北京市中学生健康危险行为潜在类别分析

罗慧娟; 高若伊; 赵海; 孙冰洁; 王路; 郭欣

doi:10.16835/j.cnki.1000-9817.2023.10.010

北京市中学生健康危险行为潜在类别分析

doi: 10.16835/j.cnki.1000-9817.2023.10.010

罗慧娟^{1, 2},
高若伊^{1, 2},
赵海²,
孙冰洁²,
王路²,
郭欣^{1, 2, ,}

1.
首都医科大学公共卫生学院, 北京 100069
2.
北京市疾病预防控制中心学校卫生所

基金项目:

北京市卫生健康委员会高层次公共卫生技术人才建设项目领军人才-01-09

国家重点研发计划项目 2021YFC2702102

详细信息

作者简介:
罗慧娟(1998-), 女, 江西新余人, 在读硕士, 主要研究方向为学校卫生

通讯作者:
郭欣, E-mail: gguoxin2000@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: C913.5 G444 R193
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- 被引次数: 0
出版历程
- 收稿日期: 2023-07-18
- 修回日期: 2023-08-10
- 网络出版日期: 2023-10-27
- 刊出日期: 2023-10-25

Latent class analysis of health risk behaviors among middle school students in Beijing City

LUO Huijuan^{1, 2},
GAO Ruoyi^{1, 2},
ZHAO Hai²,
SUN Bingjie²,
WANG Lu²,
GUO Xin^{1, 2
, ,}

1.
School of Public Health, Capital Medical University, Beijing(100069), China

摘要

摘要: 目的探究北京市中学生健康危险行为的潜在类别及其影响因素, 为确定重点干预对象及制定相关干预措施提供科学依据。方法于2022年10-12月对北京市16个区初中、普通高中、职业高中的17 730名在校学生开展匿名自填问卷调查, 对不良饮食、缺乏锻炼、非故意伤害、故意伤害、物质滥用和网络成瘾行为共6类健康危险行为进行潜在类别分析。结果北京市中学生健康危险行为潜在类别分为3类: 高危险行为组, 有961名, 占5.42%;低缺乏锻炼/高故意伤害组, 有1 099名, 占6.20%;低危险行为组, 有15 670名, 占88.38%。无序多分类Logistic回归分析结果显示, 相较于低危险行为组, 男生(OR=1.45)、职高(OR=2.00)、其他家庭(OR=1.90)、可能有抑郁情感(OR=2.27)、有抑郁情感(OR=6.18)、近1年因病休学(OR=1.79)的中学生更易进入高危险行为组; 男生(OR=2.30)、大家庭(OR=1.18)、重组家庭(OR=1.70)、其他家庭(OR=1.94)、可能有抑郁情感(OR=3.10)、有抑郁情感(OR=4.91)、近2周因病请假(OR=1.54)、近1年因病休学(OR=1.71)的中学生更易进入低缺乏锻炼/高故意伤害组(P值均 < 0.05)。结论北京市中学生健康危险行为存在明显潜在类别, 聚集出现且比例不同。相关部门应及时采取针对性的干预措施减少中学生健康危险行为的发生。
- 危险行为 /
- 健康教育 /
- 回归分析 /
- 学生
Abstract: Objective The study was aimed at exploring the latent classes and factors influencing middle school students health risk behaviors in Beijing, so as to provide a scientific basis for determining key intervention targets and formulating relevant intervention measures. Methods A questionnaire survey was conducted among 17 730 junior middle school, senior high school and vocational high school students in 16 districts of Beijing from October to December 2022.Six types of health risk behaviors were assessed with latent class analysis, including unhealthy diet, lack of exercise, unintentional harm, intentional harm, substance abuse and Internet addiction behavior. Results The latent classes of health risk behavior among middle school students in Beijing were divided into three classes: high risk behavior (961 participants, 5.42%), low lack of exercise/high intentional injury (1 099 participants, 6.20%), and low risk behavior (15 670 participants, 88.38%).Disordered multiple Logistic regression analysis indicated that middle school students who were male (OR=1.45), in high school (OR=2.00), had other family types (OR=1.90), possibly had depressed feelings (OR=2.27), had depressed feelings (OR=6.18), or were absent from school because of illness in the past year (OR=1.79) were more likely to be in the high-risk than the low-risk behavior group.Moreover, middle school students who were male (OR=2.30), had an extended family (OR=1.18), had a reorganized family (OR=1.70), had other family types (OR=1.94), possibly had depressed feelings (OR=3.10), had depressed feelings (OR=4.91), had taken sick leave in the prior 2 weeks (OR=1.54), or had absence from school because of illness in the past year (OR=1.71) were relatively more likely to be in the low lack of exercise or high intentional injury group (P < 0.05). Conclusion Clear latent classes of health risk behaviors among middle school students are found to be present in differing proportions in Beijing.Relevant departments should take targeted intervention measures in a timely manner to reduce the occurrence of health risk behaviors among middle school students.
- Dangerous behavior /
- Health education /
- 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 北京市中学生健康危险行为3个潜在类别条件概率分布

Figure 1. Conditional probability distribution of 3 latent classesof health risk behaviors among middle school students in Beijing

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表 1 北京市中学生健康危险行为潜在类别模型适配指标

Table 1. Latent class model fit index of health risk behaviors among middle school students in Beijing City

模型	AIC值	BIC值	aBIC值	Entropy值	LMRT值	BLRT值	类别概率
1	75 725.72	75 772.42	75 753.35	-	-	-	-
2	74 616.89	74 718.07	74 676.76	0.50	< 0.01	< 0.01	0.88/0.12
3	74 541.78	74 697.44	74 633.89	0.64	< 0.01	< 0.01	0.05/0.06/0.88
4	74 531.88	74 742.02	74 656.21	0.48	0.11	< 0.01	0.66/0.17/0.15/0.02
5	74 538.47	74 803.09	74 695.04	0.39	0.24	0.67	0.01/0.59/0.02/0.20/0.17

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表 2 不同组别中学生健康危险行为的潜在类别分布比较

Table 2. Comparison of latent classes distribution of health risk behaviors among middle school students of different groups

组别	选项	人数	高危险行为组	低缺乏锻炼/高故意伤害组	低危险行为组	χ²值	P值
性别	男	9 234	553(5.99)	742(8.03)	7 939(85.98)	129.02	＜0.01
	女	8 496	408(4.80)	357(4.20)	7 731(91.00)
学段	初中	8 221	317(3.86)	587(7.14)	7 317(89.00)	177.30	＜0.01
	普高	6 055	319(5.27)	293(4.84)	5 443(89.89)
	职高	3 454	325(9.41)	219(6.34)	2 910(84.25)
生源地	城区	10 640	604(5.68)	641(6.02)	9 395(88.30)	12.93	0.01
	近郊	5 155	245(4.75)	355(6.89)	4 555(88.36)
	远郊	1 935	112(5.79)	103(5.32)	1 720(88.89)
民族	汉族	15 979	855(5.35)	978(6.12)	14 146(88.53)	9.49	0.15
	满族	1 037	54(5.21)	70(6.75)	913(88.04)
	回族	400	27(6.75)	33(8.25)	340(85.00)
	其他	314	25(7.96)	18(5.73)	271(86.31)
是否住校	是	3 832	253(6.60)	215(5.61)	3 364(87.79)	15.52	＜0.01
	否	13 898	708(5.09)	884(6.36)	12 306(88.55)
家庭结构	核心家庭	9 766	505(5.17)	539(5.52)	8 722(89.31)	72.86	＜0.01
	大家庭	4 459	210(4.71)	308(6.91)	3 941(88.38)
	单亲家庭	2 420	155(6.40)	154(6.36)	2 111(87.23)
	重组家庭	501	37(7.39)	50(9.98)	414(82.63)
	隔代家庭	445	34(7.64)	33(7.42)	378(84.94)
	其他家庭	139	20(14.39)	15(10.79)	104(74.82)
抑郁情感	无	13 402	408(3.04)	538(4.01)	12 456(92.94)	1 286.15	＜0.01
	可能有	1 156	72(6.23)	116(10.03)	968(83.74)
	有	3 172	481(15.16)	445(14.03)	2 246(70.81)
近2周是否因病请假	是	1 752	138(7.88)	173(9.87)	1 441(82.25)	72.30	＜0.01
	否	15 978	823(5.15)	926(5.80)	14 229(89.05)
近1年是否因病休学	是	276	35(12.68)	39(14.13)	202(73.19)	63.05	＜0.01
	否	17 454	926(5.31)	1 060(6.07)	15 468(88.62)
注： ()内数字为构成比/%。

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表 3 北京市中学生健康危险行为潜在类别的无序多分类Logistic回归分析(n=17 730)

Table 3. Disordered multiple Logistic regression analysis of latent classes of health risk behaviors of middle school students in Beijing City (n=17 730)

自变量	选项	高危险行为组		低缺乏锻炼/高故意伤害组
自变量	选项	OR值(95%CI)	P值	OR值(95%CI)	P值
性别	女	1.00		1.00
	男	1.45(1.26~1.66)	＜0.01	2.30(2.01~2.63)	＜0.01
学段	初中	1.00		1.00
	普高	1.11(0.93~1.31)	0.24	0.57(0.49~0.67)	＜0.01
	职高	2.00(1.68~2.39)	＜0.01	0.77(0.64~0.92)	＜0.01
生源地	城区	1.00		1.00
	近郊	0.81(0.68~0.95)	0.01	1.07(0.93~1.24)	0.35
	远郊	0.93(0.74~1.15)	0.49	0.79(0.63~0.99)	0.04
是否住校	否	1.00		1.00
	是	1.04(0.88~1.23)	0.63	0.91(0.77~1.09)	0.31
家庭结构	核心家庭	1.00		1.00
	大家庭	0.92(0.77~1.09)	0.33	1.18(1.01~1.37)	0.04
	单亲家庭	1.03(0.85~1.25)	0.73	1.04(0.86~1.25)	0.72
	重组家庭	1.24(0.87~1.79)	0.23	1.70(1.24~2.35)	＜0.01
	隔代家庭	1.29(0.89~1.89)	0.18	1.27(0.87~1.86)	0.21
	其他家庭	1.90(1.12~3.20)	0.02	1.94(1.09~3.45)	0.02
抑郁情感	无	1.00		1.00
	可能有	2.27(1.75~2.95)	＜0.01	3.10(2.50~3.84)	＜0.01
	有	6.18(5.36~7.12)	＜0.01	4.91(4.27~5.63)	＜0.01
近2周是否因病	否	1.00		1.00
请假	是	1.20(0.99~1.47)	0.07	1.54(1.29~1.85)	＜0.01
近1年是否因病	否	1.00		1.00
休学	是	1.79(1.21~2.64)	＜0.01	1.71(1.18~2.47)	＜0.01

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