Association between biorhythm disorders and the co-occurrence of health-risk behaviors in adolescence
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摘要:
目的 阐述青少年生物节律紊乱与健康危险行为共存的相关性，为青少年健康危险行为的干预提供参考依据。 方法 于2023年3—4月基于方便抽样和分层随机整群抽样的方法，选取上海市2 381名青少年为研究对象，采用青少年生物节律紊乱评定问卷(SQBRDA)、自编健康危险行为调查表调查青少年生物节律紊乱状况和9种健康危险行为，运用多元Logistic回归模型分析两者之间的相关性。 结果 青少年生物节律紊乱平均得分为(68.25±0.42)分。健康危险行为无共存、轻度共存、中度共存和重度共存组的检出人数分别为234(9.83%)、1 176(49.39%)、830(34.86%)和141(5.92%)名。生物节律紊乱总得分与健康危险行为共存发生风险呈正向关联，生物节律紊乱高分组的青少年发生健康危险行为轻度共存、中度共存、重度共存的风险分别是低分组的9.05倍(95%CI=4.25~19.15)、44.55倍(95%CI=20.75~96.05)、110.05倍(95%CI=40.65~297.95)(P值均 < 0.01)。 结论 上海市青少年健康危险行为呈现较严峻的共存现象，生物节律紊乱与健康危险行为共存发生风险呈正向关联，可通过调节生物节律紊乱来综合性干预青少年健康危险行为。 Abstract:Objective To elucidate the association between biorhythm disorders and health-risk behaviors in adolescence, so as to provide reference for appropriate interventions. Methods From March to April 2023, 2 381 adolescents in Shanghai were selected as research objects using convenience sampling and stratified random cluster sampling methods. The Self-rating Questionnaire of Biological Rhythm Disorders for Adolescents (SQBRDA) and the self-report health-risk behaviors questionnaire were used to investigate the status of adolescent biorhythm disorders and nine kinds of health-risk behaviors, while a multivariate Logistic regression model was employed to analyze the association between the two variables. Results The average SQBRDA score was (68.25±0.42) The incidence and detection rates of health risk behaviors in the groups with no co-occurrence, mild co-occurrence, moderate co-occurrence, and severe co-occurrence were 234(9.83%), 1 176(49.39%), 830(34.86%) and 141(5.92%), respectively. The total SQBRDA score was positively correlated with the risk of co-occurrence of health-risk behaviors. The risk of mild co-occurrence, moderate co-occurrence, and severe co-occurrence of health-risk behaviors was 9.05 times (95%CI=4.25-19.15, P < 0.01), 44.55 times (95%CI=20.75-96.05, P < 0.01) and 110.05 times (95%CI=40.65-297.95, P < 0.01) higher, respectively, among adolescents with higher scores of biorhythm disorders compared to adolescents with lower scores of biorhythm disorders. Conclusions Health-risk behaviors among adolescents in Shanghai draw attention to a serious phenomenon whereby biorhythm disorders are positively correlated with the risk of co-occurrence. Comprehensive interventions aimed at addressing adolescent health-risk behaviors should focus on regulating biorhythm disorders. -
Key words:
- Biological rhythm /
- Dangerous behavior /
- Regression analysis /
- Adolescent
1) 利益冲突声明 所有作者声明无利益冲突。2) 翟娅妮与王雪莱为共同第一作者。 -
表 1 不同生物节律紊乱得分组青少年健康危险行为检出率比较
Table 1. Comparison of the detection rates of health-risk behaviors among different groups of biorhythms disorders in adolescents
组别 人数 快餐/外卖消费多 不天天吃早餐 蔬菜摄入不足 水果摄入不足 喜爱喝含糖饮料 饮酒 吸烟 体力活动不足 视屏时间长 低分组 599 282(47.08) 110(18.36) 21(3.51) 39(6.51) 493(82.30) 27(4.51) 1(0.17) 286(47.75) 164(27.38) 中分组 1 155 638(55.24) 365(31.60) 61(5.28) 212(18.35) 1 059(91.69) 77(6.67) 8(0.69) 635(54.98) 667(57.75) 高分组 627 414(66.03) 340(54.23) 107(17.07) 185(29.51) 596(95.06) 90(14.35) 14(2.23) 384(61.24) 487(77.67) χ2值 44.78 175.99 78.33 108.20 55.83 40.18 13.81 22.49 312.04 P值 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 注： ()内数字为检出率/%。 
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表 2 不同人口学特征青少年健康危险行为共存状况分布比较
Table 2. Comparison of co-occurrence of health-risk behaviors among adolescents with different characteristics
人口学指标 选项 人数 无共存组 轻度共存组 中度共存组 重度共存组 χ趋势2值 学段 初中 1 222 177(14.48) 673(55.07) 339(27.74) 33(2.70) 152.03** 高中 1 159 57(4.92) 503(43.40) 491(42.36) 108(9.32) 性别 男 1 154 129(11.18) 609(52.77) 353(30.59) 63(5.46) 17.51** 女 1 227 105(8.56) 567(46.21) 477(38.88) 78(6.36) 独生子女 是 1 671 145(8.68) 838(50.15) 594(35.55) 94(5.63) 1.59 否 710 89(12.54) 338(47.61) 236(33.24) 47(6.62) 父亲文化程度 初中及以下 280 60(10.34) 270(46.55) 217(37.41) 33(5.69) 3.55 高中或中专 778 61(7.84) 382(49.10) 286(36.76) 49(6.30) 大专及以上 1 023 113(11.05) 524(51.22) 327(31.96) 59(5.77) 母亲文化程度 初中及以下 652 72(11.04) 299(45.86) 238(36.50) 43(6.60) 2.88 高中或中专 732 67(9.15) 348(47.54) 270(36.89) 47(6.42) 大专及以上 997 95(9.53) 529(53.06) 322(32.30) 51(5.12) 家庭经济条件 差 276 13(4.71) 116(42.03) 117(42.39) 30(10.87) 27.71** 中等 1 698 174(10.25) 838(49.35) 595(35.04) 91(5.36) 好 407 47(11.55) 222(54.55) 118(28.99) 20(4.91) 关系密切的朋友数量/个 ≤2 641 47(7.33) 301(46.96) 243(37.91) 50(7.80) 24.05** 3~5 1 074 102(9.50) 524(48.79) 386(35.94) 62(5.77) ≥6 666 85(12.76) 351(52.70) 201(30.18) 29(4.35) 学习负担 轻 207 30(14.49) 106(51.21) 56(27.05) 15(7.25) 46.27** 一般 1 423 159(11.17) 750(52.71) 449(31.55) 65(4.57) 重 751 45(5.99) 320(42.61) 325(43.28) 61(8.12) 家庭结构 双亲家庭 2 054 211(10.27) 1 032(50.24) 692(33.69) 119(5.79) 9.55* 非双亲家庭 327 23(7.03) 144(44.04) 138(42.20) 22(6.73) 生物节律紊乱 高分组 627 8(1.28) 193(30.78) 326(51.99) 100(15.95) 443.32** 中分组 1 155 75(6.49) 638(55.24) 411(35.58) 31(2.68) 低分组 599 151(25.21) 345(57.60) 93(15.53) 10(1.67) 注： ()内数字为构成比/%；*P < 0.05，**P < 0.01。
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表 3 生物节律紊乱与青少年健康危险行为共存的多元Logistic回归分析[OR值(95%CI)，n=2 381]
Table 3. Multiple Logistic regression analysis of biorhythm disorders and the co-occurrence of health-risk behaviors among adolescents[OR(95%CI), n=2 381]
模型 生物节律紊乱分组 轻度共存组 中度共存组 重度共存组 模型1 低分组 1.00 1.00 1.00 中分组 3.72(2.74~5.06) 8.90(6.23~12.71) 6.24(2.91~13.41) 高分组 10.56(5.08~21.97) 66.16(31.33~139.72) 188.75(72.02~494.65) 模型2 低分组 1.00 1.00 1.00 中分组 3.55(2.55~4.85) 7.45(5.15~10.85) 4.95(2.25~10.75) 高分组 9.05(4.25~19.15) 44.55(20.75~96.05) 110.05(40.65~297.95) 注：因变量以无共存组为参照；模型1未控制协变量，模型2控制了学段、性别、家庭经济条件、关系密切的朋友数量、学习负担、家庭结构；P值均 < 0.01。
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