中国五省初中生伤害发生及其与健康相关行为的关联

王荣科; 吕书红; 向虎; 银春燕; 陈青青; 刘志浩

doi:10.16835/j.cnki.1000-9817.2023.05.029

中国五省初中生伤害发生及其与健康相关行为的关联

doi: 10.16835/j.cnki.1000-9817.2023.05.029

1.
绵阳市第三人民医院心理综合科/四川省精神卫生中心，621000
2.
中国健康教育中心健康促进部
3.
江苏省疾病预防控制中心健康教育所

基金项目:

国家卫生计生委2017年财政项目 1710908

详细信息

作者简介:
王荣科(1979-)，男，四川资中人，硕士，副主任医师，主要研究方向为物质成瘾治疗及健康教育

通讯作者:
刘志浩，E-mail：37894479@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-03-06
- 修回日期: 2023-03-24
- 网络出版日期: 2023-05-25
- 刊出日期: 2023-05-25

Association between incidence of injuries and health-related behavior among middle school students in five provinces in China

1.
Department of General Psychology, the Third People's Hospital of Mianyang/Sichuan Province Mental Health Center, Mianyang(621000), Sichuan Province, China

摘要

摘要: 目的探讨中国五省初中生伤害发生及其与健康相关行为的关联，为初中生伤害行为预防提供参考。方法采用分层随机整群抽样方法，选取中国五省(浙江、广东、江西、四川、贵州)1 067名初中生进行问卷调查，采用χ²检验和多因素Logistic回归分析初中生自我伤害和他人伤害与健康相关行为的情况。结果初中生自我伤害行为发生率为11.0%，他人伤害行为发生率为13.2%。多因素Logistic回归分析结果显示，调整区域后，尝试吸烟、不是每天吃早饭、过去6个月内有过2周以上情绪低落与初中生的自我伤害行为呈正相关(OR值分别为3.02，2.04，4.30，P值均＜0.01)；调整区域、城乡、住校情况、每周零花钱情况后，尝试吸烟与初中生他人伤害行为呈正相关(OR=2.03，P < 0.05)。结论尝试吸烟行为可作为初中生自我伤害行为和他人伤害行为的共同预测因子，应对初中生积极开展控烟干预。
- 自我伤害行为 /
- 暴力 /
- 健康行为 /
- 回归分析 /
- 学生
Abstract: Objective To explore the association between incidence of injuries and health-related behavior among middle school students in China, to provide evidence for injury prevention. Methods A questionnaire survey was conducted among 1 067 students who were selected from Zhejiang, Guangdong, Jiangxi, Sichuan and Guizhou provinces by using stratified random cluster sampling method. Chi-square test and multiple Logistic regression analyses were used to analyze incidence of injuries and health-related behavior. Results The prevalence of self-injury among middle school students in five provinces was 11.0%, the prevalence of intentional injury was 13.2%. Multiple Logistic regression analyses showed that attempting smoking, not eating breakfast every day, having a low mood more than 2 weeks in the past 6 months were positively correlated with self-injury (OR=3.02, 2.04, 4.30, P < 0.01) after adjusting for region, and the smoking attempt behavior was positively correlated with intentional injury (OR=2.03, P < 0.05) after adjusting for region, urban and rural, residence condition, weekly allowance condition. Conclusion Smoking attempt behavior could be viewed as a shared predictor for both self-injury and intentional injury behavior among middle school students, smoking control intervention should be carried out actively among students.
- Self-injurious behavior /
- Violence /
- Health behavior /
- 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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表 1 中国五省初中生自我伤害和他人伤害发生率比较

Table 1. The comparison of the incidence of self-injury and intentional injury among middle school students in 5 provinces

组别	选项	自我伤害				他人伤害
组别	选项	调查人数	发生人数	χ²值	P值	调查人数	发生人数	χ²值	P值
区域	东部	406	27(6.7)	14.44	< 0.01	404	33(8.2)	26.72	< 0.01
	中部	283	33(11.7)			282	61(21.6)
	西部	378	57(15.1)			375	46(12.3)
城乡	城市	422	51(12.1)	0.90	0.34	421	39(9.3)	9.42	< 0.01
	农村	645	66(10.2)			640	101(15.8)
性别	男	560	64(11.4)	0.26	0.61	558	83(14.9)	2.90	0.09
	女	507	53(10.5)			503	57(11.3)
独生子女^*	是	321	35(10.9)	0.14	0.71	319	48(15.0)	1.05	0.31
	否	737	82(11.1)			734	92(12.5)
住校情况^*	是	608	67(11.0)	< 0.01	0.99	606	66(10.9)	6.99	0.01
	否	457	50(10.9)			453	74(16.3)
每周零花钱/元^*	无	264	26(9.8)	7.38	0.12	262	33(12.6)	11.57	0.02
	≤10	209	19(9.1)			207	28(13.5)
	11~50	383	49(12.8)			381	60(15.7)
	51~100	156	13(8.3)			156	9(5.8)
	>100	51	10(19.6)			51	10(19.6)
尝试吸烟^*	是	59	19(32.2)	28.80	< 0.01	59	16(27.1)	10.55	< 0.01
	否	1 007	98(9.7)			1 001	124(12.4)
饮酒^*	是	277	48(17.3)	15.40	< 0.01	275	48(17.5)	5.81	0.02
	否	788	69(8.8)			784	92(11.7)
健康素养	具备	832	77(9.3)	11.32	< 0.01	827	106(12.8)	0.47	0.49
	不具备	235	40(17.0)			234	34(14.5)
每天作业时间/h^*	＜2	733	83(11.3)	0.27	0.60	730	91(12.5)	1.17	0.28
	≥2	332	34(10.2)			329	49(14.9)
每天运动时间/h^*	＜1	427	59(13.8)	5.89	0.02	425	55(12.9)	0.09	0.77
	≥1	639	58(9.1)			636	85(13.4)
每天睡眠时间/h^*	＜9	879	105(11.9)	4.64	0.03	873	116(13.3)	0.01	0.91
	≥9	185	12(6.5)			185	24(13.0)
每天看电视或	＜1	597	49(8.2)	10.56	< 0.01	593	69(11.6)	2.85	0.09
上网时间/h	≥1	470	68(14.5)			468	71(15.2)
每天吃早饭^*	是	749	59(7.9)	25.15	< 0.01	745	91(12.2)	2.27	0.13
	否	315	58(18.4)			313	49(15.7)
过去6个月内有过2	是	139	44(31.7)	67.21	< 0.01	139	25(18.0)	3.33	0.07
周以上情绪低落	否	928	73(7.9)			922	115(12.5)
注：*表示数据存在缺失；()内数字为发生率/%。

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表 2 中国五省初中生自我伤害、他人伤害行为的多因素Logistic回归分析(1 067)

Table 2. Multivariate Logistic regression analysis of self-injury and intentional injury of middle school students in 5 provinces in China (n=1 067)

自变量	选项	自我伤害^a		他人伤害^b
自变量	选项	β值	OR值(OR值95%CI)	β值	OR值(OR值95%CI)
每天吃早饭	否	0.71	2.04(1.35~3.09)^**
过去6个月内有过2周以上情绪低落	是	1.46	4.30(2.74~6.74)^**
尝试吸烟	是	1.11	3.02(1.62~5.64)^**	0.71	2.03(1.07~3.85)^*
区域	中部			1.20	3.31(2.03~5.40)^**
	西部			0.60	1.83(1.09~3.07)^*
城乡	农村			0.60	1.83(1.20~2.78)^*
每周零花钱/元	≤10			-0.19	0.83(0.47~1.47)
	11~50			0.22	1.25(0.75~2.07)
	51~100			-0.53	0.59(0.26~1.35)
	>100			0.94	2.55(1.10~5.93)^*
注：a调整区域，b调整区域、城乡、住校情况、每周零花钱情况；P < 0.05，*P < 0.01。

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