中学生心理健康素养及童年期虐待与饮酒行为的关联

贾丽媛; 黄雪雪; 薛艳妮; 胡婕; 张至贤; 李丹琳; 张一; 李若瑜; 万宇辉; 陶芳标; 张诗晨

doi:10.16835/j.cnki.1000-9817.2022.05.003

中学生心理健康素养及童年期虐待与饮酒行为的关联

doi: 10.16835/j.cnki.1000-9817.2022.05.003

1.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室，合肥 230032
2.
安徽医学高等专科学校公共卫生与健康管理学院

基金项目:

教育部人文社会科学研究项目 21YJAZH120

安徽省高校自然科学研究项目 KJ2020A0209

安徽医学高等专科学校创新团队项目 WJH2022001t

详细信息

作者简介:
贾丽媛(1998-)，女，陕西宝鸡人，在读硕士，主要研究方向为青少年健康促进

通讯作者:
张诗晨，E-mail：zhangshichen@ahmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 G478 B844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2022-02-16
- 修回日期: 2022-03-21
- 网络出版日期: 2022-05-20
- 刊出日期: 2022-05-25

Association of mental health literacy and childhood abuse with alcohol drinking behaviors in middle school students

1.
Department of Maternal, Child and Adolescent Health, School of Public Health/MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, Hefei(230032), China

摘要

摘要: 目的探讨中学生心理健康素养和童年期虐待与饮酒行为的关联，为有童年期不良经历者后期危险行为的干预提供参考。方法于2020年10月至2021年6月在北京市、广东省阳江市、河南省郑州市3座城市，采用多阶段方便整群抽样的方法，对16 853名初、高中学生的心理健康素养水平、童年期虐待经历及饮酒行为等情况进行调查。采用多因素Logistic回归模型分析心理健康素养及童年期虐待与饮酒行为之间的关联。结果中学生心理健康素养总体得分为(82.11±12.85)分；童年期虐待的总检出率为42.86%，最近饮酒和过量饮酒的检出率分别为10.82%和5.14%，男生、高中生、独生子女、自评家庭经济情况较差及亲密伙伴≥6个的学生最近饮酒及过量饮酒的检出率均高于对应组学生(χ²值分别为135.75，59.25，16.70，57.48，36.67；109.38，9.75，10.32，65.13，21.50，P值均 < 0.01)。缺乏心理健康素养[OR值(OR值95%CI)分别为1.27(1.14~1.43)、1.85(1.55~2.22)] 和有童年期虐待[OR值(OR值95%CI)分别为1.93(1.75~2.13)、1.64(1.43~1.89)]的中学生最近饮酒和过量饮酒的发生风险均增加(P值均 < 0.01)。有童年期虐待经历且缺乏心理健康素养者最近饮酒与过量饮酒的检出率均最高，分别为15.05%，7.30%；OR值(OR值95%CI)分别为2.47(2.09~2.92)、3.37(2.55~4.44)。结论中学生缺乏心理健康素养及有童年期虐待均与饮酒行为有关联。预防童年期虐待?提高心理健康素养水平，有益于中学生饮酒行为的防控。
- 精神卫生 /
- 健康教育 /
- 虐待儿童 /
- 回归分析 /
- 饮酒 /
- 学生
Abstract: Objective To examine the association of mental health literacy (MHL) and childhood abuse with alcohol drinking behaviors in middle school students, so as to provide a reference for the intervening risky behaviors of the people with bad experiences during childhood. Methods A total of 16 853 middle school students in Beijing, Zhengzhou of Henan Province, and Yangjiang of Guangdong Province were enrolled by multistage convenient cluster sampling method from October 2020 to June 2021 for their self-reported MHL, childhood abuse, and alcohol drinking behaviors. Multivariate Logistic regression model was used to analyze the correlation of MHL and childhood abuse with alcohol drinking behaviors. Results The overall score of MHL of students was (82.11±12.85) points. The rate of childhood abuse was 42.86%, the rate of recent drinking and excessive drinking were 10.82% and 5.14%, respectively. The detection rate of recent drinking and excessive drinking among students in boys, high school, only-child, poor family economic status and more intimate partners were higher than their peers(χ²=135.75, 59.25, 16.70, 57.48, 36.67; 109.38, 9.75, 10.32, 65.13, 21.50, P < 0.01). Students who lack MHL [OR(95%CI)=1.27(1.14-1.43, 1.85(1.55-2.22)] and had childhood abuse [OR(95%CI)=1.93(1.75-2.13), 1.64(1.43-1.89)] had an increased risk of recent drinking and excessive drinking(P < 0.01). The highest rate of recent and excessive drinking occurred in students with childhood abuse and lack MHL (15.05% and 7.30%), with OR(95%CI) about 2.47(2.09-2.92) and 3.37(2.55-4.44). Conclusion Lacking MHL and childhood abuse experiences of middle school students are related to alcohol drinking behaviors. Preventing childhood abuse and improving MHL are beneficial to the prevention and control of middle school students' drinking behaviors.
- Mental health /
- Health education /
- Child abuse /
- Regression analysis /
- Alcohol drinking /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同特征中学生心理健康素养得分比较(x ±s)

Table 1. Comparison of scores of mental health literacy among middle school students with different characteristics

特征	选项	人数	心理健康素养	t/F值	P值	特征	选项	人数	心理健康素养	t/F值	P值
性别	男	8 390	80.39±13.52	-17.38	< 0.01		高中及以上	8 812	83.31±12.81
	女	8 463	83.80±11.90			母亲文化程度	高中以下	8 574	81.17±12.58	-9.67	< 0.01
学段	初中	9 235	84.73±11.52	24.84	<0.01		高中及以上	8 279	83.08±13.04
	高中	7 618	79.94±13.47			家庭经济情况	较差	2 119	81.03±12.77	9.79	< 0.01
家庭所在地	农村	5 805	81.40±12.52	-5.15	< 0.01		一般	11 677	82.35±12.51
	城镇	11 048	82.47±13.00				良好	3 057	81.93±14.08
是否独生子女	是	5 710	82.02±13.80	-0.59	0.57	亲密伙伴数量/个	≤2	4 649	81.27±12.57	15.03	< 0.01
	否	11 143	82.15±12.33				3~5	6 949	82.60±12.52
父亲文化程度	高中以下	8 041	80.78±12.75	-12.85	< 0.01		≥6	5 255	82.18±13.47

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表 2 不同特征中学生童年期虐待及饮酒情况报告率比较

Table 2. Comparison of scores of self-reported rates of childhood abuse and drinking behaviors among middle school students with different characteristics

特征	选项	人数	统计值	童年期虐待	情感虐待	躯体虐待	性虐待	最近饮酒	过量饮酒
性别	男	8 390		3 434(40.93)	2 423(28.88)	2 477(29.52)	726(8.65)	1 143(13.62)	581(6.92)
	女	8 463		3 790(44.78)	2 985(35.27)	2 605(30.78)	682(8.06)	681(8.05)	285(3.37)
			χ²值	25.55	78.98	3.17	1.95	135.75	109.38
			P值	< 0.01	< 0.01	0.08	0.16	< 0.01	< 0.01
学段	初中	9 235		3 890(42.12)	3 026(32.77)	2 723(29.49)	680(7.36)	845(9.15)	430(4.66)
	高中	7 618		3 334(43.76)	2 382(31.27)	2 359(30.97)	728(9.56)	979(12.85)	436(5.72)
			χ²值	4.60	4.30	4.34	26.22	59.25	9.75
			P值	0.03	0.04	0.04	< 0.01	< 0.01	< 0.01
家庭所在地	农村	5 805		2 427(41.81)	1 805(31.09)	1 697(29.23)	431(7.42)	607(10.46)	299(5.15)
	城镇	11 048		4 797(43.42)	3 603(32.61)	3 385(30.64)	977(8.84)	1 217(11.02)	567(5.13)
			χ²值	4.03	4.03	3.57	10.00	1.23	0.00
			P值	0.05	0.05	0.06	< 0.01	0.27	0.96
独生子女	是	5 710		2 305(40.37)	1 766(30.93)	1 517(26.57)	449(7.86)	696(12.19)	337(5.81)
	否	11 143		4 919(44.14)	3 642(32.68)	3 565(31.99)	959(8.61)	1 128(10.12)	529(4.75)
			χ²值	21.99	5.34	52.77	2.72	16.70	10.32
			P值	< 0.01	0.02	< 0.01	0.10	< 0.01	< 0.01
父亲文化程度	高中以下	8 041		3 510(43.65)	2 627(32.67)	2 486(30.92)	703(8.74)	841(10.46)	433(5.38)
	高中及以上	8 812		3 714(42.15)	2 781(31.56)	2 596(29.46)	705(8.00)	983(11.16)	433(4.91)
			χ²值	3.88	2.38	4.24	3.03	2.11	1.92
			P值	0.05	0.12	0.04	0.08	0.15	0.17
母亲文化程度	高中以下	8 574		3 745(43.68)	2 786(32.49)	2 683(31.29)	753(8.78)	844(9.84)	429(5.00)
	高中及以上	8 279		3 479(42.02)	2 622(31.67)	2 399(28.98)	655(7.91)	980(11.84)	437(5.28)
			χ²值	4.72	1.31	10.72	4.17	17.34	0.65
			P值	0.03	0.25	0.01	0.04	< 0.01	0.42
家庭经济情况	较差	2 119		1 176(55.50)	873(41.20)	869(41.01)	314(14.82)	301(14.20)	163(7.69)
	一般	11 677		4 871(41.71)	3 663(31.37)	3 409(29.19)	845(7.24)	1 125(9.63)	495(4.24)
	良好	3 057		1 177(38.50)	872(28.53)	804(26.30)	249(8.15)	398(13.02)	208(6.80)
			χ²值	168.15	101.29	145.23	134.87	57.48	65.13
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
亲密伙伴数	≤2	4 649		2 286(49.17)	1 773(38.14)	1 658(35.66)	522(11.23)	509(10.95)	255(5.49)
量/个	3~5	6 949		2 866(41.24)	2 113(30.41)	2 012(28.95)	482(6.94)	646(9.30)	294(4.23)
	≥6	5 255		2 072(39.43)	1 522(28.96)	1 412(26.87)	404(7.69)	669(12.73)	317(6.03)
			χ²值	108.30	110.63	98.67	71.45	36.67	21.50
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
合计		16 853		7 224(42.86)	5 408(32.09)	5 082(30.15)	1 408(8.35)	1 824(10.82)	866(5.14)
注： ()内数字为报告率/%。

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表 3 中学生心理健康素养、童年期虐待与饮酒行为的多因素Logistic回归分析

Table 3. Multivariate Logistic regression analysis model of middle school students' mental health literacy, childhood abuse and drinking behaviors

自变量	人数	最近饮酒				过量饮酒
自变量	人数	检出人数	检出率/%	OR值(OR值95%CI)	P值	检出人数	检出率/%	OR值(OR值95%CI)	P值
心理健康素养
具备	4 804	443	9.22	1.00		151	3.14	1.00
缺乏	12 049	1 381	11.46	1.27(1.14~1.43)	< 0.01	715	5.93	1.85(1.55~2.22)	< 0.01
童年期虐待
无	9 629	790	8.20	1.00		397	4.12	1.00
有	7 224	1 034	14.31	1.93(1.75~2.13)	< 0.01	469	6.49	1.64(1.43~1.89)	< 0.01
童年期虐待+心理健康素养
无+具备	2 788	193	6.92	1.00		62	2.22	1.00
无+缺乏	6 841	597	8.73	1.28(1.08~1.52)	< 0.01	335	4.90	2.14(1.62~2.82)	< 0.01
有+具备	2 016	250	12.40	1.93(1.58~2.35)	< 0.01	89	4.41	2.04(1.46~2.84)	< 0.01
有+缺乏	5 208	784	15.05	2.47(2.09~2.92)	0.01	380	7.30	3.37(2.55~4.44)	< 0.01

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