累积生态风险对河南省大学生健康危险行为的影响

胡万里; 陈志伟; 秦宏展; 娄文慧; 娄晓民; 吴翠平

doi:10.16835/j.cnki.1000-9817.2023.11.009

累积生态风险对河南省大学生健康危险行为的影响

doi: 10.16835/j.cnki.1000-9817.2023.11.009

1.
郑州大学公共卫生学院流行病与卫生统计学教研室, 河南 450001
2.
山东省烟台市蓬莱区疾病预防控制中心应急科
3.
郑州大学公共卫生学院儿童少年卫生学教研室

基金项目:

河南省大学生创新重点项目 202310459043

详细信息

作者简介:
胡万里(1998-)，男，河南永城人，在读硕士，主要研究方向为公共卫生

通讯作者:
吴翠平，E-mail: wucuiping@zzu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: C913.5 R179 G478
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- 被引次数: 0
出版历程
- 收稿日期: 2023-07-20
- 修回日期: 2023-09-15
- 网络出版日期: 2023-11-27
- 刊出日期: 2023-11-25

The impact of cumulative ecological risks on health risk behaviors among college students in Henan Province

1.
Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou (450001), Henan Province, China

摘要

摘要: 目的了解河南省大学生健康危险行为流行现状，深入分析累积生态风险对大学生健康危险行为的影响作用，为促进青少年健康发展提供科学依据。方法采用分层整群抽样的方法，于2023年4—6月以河南省6所高校的9 743名大学生为研究对象，使用大学生累积生态风险量表和中国城市青少年健康相关行为调查问卷(大学版)进行问卷调查。采用描述性统计分析、χ²检验和二元Logistic回归对数据进行分析。结果河南省大学生不健康饮食行为、不健康减肥行为、缺乏运动行为、日常危险行为、不良情绪、现在吸烟行为、现在饮酒行为、网络成瘾、危险性行为报告率分别为40.2%，39.5%，76.0%，13.7%，28.1%，11.3%，29.7%，5.9%，2.2%。其中，不良情绪、现在吸烟、现在饮酒、危险性行为、日常危险行为报告率，男生均高于女生(χ²值分别为44.00，995.20，902.49，121.95，103.09，P值均 < 0.05)；不健康饮食、不健康减肥、缺乏运动行为报告率，女生均高于男生(χ²值分别为107.59，13.01，145.83，P值均 < 0.05)。累积生态风险与总体健康危险行为呈正相关，累积生态风险指数每提高1个单位，大学生发生健康危险行为的风险提高48%。结论河南省大学生健康危险行为较为普遍。应倡导健康的生活方式，降低累积生态风险，减少健康危险行为的发生，促进青少年健康发展。
- 累积生态风险 /
- 危险行为 /
- 回归分析 /
- 学生
Abstract: Objective To determine the current prevalence of health risk behaviors among college students in Henan Province, and to conduct an in-depth analysis of the impact of cumulative ecological risks on health risk behaviors, so as to provide scientific basis for promoting healthy development of adolescents. Methods Using a multi-stage stratified cluster sampling method, 9 743 college students from six universities in Henan Province were included as the research subjects from April to June 2023. A questionnaire survey was conducted using the College Student Cumulative Ecological Risk Scale and the China Urban Adolescent Health Related Behavior Survey Questionnaire (University Version). Data were analyzed by descriptive statistical analysis, Chi-square test and binary Logistic regression. Results The reporting rates of unhealthy eating behavior, unhealthy weight loss behaviors, lack of physical activity, daily risk behaviors, negative emotions, current smoking behavior current drinking behaviors, Internet addiction emotions and dangerous sexual behaviors among college students in Henan Province were 40.2%, 39.5%, 76.0%, 13.7%, 28.1%, 11.3%, 12.7%, 5.9% and 2.2%, respectively. The reporting rates of negative emotions, current smoking behaviors, current drinking behaviors, dangerous sexual behaviors and daily risk behaviors of college students were higher in boys than in girls (χ²=44.00, 995.20, 902.49, 121.95, 103.09, P < 0.05). In terms of reporting rates of unhealthy diet, unhealthy weight loss and lack of exercise behavior, girls were higher than boys (χ²=107.59, 13.01, 145.83, P < 0.05). Cumulative ecological risk was positively correlated with overall health risk behaviors. For every unit increase in the cumulative ecological risk index, the risk of health risk behaviors among college students increased by 48%. Conclusions The prevalence of health risk behaviors among college students is relatively common. It should adrocate for a healthy lifestyle, reduce the cumulative ecological risk and the occurrence of health risk behaviors to promote the healthy development of adolescents.
- Cumulative ecological risk /
- Dangerous behavior /
- Regression analysis /
- Students
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表 1 不同人口统计学特征大学生健康危险行为报告率比较

Table 1. Comparison of reporting rates of health risk behaviors among college students in different characteristic groups

人口统计学指标		人数	统计值	不良情绪	现在吸烟	现在饮酒	网络成瘾	危险性行为	不健康饮食	不健康减肥	缺乏运动	日常危险行为
性别	男	4 522		1 419(31.4)	1 002(22.2)	2 020(44.7)	244(5.4)	179(4.0)	1 569(34.7)	1 701(37.6)	3 185(70.4)	792(17.5)
	女	5 221		1 322(25.3)	98(1.9)	876(16.8)	326(6.2)	35(0.7)	2 351(45.0)	2 151(41.2)	4 224(80.9)	544(10.4)
			χ²值	44.00	995.20	902.49	3.17	121.95	107.59	13.01	145.83	103.09
			P值	< 0.01	< 0.01	< 0.01	0.08	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
居住地	城市	3 552		1 051(29.6)	391(11.0)	1 163(32.7)	193(5.4)	99(2.8)	1 456(41.0)	1 553(43.7)	2 649(74.6)	527(14.8)
	乡村	6 191		1 690(27.3)	709(11.5)	1 733(28.0)	377(6.1)	115(1.9)	2 464(39.8)	2 299(37.1)	4 760(76.9)	809(13.1)
			χ²值	5.86	0.45	24.38	1.76	9.08	1.33	40.97	6.60	5.97
			P值	0.02	0.51	< 0.01	0.18	< 0.01	0.25	< 0.01	0.01	0.02
独生子女	是	1 311		411(31.4)	160(12.2)	467(35.6)	75(5.7)	53(4.0)	543(41.4)	548(41.8)	947(72.2)	230(17.5)
	否	8 432		2 330(27.6)	940(11.1)	2 429(28.8)	495(5.9)	161(1.9)	3 377(40.0)	3 304(39.2)	6 462(76.6)	1 106(13.1)
			χ²值	7.75	1.26	25.23	0.05	24.04	0.88	3.25	12.07	18.79
			P值	0.01	0.26	< 0.01	0.83	< 0.01	0.35	0.07	< 0.01	< 0.01
年级	大一	5 655		1 554(27.5)	624(11.0)	1 637(28.9)	350(6.2)	91(1.6)	2 321(41.0)	2 243(39.7)	4 253(75.2)	796(14.1)
	大二	3 066		885(28.9)	385(12.6)	954(31.1)	165(5.4)	87(2.8)	1 218(39.7)	1 220(39.8)	2 330(76.0)	408(13.3)
	大三	759		216(28.5)	69(9.1)	207(27.3)	39(5.1)	29(3.8)	294(38.7)	285(37.5)	610(80.4)	94(12.4)
	大四及以上	263		86(32.7)	22(8.4)	98(37.3)	16(6.1)	7(2.7)	87(33.1)	104(39.5)	216(82.1)	38(14.4)
			χ²值	4.76	11.20	13.81	3.13	24.53	8.18	1.38	15.31	2.31
			P值	0.19	0.01	< 0.01	0.37	< 0.01	0.04	0.71	< 0.01	0.51
自感成绩	中下及差	1 967		774(39.3)	292(14.8)	687(34.9)	202(10.3)	56(2.8)	885(45.0)	738(37.5)	1 585(80.6)	288(14.6)
	中等	4 686		1 116(23.8)	504(10.8)	1 287(27.5)	220(4.7)	100(2.1)	1 859(39.7)	1 783(38.0)	3 598(76.8)	584(12.5)
	中上及好	2 355		612(26.0)	211(9.0)	701(29.8)	103(4.4)	41(1.7)	845(35.9)	1 040(44.2)	1 670(70.9)	359(15.2)
	不稳定	735		239(32.5)	93(12.7)	221(30.1)	45(6.1)	17(2.3)	331(45.0)	291(39.6)	556(75.6)	105(14.3)
			χ²值	177.94	40.29	36.98	90.52	6.28	44.74	28.76	57.71	12.50
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.10	< 0.01	< 0.01	< 0.01	0.01
自感体重	很轻/有点轻	1 753		576(32.9)	282(16.1)	608(34.7)	105(6.0)	69(3.9)	666(38.0)	308(17.6)	1 300(74.2)	306(17.5)
	正合适	3 534		820(23.2)	339(9.6)	932(26.4)	159(4.5)	61(1.7)	1 397(39.5)	913(25.8)	2 609(73.8)	474(13.4)
	很重/有点重	4 456		1 345(30.2)	479(10.7)	1 356(30.4)	306(6.9)	84(1.9)	1 857(41.7)	2 631(59.0)	3 500(78.5)	556(12.5)
			χ²值	71.11	51.74	40.71	20.14	30.35	8.24	1 340.74	28.28	26.77
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	0.02	< 0.01	< 0.01	< 0.01
注： ()内数字为报告率/%。

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表 2 大学生总体健康危险行为影响因素的Logistic回归分析(n=9 743)

Table 2. Logistic regression analysis of influencing factors of overall health risk behaviors among college students(n=9 743)

自变量与常量	选项	β值	Wald χ²值	P值	OR值(95%CI)
累积生态风险指数		0.39	711.82	< 0.01	1.48(1.44~1.52)
性别	女				1.00
	男	0.62	169.89	< 0.01	1.86(1.69~2.04)
居住地	城市				1.00
	乡村	-0.50	94.67	< 0.01	0.61(0.55~0.67)
年级	大一				1.00
	大二	0.14	7.98	0.01	1.16(1.05~1.28)
	大三	0.08	0.81	0.37	1.08(0.91~1.29)
	大四及以上	0.35	6.25	0.01	1.42(1.08~1.86)
自感成绩	中等				1.00
	中下及差	0.42	49.78	< 0.01	1.53(1.36~1.72)
	中上及好	0.05	0.67	0.41	1.05(0.94~1.18)
	不稳定	0.16	3.17	0.08	1.17(0.98~1.39)
自感体重	正合适				1.00
	很轻/有点轻	0.25	14.38	< 0.01	1.29(1.13~1.47)
	很重/有点重	0.29	31.09	< 0.01	1.34(1.21~1.48)
常量		-1.94	767.84	< 0.01	0.14

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