Volume 45 Issue 3
Mar.  2024
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LUO Huijuan, GAO Ruoyi, ZHAO Hai, CHEN Dongni, SUN Bingjie, GUO Xin. Analysis of health risk behaviors among middle school students in Beijing City from 2018 to 2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 346-352. doi: 10.16835/j.cnki.1000-9817.2024045
Citation: LUO Huijuan, GAO Ruoyi, ZHAO Hai, CHEN Dongni, SUN Bingjie, GUO Xin. Analysis of health risk behaviors among middle school students in Beijing City from 2018 to 2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 346-352. doi: 10.16835/j.cnki.1000-9817.2024045

Analysis of health risk behaviors among middle school students in Beijing City from 2018 to 2022

doi: 10.16835/j.cnki.1000-9817.2024045
  • Received Date: 2023-07-18
  • Rev Recd Date: 2023-11-06
  • Available Online: 2024-03-29
  • Publish Date: 2024-03-25
  •   Objective  To analyze the status of health risk behaviors among middle school students in Beijing City from 2018 to 2022, in order to provide reference for scientific and effective intervention.  Methods  Using multi-stage stratified cluster random sampling method, data of student health and associated factors monitoring among 84 712 middle school students from 16 districts of Beijing during 2018 to 2022 were compared regarding the differences of health risk behaviors among students in different groups by Chi-quare test. And their change trends were evaluated by annual percentage change (APC).  Results  In the five surveys during 2018 to 2022, reporting rates of unhealthy diet, unintentional injury, intentional injury, substance abuse and Internet addiction (only in 2018 and 2020) behaviors were higher in boys than in girls (χ2=4.91-297.52, P < 0.05).Reporting rate of physical inactivity behavior in girls was higher than that in boys (χ2=56.49-160.88, P < 0.05). Reporting rates of unhealthy diet, physical inactivity, unintentional injury (except 2021), substance abuse and Internet addiction (only in 2018 and 2019) behaviors were the highest in vocational high school, followed by general high school, and the lowest in junior middle school (χ2=23.30-1 285.98, P < 0.01). Intentional injury behavior was highest in junior high school, followed by vocational high school, and lowest in general high school (χ2=96.18-378.32, P < 0.01).Reporting rate of Internet addiction (2020-2022) behavior was highest in general high school, followed by vocational high school, and lowest in junior high school (χ2=16.93-60.11, P < 0.01). Reporting rates of unhealthy diet, intentional injury (2020 and 2022) and substance abuse (except 2018) behaviors were higher in suburban areas than in urban areas (χ2=6.70-117.56, P < 0.05). Reporting rates of physical inactivity, unintentional injury, intentional injury (2018 and 2019) and Internet addiction behaviors were higher in urban areas than in suburban areas (χ2=3.90-130.80, P < 0.05). Standardized rates of unintentional injury, intentional injury, substance abuse and Internet addiction behaviors showed a statistically significant downward trend from 2018 to 2022 (APC=-14.16, -13.43, -16.03, -8.48, t=-6.94, -4.46, -11.98, -4.36, P < 0.05).  Conclusions  During 2018-2022, unintentional injury, intentional injury, substance abuse and Internet addiction behaviors of middle school students in Beijing City have improved, and the reporting rates of unhealthy diet and physical inactivity behaviors are high and don't show a downward trend. Efforts should be made to strengthen intervention in unhealthy diet and physical inactivity behaviors among middle school students, in order to reduce the occurrence of health risk behaviors.
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  • [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]
    JI Y Y, XU H Y, ZHANG Y, et al. Heterogeneity of adolescent health risk behaviors in rural western China: a latent class analysis[J]. PLoS One, 2018, 13(6): e0199286. doi: 10.1371/journal.pone.0199286
    [4]
    GBD 2017 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017[J]. Lancet, 2018, 392(10159): 1923-1994. doi: 10.1016/S0140-6736(18)32225-6
    [5]
    World Health Organization. Healthy diet[EB/OL]. (2023-07-17)[2023-07-31]. https://www.who.int/health-topics/healthy-diet#tab=tab_1.
    [6]
    World Health Organization. Physical activity[EB/OL]. (2023-06-06)[2023-07-31]. https://www.who.int/health-topics/physical-activity#tab=tab_1.
    [7]
    World Health Organization. Alcohol[EB/OL]. (2023-06-27)[2023-07-31]. https://www.who.int/health-topics/alcohol#tab=tab_1.
    [8]
    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
    [9]
    中华人民共和国国家卫生健康委办公厅关于印发2019年全国学生常见病和健康影响因素监测与干预工作方案的通知[EB/OL]. (2019-03-26)[2023-11-06]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml.

    Notice of the General Office of the National Health Commission of the PRC on issuing the work program of monitoring and intervention of common diseases and health Influencing factors among students in 2019[EB/OL]. (2019-03-26)[2023-11-06]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml. (in Chinese)
    [10]
    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: 38-43.

    JI C Y. Summary report of Chinese adolescent health related/risk behavior survey 2005[M]. Beijing: Peking University Medical Press, 2007: 38-43. (in Chinese)
    [11]
    北京市教育委员会. 2020—2021学年度北京教育事业发展统计概况[EB/OL]. (2021-03-25)[2023-06-24]. http://jw.beijing.gov.cn/xxgk/shujufab/tongjigaikuang/202103/t20210325_2709330.html.

    Beijing Municipal Education Commission. A statistical survey of the development of education in Beijing in the 2020-2021 academic year[EB/OL]. (2021-03-25)[2023-06-24]. http://jw.beijing.gov.cn/xxgk/shujufab/tongjigaikuang/202103/t20210325_2709330.html. (in Chinese)
    [12]
    曾四清. Joinpoint回归模型及其在传染病流行趋势分析中的应用[J]. 中国卫生统计, 2019, 36(5): 787-791. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201905044.htm

    ZENG S Q. Joinpoint regression model and its application in the analysis of epidemic trend of infectious diseases[J]. Chin J Health Stat, 2019, 36(5): 787-791. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201905044.htm
    [13]
    曾庆勇, 许乐为, 万德芝, 等. 江西省中小学生健康危险行为流行现状及影响因素分析[J]. 中国健康教育, 2022, 38(3): 203-207. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202203003.htm

    ZENG Q Y, XU L W, WAN D Z, et al. Study on the status quo of health risk behaviors and its influencing factors among primary and middle school students[J]. Chin J Health Educ, 2022, 38(3): 203-207. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202203003.htm
    [14]
    杨妍婷, 严琼, 张喆, 等. 上海市2004—2019年青少年健康危险行为特征和变化趋势[J]. 中国学校卫生, 2022, 43(8): 1148-1151. doi: 10.16835/j.cnki.1000-9817.2022.08.007

    YANG Y T, YAN Q, ZHANG Z, et al. Characteristics and trends of adolescents health risk behaviors in Shanghai from 2004 to 2019[J]. Chin J Sch Health, 2022, 43(8): 1148-1151. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.007
    [15]
    雍那, 任玉玲, 王春元, 等. 南充市中学生非故意伤害行为特征及影响因素分析[J]. 中国初级卫生保健, 2022, 36(5): 72-76. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202205021.htm

    YONG N, REN Y L, WANG C Y, et al. Investigation on the characteristics and influencing factors of unintentional injuries among middle school students in Nanchong[J]. Chin Health Primary Care, 2022, 36(5): 72-76. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202205021.htm
    [16]
    李秀玲, 李冬娥, 汪俊华, 等. 贵州省中学生伤害相关行为流行特征分析[J]. 现代预防医学, 2018, 45(5): 860-864. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201805025.htm

    LI X L, LI D E, WANG J H, et al. Injury-related behaviors among middle school students, Guizhou Province[J]. Mod Prev Med, 2018, 45(5): 860-864. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201805025.htm
    [17]
    覃世龙, 罗彦, 罗西, 等. 湖北省职高学生烟草使用流行状况及行为影响因素分析[J]. 中国健康教育, 2021, 37(11): 984-986, 991. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202111006.htm

    QIN S L, LUO Y, LUO X, et al. Study on the status of tobacco use and its influencing factors among secondary school students in Hubei Province[J]. Chin J Health Educ, 2021, 37(11): 984-986, 991. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202111006.htm
    [18]
    严琼, 杨妍婷, 祁月, 等. 上海市2004—2019年青少年网络成瘾变化趋势[J]. 中国学校卫生, 2022, 43(8): 1193-1197. doi: 10.16835/j.cnki.1000-9817.2022.08.017

    YAN Q, YANG Y T, QI Y, et al. Trends in the prevalence of Internet addiction among adolescents from 2004 to 2019 in Shanghai[J]. Chin J Sch Health, 2022, 43(8): 1193-1197. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.017
    [19]
    杨婕, 黄建萍, 张凤云, 等. 2017年江苏省学生网络使用及成瘾流行现状[J]. 江苏预防医学, 2018, 29(6): 721-723. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYF201806046.htm

    YANG J, HUANG J P, ZHANG F Y, et al. Prevalence of Internet use and addiction among students in Jiangsu Province in 2017[J]. Jiangsu J Prev Med, 2018, 29(6): 721-723. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSYF201806046.htm
    [20]
    高青, 刘懿卿, 叶茜雯, 等. 辽宁省中学生网瘾情况及其影响因素分析[J]. 现代预防医学, 2020, 47(18): 3378-3381. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202018031.htm

    GAO Q, LIU Y Q, YE Q W, et al. Analysis of Internet addiction and its influencing factors among middle school students in Liaoning Province[J]. Mod Prev Med, 2020, 47(18): 3378-3381. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202018031.htm
    [21]
    袁媛, 汤海英. 上海市奉贤区青少年健康危险行为现状分析[J]. 现代预防医学, 2017, 44(17): 3141-3145. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201717022.htm

    YUAN Y, TANG H Y. Health risk behaviours among adolescents in Fengxian, Shanghai[J]. Mod Prev Med, 2017, 44(17): 3141-3145. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201717022.htm
    [22]
    张玲玲. 上海金山区中学生2012与2017年日常饮食和缺乏体力活动行为比较[J]. 中国学校卫生, 2019, 40(6): 913-916. doi: 10.16835/j.cnki.1000-9817.2019.06.034

    ZHANG L L. Comparison of daily diet and physical inactivity behavior of middle school students in Jinshan District of Shanghai in 2012 and 2017[J]. Chin J Sch Health, 2019, 40(6): 913-916. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.06.034
    [23]
    吉园依, 张宇, 刘静, 等. 四省中学生故意和非故意伤害现状[J]. 中国学校卫生, 2017, 38(2): 311-313. doi: 10.16835/j.cnki.1000-9817.2017.02.048

    JI Y Y, ZHANG Y, LIU J, et al. Intentional and unintentional injury status of middle school students in four provinces[J]. Chin J Sch Health, 2017, 38(2): 311-313. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.02.048
    [24]
    唐寒梅, 杨丽霞, 傅树坚, 等. 江西中学生校园欺凌与自杀相关行为的关联分析[J]. 中国学校卫生, 2018, 39(1): 60-63. doi: 10.16835/j.cnki.1000-9817.2018.01.018

    TANG H M, YANG L X, FU S J, et al. Relationship between bullying and suicide-related behaviors among middle school students[J]. Chin J Sch Health, 2018, 39(1): 60-63. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.01.018
    [25]
    孙力菁, 罗春燕, 周月芳, 等. 上海市中学生抑郁症状和网络成瘾行为的相关性[J]. 中国学校卫生, 2019, 40(3): 445-447. doi: 10.16835/j.cnki.1000-9817.2019.03.035

    SUN L J, LUO C Y, ZHOU Y F, et al. Correlation between depressive symptoms and Internet addiction behavior among middle school students in Shanghai[J]. Chin J Sch Health, 2019, 40(3): 445-447. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.03.035
    [26]
    季成叶, 陶芳标. 儿童青少年非故意伤害预防[J]. 中国公共卫生, 2005, 21(9): 1150-1152. doi: 10.3321/j.issn:1001-0580.2005.09.066

    JI C Y, TAO F B. Unintentional injury prevention for children and adolescents[J]. Chin J Public Health, 2005, 21(9): 1150-1152. (in Chinese) doi: 10.3321/j.issn:1001-0580.2005.09.066
    [27]
    王萍. 柳州市中学生日常饮食行为及体育锻炼现状分析[J]. 现代预防医学, 2012, 39(4): 910-912. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201204051.htm

    WANG P. Analysis of the present situation of daily dietary behaviors and physical activities among middle school students in Liuzhou[J]. Mod Prev Med, 2012, 39(4): 910-912. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201204051.htm
    [28]
    施淑燕, 龚艳彬, 柴巍中. 北京市中学生不良饮食行为现状及其影响因素研究[J]. 中国健康教育, 2020, 36(5): 418-422. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202005008.htm

    SHI S Y, GONG Y B, CHAI W Z. A study on the current situation and influencing factors of unhealthy dietary behaviors among middle school students in Beijing[J]. Chin J Health Educ, 2020, 36(5): 418-422. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202005008.htm
    [29]
    高利华, 王丽茹. 郑州市中学生饮食及控制体重行为状况[J]. 中国学校卫生, 2016, 37(5): 751-753. doi: 10.16835/j.cnki.1000-9817.2016.05.035

    GAO L H, WANG L R. Diet and weight control behavior of middle school students in Zhengzhou[J]. Chin J Sch Health, 2016, 37(5): 751-753. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.05.035
    [30]
    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
    [31]
    李凤娟, 孙经, 何健, 等. 河南省中学生网络成瘾现况及其影响因素分析[J]. 中国学校卫生, 2017, 38(9): 1342-1344. doi: 10.16835/j.cnki.1000-9817.2017.09.018

    LI F J, SUN J, HE J, et al. Internet addictive behavior and the associated factors among middle school students in Henan[J]. Chin J Sch Health, 2017, 38(9): 1342-1344. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.09.018
    [32]
    SANGALANG C C, TRAN A G, AYERS S L, et al. Bullying among urban Mexican-heritage youth: exploring risk for substance use by status as a bully, victim, and bully-victim[J]. Child Youth Serv Rev, 2016, 61: 216-221. doi: 10.1016/j.childyouth.2015.12.019
    [33]
    FANG Y, ZHANG X, CHEN W, et al. Epidemiological characteristics and burden of childhood and adolescent injuries: a survey of elementary and secondary students in Xiamen, China[J]. BMC Public Health, 2015, 15: 357. doi: 10.1186/s12889-015-1726-1
    [34]
    SENOL-DURAK E, DURAK M. Cognitions about problematic internet use: the importance of negative cognitive stress appraisals and maladaptive coping strategies[J]. Curr Psychol, 2017, 36(2): 350-357. doi: 10.1007/s12144-016-9424-4
    [35]
    KRITSOTAKIS G, PSARROU M, VASSILAKI M. Gender differences in the prevalence and clustering of multiple health risk behaviours in young adults[J]. J Adv Nurs, 2016, 72(9): 2098-2113. doi: 10.1111/jan.12981
    [36]
    MENG Y, MANORE M M, SCHUNA J M, et al. Promoting healthy diet, physical activity, and life-skills in high school athletes: results from the wave ripples for change childhood obesity prevention two-year intervention[J]. Nutrients, 2018, 10(7): 947. doi: 10.3390/nu10070947
    [37]
    MADDAH D, SAAB Y, SAFADI H, et al. The first life skills intervention to enhance well-being amongst university students in the Arab world: Khotwa pilot study[J]. Health Psychol Open, 2021, 8(1): 20551029211016955.
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