海南省中学生校园欺侮和自杀倾向共发及与成瘾行为的相关性

邵志晓; 耿修来; 邹金婷; 王文豪; 张东献

doi:10.16835/j.cnki.1000-9817.2024113

海南省中学生校园欺侮和自杀倾向共发及与成瘾行为的相关性

doi: 10.16835/j.cnki.1000-9817.2024113

海南医学院管理学院，海口 571199

基金项目:

海南省自然科学基金项目 822RC706

海南省自然科学基金项目 823RC501

海南医学院2022年研究生创新科研课题 HYYB2022A34

详细信息

作者简介:
邵志晓(1995-)，女，浙江衢州人，在读硕士，主要研究方向为卫生事业管理

通讯作者:
张东献，E-mail：zdx990326@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G444 G478 C913.5
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- 被引次数: 0
出版历程
- 收稿日期: 2024-01-02
- 修回日期: 2024-02-14
- 网络出版日期: 2024-04-25
- 刊出日期: 2024-04-25

Co-occurrence of campus bullying and suicidal tendency and its correlation with addictive behavior among middle and high school students in Hainan Province

School of Management, Hainan Medical University, Haikou (571199), Hainan Province, China

摘要

摘要: 目的了解海南省中学生校园欺侮和自杀倾向共发与成瘾行为间的相关性，为学校开展健康教育和行为干预提供理论依据。方法采用概率比例抽样与分层整群随机抽样相结合的方法，于2023年7月对海南省6 654名中学生进行匿名问卷调查，依据中国青少年健康相关行为调查问卷、学生健康状况及影响因素调查表和自编问卷中的相关条目判定校园欺侮、自杀倾向及成瘾行为，同时分析学生校园欺侮和自杀倾向共发情况。运用二元Logistic回归方法分析中学生校园欺侮和自杀倾向共发与成瘾行为的相关性。结果海南省中学生校园欺侮报告率为28.48%，自杀倾向报告率为15.25%，校园欺侮和自杀倾向共发率为8.00%。Logistic回归分析结果显示，初中生、留守学生易共发校园欺侮和自杀倾向(OR值分别为1.55，1.52)，网络成瘾、赌博、吸烟与学生校园欺侮和自杀倾向共发均呈正相关(OR值分别为3.14，2.18，2.07)(P值均<0.05)。结论有成瘾行为的中学生校园欺侮和自杀倾向共发的可能性更高。应对成瘾行为进行综合干预，降低中学生校园欺侮和自杀倾向共发，提高中学生的生命健康水平。
- 暴力 /
- 自杀 /
- 行为，成瘾 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To investigate the correlation between campus bullying and suicidal tendency symptoms comorbidity with addictive behavior among middle and high school students in Hainan Province, so as to provide a theoretical basis for health education and behavioral intervention in schools. Methods In July 2023, an anonymous questionnaire survey was conducted among 6 654 middle and high school students in Hainan Province, selected by probability proportional sampling and stratified cluster random sampling method. Campus bullying, suicidal tendency and addictive behavior were determined according to the relevant items in the questionnaire on health related behaviors of Chinese students' health status and influencing factors questionnaire, and self-designed questionnaire. The co-occurrence of campus bullying and suicidal tendency among students was analyzed. The binary Logistic regression method was used to analyze the correlation between the co-occurrence of campus bullying and suicidal tendency and the addictive behavior of middle school students. Results The report rate of campus bullying among middle and high school students in Hainan Province was 28.48%, the suicidal tendency was 15.25%, and the co-occurrence of campus bullying and suicidal tendency was 8.00%. The results of Logistic regression analysis showed that middle school students and left-behind students were prone to campus bullying and suicide tendency (OR=1.55, 1.52, P<0.05), while Internet addiction, gambling and current smoking showed significant positive correlation with comorbidity of campus bullying and suicide tendency (OR=3.14, 2.18, 2.07, P<0.05). Conclusions Middle and high school students with addictive behavior have a higher possibility of comorbidity of campus bullying and suicidal tendency. The comprehensive intervention of addictive behavior can reduce the incidence of co-occurrence of campus bullying and suicidal tendency, so as to improve health and wellbeing of middle school students.
- Violence /
- Suicide /
- Behavior, addictive /
- Mental health /
- Regression analysis /
- Students
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表 1 海南省不同社会人口学特征中学生校园欺侮和自杀倾向及共发报告率比较

Table 1. Comparison of reporting rates of campus bullying, suicidal tendency and their co-occurrence among middle and high school students with different sociodemographic characteristics in Hainan Province

人口学指标		人数	统计值	语言欺侮	身体欺侮	关系欺侮	传统欺侮	网络欺侮	校园欺侮	自杀倾向	校园欺侮和自杀倾向共发
性别	男	3 252		878(27.00)	198(6.09)	510(15.68)	978(30.07)	93(2.86)	999(30.72)	355(10.92)	220(6.77)
	女	3 402		712(20.93)	112(3.29)	563(16.55)	874(25.69)	106(3.12)	896(26.34)	660(19.40)	312(9.17)
			χ²值	33.69	29.27	0.92	15.90	0.38	15.68	92.58	13.08
			P值	< 0.01	< 0.01	0.34	< 0.01	0.54	< 0.01	< 0.01	< 0.01
学段	初中	3 523		884(25.09)	144(4.09)	571(16.21)	1 026(29.12)	122(3.46)	1 053(29.89)	592(16.80)	327(9.28)
	高中	3 131		706(22.55)	166(5.30)	502(16.03)	826(26.38)	77(2.46)	842(26.89)	423(13.51)	205(6.55)
			χ²值	5.90	5.50	0.04	6.20	5.76	7.31	13.91	16.85
			P值	0.02	0.02	0.85	0.01	0.02	0.01	< 0.01	< 0.01
家庭住址	城镇	3 706		824(22.23)	139(3.75)	579(15.62)	971(26.20)	107(2.89)	993(26.79)	631(17.03)	310(8.36)
	乡村	2 948		766(25.98)	171(5.80)	494(16.76)	881(29.88)	92(3.12)	902(30.60)	384(13.03)	222(7.53)
			χ²值	12.69	15.53	1.56	11.09	0.31	11.66	20.33	1.55
			P值	< 0.01	< 0.01	0.21	< 0.01	0.58	< 0.01	< 0.01	0.21
留守学生	是	887		272(30.67)	67(7.55)	181(20.41)	303(34.16)	35(3.95)	308(34.72)	161(18.15)	97(10.94)
	否	5 767		1 318(22.85)	243(4.21)	892(15.47)	1 549(26.86)	164(2.84)	1 587(27.52)	854(14.81)	435(7.54)
			χ²值	25.79	19.31	13.86	20.40	3.22	19.59	6.65	12.03
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.07	< 0.01	0.01	< 0.01
合计		6 654		1 590(23.90)	310(4.66)	1 073(16.13)	1 852(27.83)	199(2.99)	1 895(28.48)	1 015(15.25)	532(8.00)
注： ()内数字为报告率/%。

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表 2 海南省不同成瘾行为中学生校园欺侮和自杀倾向共发报告率比较

Table 2. Single factor analysis of co-occurrence of campus bullying and suicidal tendency among middle and high school students with different addictive behaviors in Hainan Province

变量	选项	人数	报告人数	χ²值	P值
网络成瘾	是	359	76(21.17)	89.54	< 0.01
	否	6 295	456(7.24)
赌博	是	247	42(17.00)	28.30	< 0.01
	否	6 407	490(7.65)
吸烟	是	317	47(14.83)	21.12	< 0.01
	否	6 337	485(7.65)
注： ()内数字为报告率/%。

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表 3 海南省中学生校园欺侮和自杀倾向共发影响因素的Logistic回归分析(n=6 654)

Table 3. Logistic regression analysis of factors influencing comorbidities of campus bullying and suicidal tendency among middle and high school students in Hainan Province(n=6 654)

自变量与常数	选项	β值	Wald χ²值	P值	OR值(95%CI)
性别	男	-0.37	15.11	< 0.01	0.69(0.58~0.83)
学段	初中	0.44	20.93	< 0.01	1.55(1.28~1.87)
家庭住址	城镇	0.16	2.74	0.10	1.17(0.97~1.41)
留守学生	是	0.42	11.85	< 0.01	1.52(1.20~1.93)
现在吸烟	是	0.73	16.61	< 0.01	2.07(1.46~2.95)
网络成瘾	是	1.14	65.31	< 0.01	3.14(2.38~4.14)
赌博	是	0.78	17.60	< 0.01	2.18(1.51~3.14)
常数		-2.87	739.25	< 0.01	0.06

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