, 42(5): 693-696. doi: 10.16835/j.cnki.1000-9817.2021.05.013 [15] 许建强. 基于Kessler10量表的医学生心理健康状况因子分析[J]. 现代预防医学, 2019, 46(16): 2996-3000. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201916028.htmXU J Q. Factor analysis on mental health status of medical students based on Kessler10 Scale[J]. Mod Prev Med, 2019, 46(16): 2996-3000. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201916028.htm [16] 刘明波, 丁志强, 曹高举. 简易心理评定量表Kessler10在研究生新生心理健康普查中的应用[J]. 思想理论教育, 2012(1): 80-84. https://www.cnki.com.cn/Article/CJFDTOTAL-SLLJ201201022.htmLIU M B, DING Z Q, CAO G J, et al. Application of Kessler 10 in mental health survey of new graduate students[J]. Ideol Theoretic Educ, 2012(1): 80-84. https://www.cnki.com.cn/Article/CJFDTOTAL-SLLJ201201022.htm [17] 周琳, 林威, 王月云, 等. 深圳市初中学生心理健康调查及相关因素分析[J]. 华中科技大学学报(医学版), 2019, 48(5): 599-604. doi: 10.3870/j.issn.1672-0741.2019.05.021ZHOU L, LIN W, WANG Y Y, et al. Survey on the mental health and the associated factors of junior highschool students in Shenzhen[J]. Acta Med Univ Sci Technol Huazhong, 2019, 48(5): 599-604. doi: 10.3870/j.issn.1672-0741.2019.05.021 [18] 陈芸, 王丹, 侯雅楠. 基于Kessler10量表的中学生家庭环境与心理健康关系分析[J]. 中国儿童保健杂志, 2019, 27(9): 967-970. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201909010.htmCHEN Y, WANG D, HOU Y N, et al. Analysis of the relationship between family environment and mentalhealth of middle school students based on Kessler 10 Scale[J]. Chin J Child Health Care, 2019, 27(9): 967-970. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201909010.htm [19] 张微, 张宛筑, 袁章奎. 贵阳市中小学生心理健康现状[J]. 中国学校卫生, 2018, 39(8): 1256-1259. doi: 10.16835/j.cnki.1000-9817.2018.08.042ZHANG W, ZHANG W Z, YUAN Z K, et al. Mental health status of primary and middle school students in Guiyang[J]. Chin J Sch Health, 2018, 39(8): 1256-1259. doi: 10.16835/j.cnki.1000-9817.2018.08.042 [20] 疾病预防控制局. 关于印发健康中国行动——儿童青少年心理健康行动方案(2019—2022年)的通知[A/OL]. (2019-12-26)[2022-03-18]. http://www.nhc.gov.cn/jkj/tggg1/201912/6c810a8141374adfb3a16a6d919c0dd7.shtml.Bureau of Disease Control and Prevention of the PRC. Healthy China action-mental health action plan for children and adolescents(2019-2022)[A/OL]. (2019-12-26)[2022-03-18]. http://www.nhc.gov.cn/jkj/tggg1/201912/6c810a8141374adfb3a16a6d919c0dd7.shtml. -

计量
- 文章访问数: 810
- HTML全文浏览量: 322
- PDF下载量: 61
- 被引次数: 0