武陵山区大学生危害健康行为潜在类别及其与校园欺凌的关联

王澳伦; 张天成; 徐涛; 郭淑媛; 张福兰

doi:10.16835/j.cnki.1000-9817.2023.05.025

武陵山区大学生危害健康行为潜在类别及其与校园欺凌的关联

doi: 10.16835/j.cnki.1000-9817.2023.05.025

吉首大学体育科学学院，湖南 416000

基金项目:

教育部规划基金项目 22YJA880086

湖南省教育厅重点项目 21A0346

吉首大学国家民族体育重点研究基地开放基金项目 MZTY2221

详细信息

作者简介:
王澳伦(1999-)，男，湖南益阳人，在读硕士，主要研究方向为体育教学

通讯作者:
张天成，E-mail：jdzhangtiancheng@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 G478 R193
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- 被引次数: 0
出版历程
- 收稿日期: 2022-12-23
- 修回日期: 2023-02-20
- 网络出版日期: 2023-05-25
- 刊出日期: 2023-05-25

Potential categories of health risk behaviors of college students in Wuling Mountain Area and its association with campus bullying

College of Sports Science, Jishou University, Jishou(416000), Hunan Province, China

摘要

摘要: 目的了解武陵山区大学生危害健康行为潜在类别及其与校园欺凌的关联，为促进大学生身心健康发展提供理论依据。方法 2022年10—11月，采用分层随机整群抽样法抽取武陵山区6所高校3 042名大学生，利用“中国青少年健康相关/危险行为调查问卷”(大学版)对危害健康行为进行问卷调查，采用潜在类别分析方法分析偏食、无安全感、打架、孤独、抑郁、失眠、伤心欲绝、自杀意念、吸烟、饮酒、游戏成瘾、网络成瘾行为12种危害健康行为的潜在类别，采用多元Logistic回归方法进一步分析不同类别与校园欺凌的关联。结果武陵山区大学生危害健康行为分为类别1低风险组(44.2%)、类别2综合高危组(5.4%)、类别3情绪障碍组(50.4%)。不同性别、学科的大学生危害健康行为潜在类别分布特征差异均有统计学意义(χ²值分别为31.44，11.69，P值均＜0.05)。Logistic回归分析结果显示，控制人口学变量后，校园欺凌与类别3情绪障碍组的发生正性相关(OR=1.88，P＜0.01)。结论武陵山区大学生危害健康行为呈现类别分布，且各类别与校园欺凌关联不同。高校应重视校园欺凌的发生，针对不同类别的危害健康行为制定干预方案，促进大学生身心健康发展。
- 危险行为 /
- 暴力 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To understand the potential categories of harmful behaviors of college students in Wuling Mountain Area and its relationship with campus bullying, so as to provide a theoretical basis for promoting the development of college students' physical and mental health. Methods The stratified random cluster sampling method was used to select 3 042 college students from six universities in Wuling Mountain Area from October to December, 2022. The "Chinese Youth Health Related/Risk Behaviors Questionnaire" (University Edition) compiled by the National Youth Health Related/Risk Behaviors Survey Group was used to investigate the health risk behaviors. The potential category analysis method was used to analyze the food preference, insecurity, fighting, loneliness, depression, insomnia, heartbreak, suicidal ideation, smoking, drinking, game addiction, Internet addiction of health risk behaviors were used to further analyze the relationship between different categories and campus bullying by using multi category Logistic regression method. Results College students in Wuling Mountain Area were classified into low risk group of category 1 (44.2%), category 2 (5.4%) substance dependent group, category 3(50.4%) emotional disorder group. The distribution of potential categories of health risk behaviors among college students was statistically significant by gender(χ²=31.44, 11.69, P < 0.05). Logistic regression analysis showed that after controlling demographic variables, campus bullying was the risk factor of category 3 emotional disorder group(OR=1.88, P < 0.01). Conclusion Health risk behaviors of college students in Wuling Mountain Area show distinct cluster pattern, and each category has different association with campus bullying. Colleges and universities should attach great importance to the occurrence of campus bullying, formulate intervention programs for different categories of health hazard behaviors, and promote the healthy development of college students' physical and mental health.
- Dangerous behavior /
- Violence /
- Mental health /
- Regression analysis /
- 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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图 1 武陵山区大学生危害健康行为3个潜类别条件分布

Figure 1. Distribution of three potential conditions of health hazard behaviors of college students in Wuling Mountain Area

下载: 全尺寸图片幻灯片

表 1 武陵山区大学生危害健康行为潜在类别模型适配指标(n=3 042)

Table 1. Potential category model adaptation index of health hazard behaviors of college students in Wuling Mountain Area(n=3 042)

类别数目	参数条目	AIC	BIC	aBIC	Entropy	LMR	BLRT	类别概率
1	12	11 925.07	11 984.13	11 946.02	—	—	—	1
2	25	11 415.01	11 538.05	11 458.65	0.67	0	0	0.42/0.60
3	38	11 355.65	11 542.67	11 421.98	0.79	< 0.01	< 0.01	0.05/0.50/0.44
4	51	11 336.38	11 587.38	11 425.40	0.73	0.44	0.44	0.04/0.42/0.06/0.47
5	64	11 323.97	11 638.95	11 435.68	0.66	0.28	0	0.05/0.19/0.44/0.25/0.08

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表 2 不同人口统计学特征武陵山区大学生危害健康行为潜在类别分布特征比较

Table 2. Comparison of distribution characteristics of potential health hazard behaviors among college students with different social demographic characteristics in Wuling Mountain Area

人口统计学指标		人数	低风险组	综合高危组	情绪障碍组	χ²值	P值
性别	男	1 527	798(52.3)	93(6.1)	636(41.7)	31.44	< 0.01
	女	1 515	546(36.0)	72(4.8)	897(59.2)
学科	文科	1 524	750(49.2)	87(5.7)	687(45.1)	11.69	< 0.01
	理科	1 518	594(39.1)	78(5.1)	846(55.7)
年级	大一	729	321(44.0)	30(4.1)	378(51.9)	6.36	0.39
	大二	777	381(49.0)	51(6.6)	345(44.4)
	大三	771	333(43.2)	42(5.4)	396(51.4)
	大四	765	309(40.4)	42(5.5)	414(54.1)
民族	汉族	2 346	1 029(43.9)	138(5.9)	1 179(50.3)	1.42	0.49
	其他民族	696	315(45.3)	27(3.9)	354(50.9)
注：()内数字为构成比/%。

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表 3 武陵山区大学生危害健康行为潜类别分组与校园欺凌症状关联性的Logistic回归分析(n=3 042)

Table 3. Logistic regression analysis of the association between latent categories of hazardous behaviors and bullying symptoms of college students in Wuling Mountain Area(n=3 042)

自变量	模型1				模型2
自变量	β值	标准误	Wald χ²值	OR值(OR值95%CI)	β值	标准误	Wald χ²值	OR值(OR值95%CI)
类别2	0.34	0.32	1.17	0.28(0.76~2.63)	0.42	0.33	1.64	1.52(0.80~2.87)
类别3	0.46	0.15	9.59	1.58(1.18~2.11)^**	0.63	0.16	16.53	1.88(1.40~2.54)^**
注：因变量以未发生校园欺凌为参照，自变量以类别1为参照；**P < 0.01。

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参考文献(27)

[1]	季成叶. 青少年健康危险行为[J]. 中国学校卫生, 2007, 28(2): 289-291. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200902005.htm JI C Y. Health risk behaviors of adolescents[J]. Chin J Sch Health, 2007, 28(2): 289-291. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200902005.htm
[2]	林进材. 校园欺凌行为的类型与形成及因应策略之探析[J]. 湖南师范大学教育科学学报, 2017, 16(1): 1-6. doi: 10.19503/j.cnki.1671-6124.2017.01.001 LIN J C. An analysis of the types, formation of the bullying on campus and the coping strategies[J]. J Educ Sci Hunan Norm Univ, 2017, 16(1): 1-6. (in Chinese) doi: 10.19503/j.cnki.1671-6124.2017.01.001
[3]	陆森召. 长三角地区高校有留守经历大学生校园欺凌现况及影响因素[J]. 中国学校卫生, 2020, 41(12): 1835-1839. doi: 10.16835/j.cnki.1000-9817.2020.12.018 LU S Z. Status and associated factors of campus bullying among students with left-behind experience in universities in the Yangtze River Delta[J]. Chin J Sch Health, 2020, 41(12): 1835-1839. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.12.018
[4]	张福兰, 张天成, 熊静梅, 等. 2014年湘西州农村土家族和苗族中学生健康危险行为聚集模式的性别差异[J]. 卫生研究, 2017, 46(5): 767-771. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705017.htm ZHANG F L, ZHANG T C, XIONG J M, et al. Gender differences in cluster pattern of health-risk behaviors among rural middle school students in Tujia-Miao Autonomous Prefecture of Xiangxi[J]. J Hyg Res, 2017, 46(5): 767-771. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705017.htm
[5]	徐涛, 张天成, 周县委, 等. 湘西州土家族与苗族初中生健康危险行为多发特点及影响因素分析[J]. 现代预防医学, 2021, 48(9): 1658-1661, 1704. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202109029.htm XU T, ZHANG T C, ZHOU X W, et al. The multiple characteristics and influencing factors of health risk behaviors among Tujia and Miao junior high school students in Xiangxi Prefecture[J]. Mod Prev Med, 2021, 48(9): 1658-1661, 1704. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202109029.htm
[6]	张天成, 张福兰, 陆盛华, 等. 武陵山区少数民族青少年健康危险行为及聚集模式分析[J]. 中国学校卫生, 2020, 41(6): 840-844. doi: 10.16835/j.cnki.1000-9817.2020.06.011 ZHANG T C, ZHANG F L, LU S H, et al. Health risk behaviors and cluster patterns of adolescents from four minorities in rural Wuling Mountainous Area[J]. Chin J Sch Health, 2020, 41(6): 840-844. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.06.011
[7]	曾直, 张天成, 张福兰, 等. 湘西地区高职院校学生健康危险行为及家庭影响因素分析[J]. 中国学校卫生, 2019, 40(1): 124-127. doi: 10.16835/j.cnki.1000-9817.2019.01.035 ZENG Z, ZHANG T C, ZHANG F L, et al. Analysis of health risk behaviors and family influencing factors of students in higher vocational colleges in western Hunan[J]. Chin J Sch Health, 2019, 40(1): 124-127. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.01.035
[8]	杨娅娟, 徐洪吕, 王颖, 等. 医学生健康危害行为的潜在类别及其与抑郁症状的关联[J]. 中国学校卫生, 2021, 42(4): 583-586, 592. doi: 10.16835/j.cnki.1000-9817.2021.04.024 YANG Y J, XU H L, WANG Y, et al. Latent classes of health risk behaviors in medical students and depressive symptoms[J]. Chin J Sch Health, 2021, 42(4): 583-586, 592. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.04.024
[9]	东靓, 丛石, 张楠, 等. 太原市大学生健康危险行为及其影响因素研究[J]. 现代预防医学, 2021, 48(15): 2781-2785, 2796. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202115022.htm DONG L, CONG S, ZHANG N, et al. Health risk behavior and its influencing factors of undergraduates, Taiyuan[J]. Mod Prev Med, 2021, 48(15): 2781-2785, 2796. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202115022.htm
[10]	胡小和. 某医卫高职院校大学生健康危险行为及其影响因素研究[D]. 长沙: 中南大学, 2013. HU X H. Study on health-risk behaviors and their determinants among medical college students[D]. Changsha: Central South University, 2013. (in Chinese)
[11]	张福兰, 张天成, 熊静梅, 等. 武陵山区土家族、苗族青少年成瘾行为及影响因素[J]. 中国公共卫生, 2015, 31(11): 1381-1385. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201511005.htm ZHANG F L, ZHANG T C, XIONG J M, et al. Status and influence factors of addictive behaviors among Tujia and Miao adolescents in Wuling Mountainous Area[J]. Chin J Public Health, 2015, 31(11): 1381-1385. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201511005.htm
[12]	聂少萍, 马文军, 李海康, 等. 广东省城市青少年成瘾行为流行状况分析[J]. 中国学校卫生, 2008, 29(7): 598-600. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200807012.htm NIE S P, MA W J, LI H K, et al. Prevalence of addiction behavior of adolescents in Guangdong[J]. Chin J Sch Health, 2008, 29(7): 598-600. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200807012.htm
[13]	夏朝云, 王东波, 潘小娅. 多伦多述情障碍自陈量表在大学生中的适用性研究[J]. 浙江医学, 2001, 23(2): 52-54. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE200112017.htm XIA C Y, WANG D B, PAN X Y. Study on the applicability of the Toronto Alexithymia Self report Scale in college students[J]. Zhejiang Med J, 2001, 23(2): 52-54. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE200112017.htm
[14]	韩晶晶, 张珊珊, 信廉欢. 大学生述情障碍的潜在类别类型与抑郁症状及社交焦虑的关联[J]. 中国学校卫生, 2021, 42(12): 1838-1841. doi: 10.16835/j.cnki.1000-9817.2021.12.019 HAN J J, ZHANG S S, XIN L H. Latent classes of alexithymia in college students and depressive symptoms, social interaction anxiety[J]. Chin J Sch Health, 2021, 42(12): 1838-1841. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.12.019
[15]	张珊珊, 张野, 苑波. 初中生抑郁在心理忽视与校园欺凌间的作用[J]. 中国学校卫生, 2018, 39(10): 1512-1515. doi: 10.16835/j.cnki.1000-9817.2018.10.021 ZHANG S S, ZHANG Y, YUAN B. Role of depression in the association between psychological neglect and peer bullying among junior school students[J]. Chin J Sch Health, 2018, 39(10): 1512-1515. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.10.021
[16]	李春慧. 初中生生命态度与校园欺凌态度关系的实证研究[D]. 南京: 南京师范大学, 2019. LI C H. An empirical study on the relationship between life attitude and campus bullying attitude of junior middle school students[D]. Nanjing: Nanjing Normal University, 2019. (in Chinese)
[17]	胡咏梅, 李佳哲. 谁在受欺凌?中学生校园欺凌影响因素研究[J]. 首都师范大学学报(社会科学版), 2018, 245(6): 176-190. https://www.cnki.com.cn/Article/CJFDTOTAL-SDSD201806019.htm HU Y M, LI J Z. Who is being bullied? Research on the influencing factors of middle school students' bullying on campus[J]. J Cap Norm Univ(Soc Sci Edit), 2018, 245 (6): 176-190. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SDSD201806019.htm
[18]	曹晓琪, 田苗, 宋雅琼, 等. 大学生遭受网络欺凌与抑郁的相关性[J]. 中国学校卫生, 2020, 41(2): 235-238. doi: 10.16835/j.cnki.1000-9817.2020.02.020 CAO X Q, TIAN M, SONG Y Q, et al. Association between cyberbullying and depression in college students[J]. Chin J Sch Health, 2020, 41(2): 235-238. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.02.020
[19]	IRELAND J L. Psychological health and bullying behavior among adolescent prisoners a study of young and juvenile of fenders[J]. J Adolesc Health, 2005, 36(3): 236-243.
[20]	徐涛, 张天成, 张福兰. 湘西州农村学校初中生校园欺凌与心理健康状况及其相关性[J]. 医学与社会, 2021, 34(2): 104-108. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH202102021.htm XU T, ZHANG T C, ZHANG F L. Status and correlation of school bullying and mental health of junior middle school students in Xiangxi Autonomous Prefecture[J]. Med Soc, 2021, 34(2): 104-108. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH202102021.htm
[21]	林小兰. 负面言语对青少年身心健康危害的探析[J]. 中国医学伦理学, 2012, 25(1): 107-108. https://www.cnki.com.cn/Article/CJFDTOTAL-XNLX201201042.htm LIN X L. Analysis on the harm of negative speech to the physical and mental health of teenagers[J]. Chin Med Ethics, 2012, 25(1): 107-108. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XNLX201201042.htm
[22]	姚建龙. 防治学生欺凌的中国路径: 对近期治理校园欺凌政策之评析[J]. 中国青年社会科学, 2017, 36(1): 19-25. https://www.cnki.com.cn/Article/CJFDTOTAL-ZQNZ201701003.htm YAO J L. The Chinese way to prevent and cure student bullying: an analysis of recent policies to cure campus bullying[J]. J Chin Youth Univ Polit Sci, 2017, 36(1): 19-25. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZQNZ201701003.htm
[23]	张天成, 张福兰, 熊静梅, 等. 武陵民族地区中学生健康危险行为现状及影响因素分析[J]. 中国学校卫生, 2018, 39(1): 45-49. doi: 10.16835/j.cnki.1000-9817.2018.01.014 ZHANG T C, ZHANG F L, XIONG J M, et al. Health risk behaviors and associated factors among middle school students in Wuling ethnic Area[J]. Chin J Sch Health, 2018, 39(1): 45-49. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.01.014
[24]	吴正慧, 赵占锋, 谭咏梅, 等. 小学生校园欺凌及其与问题行为和生活满意度的关系[J]. 中国心理卫生杂志, 2023, 37(3): 213-218. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202303005.htm WU Z H, ZHAO Z F, TAN Y M, et al. Relationships among school bullying, problem behavior and life satisfaction in primary school students[J]. Chin Ment Health J, 2023, 37(3): 213-218. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202303005.htm
[25]	吴静, 陈国平, 王志强, 等. 安徽省中学生遭受校园欺凌和睡眠时间与抑郁症状的关联[J]. 中国学校卫生, 2022, 43(10): 1547-1550. doi: 10.16835/j.cnki.1000-9817.2022.10.025 WU J, CHEN G P, WANG Z Q, et al. Relationship between school bullying, sleep duration and depressive symptoms among middle school students in Anhui Province[J]. Chin J Sch Health, 2022, 43(10): 1547-1550. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.10.025
[26]	熊雅妮, 马晓燕, 罗心诚, 等. 中学生社会排斥人格特质和情绪调节策略与被欺凌后求助意愿的关系[J]. 中国学校卫生, 2022, 43(9): 1346-1350. doi: 10.16835/j.cnki.1000-9817.2022.09.016 XIONG Y N, MA X Y, LUO X C, et al. Associations between social exclusion, personality trait and emotional regulation with the willingness to seek help after being bullied in middle school students[J]. Chin J Sch Health, 2022, 43(9): 1346-1350. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.09.016
[27]	吴芳, 罗学荣, 杨孟思, 等. 初中生校园欺凌不同角色的精神病样体验[J]. 中国心理卫生杂志, 2022, 36(9): 774-779. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202209009.htm WU F, LUO X R, YANG M S, et al. Psychotic-like experiences between different roles of school bullying among junior school students[J]. Chin Ment Health J, 2022, 36(9): 774-779. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202209009.htm