中职生节食暴食行为与非自杀性自伤行为的关系

韩杨; 王连花; 李秋硕; 孔维森; 李众; 冷佩洪; 庄礼润; 李兵; 庹安写

doi:10.16835/j.cnki.1000-9817.2024380

中职生节食暴食行为与非自杀性自伤行为的关系

doi: 10.16835/j.cnki.1000-9817.2024380

1.
贵州医科大学公共卫生与健康学院/环境污染与疾病监控教育部重点实验室，贵阳 561113
2.
贵阳市开阳县疾病预防控制中心应急办公室
3.
贵州医科大学医学人文学院
4.
贵州大学外国语学院

基金项目:

贵州省2022年省级大学生创新创业项目 S202210660063

贵州省卫生健康委2023年科学技术基金项目 gzwkj2023-476

贵州省高校人文社会科学研究项目 2023GZGXRW136

详细信息

作者简介:
韩杨(1998-)，男，贵州遵义人，在读硕士，主要研究方向为儿少卫生学

通讯作者:
庹安写，E-mail: 1298253638@qq.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 R155.1 B845.67
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- 被引次数: 0
出版历程
- 收稿日期: 2024-09-25
- 修回日期: 2024-11-14
- 网络出版日期: 2025-01-07
- 刊出日期: 2024-12-25

Association of dieting and binge eating with non-suicidal self-injury among secondary vocational school students

1.
School of Public Health/Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang (561113), Guizhou Province, China

摘要

摘要: 目的探讨中职生节食、暴食行为与非自杀性自伤行为(NSSI)之间的关系，为制定预防中职生NSSI的有效干预措施提供科学依据。方法 2023年10—12月，采用分层整群随机抽样方法从贵州省9所中职学校抽取2 364名学生进行自填式问卷调查，采用非条件二元Logisitic回归分析中职生节食、暴食行为及两者共存与NSSI的关系，并进行性别分层。结果贵州省中职生NSSI检出率为27.5%，6.8%的中职生有节食行为，10.5%有暴食行为，2.9%同时表现出节食和暴食行为。非条件二元Logistic回归调整模型结果显示，有节食行为(OR=2.37)、暴食行为(OR=2.31)及两者共存(OR=2.60)中职生发生NSSI的风险较高；性别分层分析结果显示，男、女生具有节食、暴食及节食暴食共存行为，NSSI风险均增加(女生：OR值分别为2.27，2.26，2.78；男生：OR值分别为2.15，2.08，2.02)(P值均<0.01)。结论中职生节食、暴食行为会增加NSSI风险。在预防和干预中职生的NSSI问题时，应加强对饮食行为习惯的关注。
- 饮食习惯 /
- 自我伤害行为 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To explore the relationship between dieting and binge eating with non-suicidal self-injury (NSSI) among secondary vocational school students, so as to provide a scientific basis for the development of effective interventions to prevent NSSI. Methods From October to December 2023, 2 364 students were selected by stratified cluster random sampling method from nine secondary vocational schools in Guizhou Province to conduct a self-administered questionnaire survey. Unconditional binary Logisitic regression was used to analyze the relationship between dieting, binge-eating behaviours, and the co-occurrence of the two and NSSI among secondary vocational school students, and were stratified by sex. Results The detection rate of NSSI among secondary vocational school students in Guizhou Province was 27.5%, 6.8% of secondary vocational school students reported dieting, 10.5% reported binge-eating behaviour, and 2.9% showed both dieting and binge-eating behaviours. The adjusted model of unconditional binary Logistic regression showed that the presence of dieting (OR=2.37), binge-eating behaviour (OR=2.31), and the co-occurrence of both (OR=2.60) were associated with higher risk of NSSI among secondary vocational school students; stratified analysis by gender showed that both males and females with dieting, binge eating and coexistence of dieting and binge eating behaviours were at increased risk of NSSI (females: OR=2.27, 2.26, 2.78; males: OR=2.15, 2.08, 2.02) (P<0.01). Conclusions Dieting and binge eating behavior of secondary vocational school students will increase the risk of NSSI. When preventing and intervening NSSI problems of secondary vocational school students, it should pay more attention to eating habits.
- Food habits /
- Self-injurious behavior /
- Mental health /
- 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 不同组别中职生NSSI报告率比较

Table 1. Comparison of NSSI reporting rates among secondary vocational students with different groups

组别	选项	人数	NSSI人数	χ²值	P值
性别	男	1 279	336(26.3)	2.10	0.15
	女	1 085	314(28.9)
家庭居住地	农村	1 536	399(26.0)	5.20	0.02
	城镇	828	251(30.4)
独生子女	是	317	91(28.8)	0.31	0.58
	否	2 047	559(27.3)
留守经历	是	1 086	338(31.1)	13.07	< 0.01
	否	1 278	312(24.4)
恋爱经历	是	986	372(37.7)	88.84	< 0.01
	否	1 378	278(20.2)
家庭结构	核心家庭	1 201	309(25.7)	8.75	0.07
	主干家庭	467	121(25.9)
	单亲家庭	385	120(31.2)
	联合家庭	134	41(30.6)
	重组家庭	177	59(33.3)
吸烟	是	988	357(36.1)	63.53	< 0.01
	否	1 376	293(21.3)
饮酒	是	1 497	502(33.5)	74.65	< 0.01
	否	867	148(17.1)
超重/肥胖	是	286	81(28.3)	0.11	0.74
	否	2 078	569(27.4)
节食	是	160	81(50.6)	46.05	< 0.01
	否	2 204	569(25.8)
暴食	是	249	111(44.6)	40.74	< 0.01
	否	2 115	539(25.5)
节食暴食共存	是	69	33(52.2)	14.74	< 0.01
	否	2 295	617(26.9)
注： ()内数字为报告率/%。

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表 2 不同组别中职生节食、暴食及两者共存报告率比较

Table 2. Comparison of reporting rates for dieting, binge eating, and co-existence of both among secondary vocational students with different groups

组别	选项	人数	节食			暴食			共存
组别	选项	人数	报告人数	χ²值	P值	报告人数	χ²值	P值	报告人数	χ²值	P值
性别	男	1 279	80(6.3)	1.16	0.28	126(9.9)	1.37	0.24	39(3.0)	0.17	0.68
	女	1 085	80(7.4)			123(11.3)			30(2.8)
家庭居住地	农村	1 537	99(6.4)	0.75	0.39	154(10.0)	1.23	0.27	38(2.5)	3.09	0.08
	城镇	826	61(7.4)			95(11.5)			31(3.7)
独生子女	是	316	26(8.2)	1.23	0.27	44(13.9)	4.45	0.04	14(4.4)	2.94	0.09
	否	2 048	134(6.5)			205(10.0)			55(2.7)
留守经历	是	1 087	82(7.5)	1.92	0.17	121(11.1)	0.77	0.38	33(3.0)	0.10	0.76
	否	1 277	78(6.1)			128(10.0)			36(2.8)
恋爱经历	是	986	84(8.5)	8.22	< 0.01	115(11.7)	2.29	0.13	38(3.9)	5.22	0.02
	否	1 377	76(5.5)			134(9.7)			31(2.2)
家庭形态	核心家庭	1 201	70(5.8)	10.79	0.03	122(10.2)	5.88	0.21	31(2.6)	12.33	0.02
	主干家庭	467	29(6.2)			49(10.5)			9(1.9)
	单亲家庭	385	32(8.3)			37(9.6)			14(3.6)
	联合家庭	134	8(6.0)			13(9.7)			3(2.2)
	重组家庭	177	21(11.9)			28(15.8)			12(6.8)
超重/肥胖	是	286	19(6.6)	0.01	0.93	28(9.8)	0.19	0.66	5(1.7)	1.57	0.21
	否	2 078	141(6.8)			221(10.6)			64(3.1)
吸烟	是	988	85(8.6)	9.06	< 0.01	109(11.0)	0.45	0.50	35(3.5)	2.33	0.13
	否	1 376	75(5.5)			140(10.2)			34(2.5)
饮酒	是	1 497	124(8.3)	14.85	< 0.01	174(11.6)	5.15	0.02	51(3.4)	3.43	0.06
	否	867	36(4.2)			75(8.7)			18(2.1)
注： ()内数字为报告率/%。

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表 3 中职生节食、暴食行为及两者共存与NSSI关系的多因素Logistic回归分析

Table 3. Multifactorial Logistic regression analysis of the relationship between dieting, binge eating behaviour and the co-existence of both and NSSI among secondary vocatronal students

性别	选项	模型1		模型2
性别	选项	OR值(95%CI)	P值	OR值(95%CI)	P值
女生 (n=1 085)	节食	2.75(2.91~3.61)	< 0.01	2.27(1.70~3.04)	< 0.01
女生 (n=1 085)	暴食	2.55(1.95~3.34)	< 0.01	2.26(1.73~2.95)	< 0.01
	共存	3.31(2.45~4.48)	< 0.01	2.78(2.02~3.83)	< 0.01
男生 (n=1 279)	节食	2.32(1.73~3.11)	< 0.01	2.15(1.59~2.90)	< 0.01
男生 (n=1 279)	暴食	2.37(1.83~3.06)	< 0.01	2.08(1.57~2.77)	< 0.01
	共存	2.22(1.57~3.14)	< 0.01	2.02(1.41~2.88)	< 0.01
总人群 (n=2 364)	节食	2.54(2.08~3.09)	< 0.01	2.37(1.93~2.91)	< 0.01
总人群 (n=2 364)	暴食	2.47(2.05~2.97)	< 0.01	2.31(1.91~2.79)	< 0.01
	共存	2.79(2.23~3.50)	< 0.01	2.60(2.06~3.28)	< 0.01
注：模型1未调整任何变量，模型2调整家庭居住地、留守经历、恋爱经历、吸烟、饮酒。

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