摘要
目的分析家庭环境二手烟暴露对青少年情绪行为的影响,为从家庭环境方面干预青少年情绪行为问题的发生发展提供理论支持。方法调查重庆市主城某区1002名青少年的家庭基本信息、家庭环境二手烟暴露、青少年自评量表(Youth Self-Report,YSR)等情况,使用多因素Logistic回归模型分析青少年家庭环境二手烟暴露与其情绪行为间的关系。结果48.2%的青少年存在家庭环境二手烟暴露问题。家庭环境二手烟暴露与未暴露的青少年整体情绪行为问题平均得分分别为(26.83±22.28)分和(23.61±20.33)分,整体情绪行为问题的检出率分别为12.2%和8.3%。多因素Logistic回归分析结果显示,存在整体情绪行为问题的青少年中,家庭环境二手烟暴露的青少年多于未暴露的,OR值为1.838(95%CI:1.161~2.911);女性青少年多于男性,OR值为2.476(95%CI:1.546~3.964);年龄较大的青少年多于年龄较小的,OR值为1.440(95%CI:1.186~1.749);父亲在外地工作的青少年多于父亲没有在外地工作的,OR值为2.511(95%CI:1.271~4.959);自觉父母间关系一般和较差的青少年多于自觉父母间关系较好的,OR值分别为2.791(95%CI:1.643~4.743)和3.879(95%CI:1.607~9.367);且家庭环境二手烟暴露的青少年内化行为问题多于未暴露的青少年,OR值为1.568(95%CI:1.015~2.422)。结论本研究中约50%的青少年存在家庭环境二手烟暴露问题,家庭环境二手烟暴露是影响青少年内化行为问题和整体情绪行为问题的重要因素。
Objective To analyze the influence of second-hand smoke exposure in family environment on adolescents′emotional behaviors,and to provide theoretical support for intervening the occurrence and development of adolescents′emotional behavior problems from the perspective of family environment.Methods A purposive sampling method was used to investigate basic family information,second-hand smoke exposure in family environment,and Youth Self-Report(YSR)among 1002 adolescents in a district located in main city area of Chongqing from April to June 2019.Multivariate logistic regression model was used to analyze the relationship between second-hand smoke exposure and emotional behavior in adolescents′family environment.Results 48.2%of the adolescents had the problem of second-hand smoke exposure in family environment.The average scores of overall emotional and behavioral problems of adolescents exposed and unexposed to second-hand smoke in the family environment were(26.83±22.28)and(23.61±20.33),respectively.The detection rates of overall emotional and behavioral problems were 12.2%and 8.3%,respectively.Multivariate logistic regression analysis showed that adolescents exposed to second-hand smoke in the family environment had more emotional and behavioral problems compared to those who were not exposed,and the OR value was 1.838(95%CI:1.161-2.911).The percentage of female adolescent was higher than those of male adolescent,and the OR value was 2.476(95%CI:1.546-3.964).The percentage of older adolescents was higher than those of younger adolescents,and the OR value was 1.440(95%CI:1.186-1.749).There were more adolescents whose fathers worked outside than those whose fathers work in local region,and the OR value was 2.511(95%CI:1.271-4.959).Adolescents who felt that the relationship between parents was general and poor were more than those who felt that the relationship between parents was good with OR values of 2.791(95%CI:1.643-4.743)and 3.879(95%CI:1.607-9.367),respectively.Adolescents with exposure to second-hand smoke in the family environment had more internalizing behavior problems than those without exposure with an OR value of 1.568(95%CI:1.015-2.422).Conclusion In this study,about 50%of adolescents had been exposed to second-hand smoke in their family environment.Second-hand smoke exposure in family environment is an important influencing factor of internalizing behaviors and overall emotional behaviors among adolescents.
作者
吴文懿
崔怡馨
李月月
方波
盛露露
周源柯
席璇
刘琴
WU Wen-yi;CUI Yi-xin;LI Yue-yue;FANG Bo;SHENG Lu-lu;ZHOU Yuan-ke;XI Xuan;LIU Qin(School of Public Health,Chongqing Medical University,Chongqing 401331,China)
出处
《中国健康教育》
北大核心
2023年第7期618-622,共5页
Chinese Journal of Health Education
基金
国家自然科学基金项目(81502825,81973067)
重庆市科学技术委员会基础与前沿研究计划项目(cstc2013jcyjA10001)
关键词
家庭环境
二手烟暴露
青少年
青少年自评量表
内化行为问题
外化行为问题
Household environmental
Secondhand smoke exposure
Adolescent
Youth Self-Report
Internalized behavioral problems
Externalizing behavioral problems
作者简介
吴文懿(1997-),男,硕士在读,主要从事儿童青少年卫生研究;通信作者:刘琴,女,教授,研究方向:妇幼及儿童健康。E-mail:liuqin@cqmu.edu.cn