Volume 44 Issue 10
Oct.  2023
Turn off MathJax
Article Contents
LUO Huijuan, GAO Ruoyi, ZHAO Hai, SUN Bingjie, WANG Lu, GUO Xin. Latent class analysis of health risk behaviors among middle school students in Beijing City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1483-1487. doi: 10.16835/j.cnki.1000-9817.2023.10.010
Citation: LUO Huijuan, GAO Ruoyi, ZHAO Hai, SUN Bingjie, WANG Lu, GUO Xin. Latent class analysis of health risk behaviors among middle school students in Beijing City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1483-1487. doi: 10.16835/j.cnki.1000-9817.2023.10.010

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

doi: 10.16835/j.cnki.1000-9817.2023.10.010
  • Received Date: 2023-07-18
  • Rev Recd Date: 2023-08-10
  • Available Online: 2023-10-27
  • Publish Date: 2023-10-25
  •   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.
  • loading
  • [1]
    季成叶. 儿童少年卫生学[M]. 北京: 北京大学医学出版社, 2006: 249-264.

    JI C Y. Child and adolescent health[M]. Beijing: Peking University Medical Press, 2006: 249-264. (in Chinese)
    [2]
    KANN L, MCMANUS T, HARRIS W A, et al. Youth risk behavior surveillance-United States, 2017[J]. MMWR Surveill Summ, 2018, 67(8): 1-114. doi: 10.15585/mmwr.ss6708a1
    [3]
    BOZZINI A B, BAUER A, MARUYAMA J, et al. Factors associated with risk behaviors in adolescence: a systematic review[J]. Braz J Psychiatry, 2021, 43(2): 210-221. doi: 10.1590/1516-4446-2019-0835
    [4]
    United Nations International Children's Emergency Fund. Adolescent health and well-being[EB/OL]. (2019-08-01)[2023-07-13]. https://www.unicef.org/health/adolescent-health-and-well-being.
    [5]
    徐荣彬, 温勃, 宋逸, 等. 1990—2016年中国青少年死亡率及主要死因变化[J]. 中华预防医学杂志, 2018, 52(8): 802-808. doi: 10.3760/cma.j.issn.0253-9624.2018.08.006

    XU R B, WEN B, SONG Y, et al. The change in mortality and major causes of death among Chinese adolescents from 1990 to 2016[J]. Chin J Prev Med, 2018, 52(8): 802-808. (in Chinese) doi: 10.3760/cma.j.issn.0253-9624.2018.08.006
    [6]
    LANZA S T, RHOADES B L. Latent class analysis: an alternative perspective on subgroup analysis in prevention and treatment[J]. Prev Sci, 2013, 14(2): 157-168. doi: 10.1007/s11121-011-0201-1
    [7]
    季成叶. 中国青少年健康相关/危险行为调查综合报告2005[M]. 北京: 北京大学医学出版社, 2007.

    JI C Y. Summary report of Chinese adolescent health related/risk behavior survey 2005[M]. Beijing: Peking University Medical Press, 2007. (in Chinese)
    [8]
    RADLOFF L S. The CES-D Scale: a self-report depression scale for research in the general population[J]. Appl Psych Meas, 1977, 1(3): 385-401. doi: 10.1177/014662167700100306
    [9]
    张明园. 精神科评定量表手册[M]. 长沙: 湖南科学技术出版社, 1998.

    ZHANG M Y. Handbook of rating scales in psychiatry[M]. Changsha: Hunan Science Technology Press, 1998. (in Chinese)
    [10]
    王孟成. 青少年健康危险行为的测量与潜结构[D]. 长沙: 中南大学, 2013.

    WANG M C. The measurement of adolescent health risky behavior and its latent structure[D]. Changsha: Central South University, 2013. (in Chinese)
    [11]
    曾宪华, 肖琳, 张岩波. 潜在类别分析原理及实例分析[J]. 中国卫生统计, 2013, 30(6): 815-817. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201306010.htm

    ZENG X H, XIAO L, ZHANG Y B. Principle of latent class analysis and case analysis[J]. Chin J Health Stat, 2013, 30(6): 815-817. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201306010.htm
    [12]
    LIN T H, DAYTON C M. Model selection information criteria for non-nested latent class models[J]. J Educ Behav Stat, 1997, 22(3): 249-264. doi: 10.2307/1165284
    [13]
    王陈芳, 谢阳, 李婷婷, 等. 大学生睡眠时型与聚集性健康危险行为的关联[J]. 现代预防医学, 2021, 48(24): 4482-4486. doi: 10.3969/j.issn.1003-8507.2021.24.xdyfyx202124014

    WANG C F, XIE Y, LI T T, et al. Relationship between sleep chronotypes and aggregated health-risk behaviors of college students[J]. Mod Prev Med, 2021, 48(24): 4482-4486. (in Chinese) doi: 10.3969/j.issn.1003-8507.2021.24.xdyfyx202124014
    [14]
    吉园依, 徐寰宇, 张宇, 等. 四川省农村留守儿童健康危险行为潜类别分析[J]. 中国公共卫生, 2017, 33(9): 1297-1301. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201709002.htm

    JI Y Y, XU H Y, ZHANG Y, et al. Health risk behaviors among rural left-behind children in Sichuan Province: a latent class analysis[J]. Chin J Public Health, 2017, 33(9): 1297-1301. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201709002.htm
    [15]
    ASSANANGKORNCHAI S, LI J, MCNEIL E, et al. Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis[J]. BMC Public Health, 2018, 18(1): 1272. doi: 10.1186/s12889-018-6205-z
    [16]
    XIAO Y, ROMANELLI M, LINDSEY M A. A latent class analysis of health lifestyles and suicidal behaviors among US adolescents[J]. J Affect Disord, 2019, 255: 116-126. doi: 10.1016/j.jad.2019.05.031
    [17]
    赵献梓, 王剑彪. 学校心理健康教育结合家庭干预对中学生心理健康的影响[J]. 中国学校卫生, 2021, 42(3): 408-411. doi: 10.16835/j.cnki.1000-9817.2021.03.022

    ZHAO X Z, WANG J B. Influence of school mental health education combined with family intervention on the mental health of middle school students[J]. Chin J Sch Health, 2021, 42(3): 408-411. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.03.022
    [18]
    王立峰. 中国儿童非故意伤害危险因素研究进展[J]. 中国学校卫生, 2016, 37(4): 630-633. doi: 10.16835/j.cnki.1000-9817.2016.04.047

    WANG L F. Research progress on risk factors of unintentional injury in children of China[J]. Chin J Sch Health, 2016, 37(4): 630-633. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.04.047
    [19]
    张舒娴, 朱静芬, 沈秋明, 等. 上海职业学校学生吸烟倾向影响因素[J]. 中国学校卫生, 2018, 39(12): 1791-1793, 1797. doi: 10.16835/j.cnki.1000-9817.2018.12.008

    ZHANG S X, ZHU J F, SHEN Q M, et al. Determinants of smoking intention among Shanghai vocational school students[J]. Chin J Sch Health, 2018, 39(12): 1791-1793, 1797. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.12.008
    [20]
    苗灵童, 赵凯莉, 杨梦圆, 等. 亲子依恋与初中生人际宽恕的关系: 一个有调节的中介模型[J]. 心理发展与教育, 2018, 34(3): 264-272. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ201803002.htm

    MIAO L T, ZHAO K L, YANG M Y, et al. Parent-child attachment and interpersonal forgiveness among junior high school students: a moderated mediation model[J]. Psychol Dev Educ, 2018, 34(3): 264-272. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ201803002.htm
    [21]
    曾直, 张天成, 张福兰, 等. 湘西地区高职院校学生健康危险行为及家庭影响因素分析[J]. 中国学校卫生, 2019, 40(1): 124-127. doi: 10.16835/j.cnki.1000-9817.2019.01.035

    ZENG Z, ZHANG T C, ZHANG F L, et al. Health risk behavior and family influencing factors of students in higher vocational colleges in western Hunan[J]. Chin J Sch Health, 2019, 40(1): 124-127. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.01.035
    [22]
    黄欣欣, 李雨婷, 陈剑华, 等. 家庭结构对青少年抑郁和焦虑症状的影响: 情感忽视的中介作用[J]. 中国当代儿科杂志, 2023, 25(1): 80-85. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202301013.htm

    HUANG X X, LI Y T, CHEN J H, et al. The influence of family structure on depression and anxiety symptoms in adolescents: the mediating role of emotional neglect[J]. Chin J Contemp Pediatr, 2023, 25(1): 80-85. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202301013.htm
    [23]
    CHEN W C. The role of grandparents in single-parent families in Taiwan[J]. Marr Fam Rev, 2016, 52(1-2): 41-63.
    [24]
    郭雅如, 黄云衡, 林艳婷, 等. 非自杀性自伤行为影响因素及相关研究[J]. 中华疾病控制杂志, 2021, 25(7): 817-822, 836. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202107015.htm

    GUO Y R, HUANG Y H, LIN Y T, et al. Study on influencing factors of non-suicidal self-injury behavior and the link with suicide among youth[J]. Chin J Dis Control Prev, 2021, 25(7): 817-822, 836. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202107015.htm
    [25]
    李雅兰, 冉柳毅, 艾明, 等. 青少年抑郁症患者非自杀性自伤的系统性评价[J]. 中华行为医学与脑科学杂志, 2020, 29(6): 567-571.

    LI Y L, RAN L Y, AI M, et al. Systematic evaluation of non-suicidal self-injury in adolescent depressive patients[J]. Chin J Behav Med Brain Sci, 2020, 29(6): 567-571. (in Chinese)
    [26]
    郑秀秀, 闫风武. 青少年抑郁症患者非自杀性自伤行为及影响因素研究[J]. 上海预防医学, 2022, 34(10): 960-964. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202210004.htm

    ZHENG X X, YAN F W. Study on non-suicidal self-injury and its influencing factors in adolescent patients with depression[J]. Shanghai J Prev Med, 2022, 34(10): 960-964. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202210004.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(3)

    Article Metrics

    Article views (281) PDF downloads(57) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return