摘要
目的探讨城市青少年健康危险行为聚集模式及特点。方法北方两所大城市随机抽取市区初二、高二和大学二年级7230名学生进行集体自填匿名问卷调查。以10种主要健康危险行为为聚类指标,采用样本聚类方法分别对男、女学生进行聚类。结果根据行为发生严重程度和高发行为特点男、女生分别隶属于低危险组(男44.0%;女49.5%)、中度危险组(模式2组:男24.8%,女25.4%;模式3组:男16.3%,女12.1%)和高危险组(男14.8%;女12.9%)4类健康危险行为聚集模式人群。吸烟和饮酒在男、女生某中度危险组中高发,男、女吸烟率分别为26.8%和女8.5%;饮酒率为100%,远高于该人群总体水平,吸烟饮酒呈聚集现象;女生高危险组中自杀意念、不健康减肥和滥用药物三类“内隐性行为”发生率分别为100%,8.4%和7.5%,远高于人群总体水平和其他3组,表明这三类行为呈现聚集性,而男生高危险组中大部分行为高发,呈现“外显问题行为和内隐性行为”的高度聚集现象。结论应针对青少年中某些行为聚集发生和聚集方式多样特点,根据性别特点,有针对性地开展一级、二级、三级预防等综合性预防干预措施。
Objective To understand the co-occurrence pattern of health risk behaviors in Chinese urban Students. Methods 7230 anonymous questionnaire were administered in middle school students in 8^th grade and 11^th grade, and college sophomore. The health risk behaviors involve unsafely walking, physical fight, depress, suicidal idea, current smoking, current drinking and eclectic game abuse, and Internet addiction disorders（IAD） ,then the male and female students was analysis separately through the use of cluster analysis. Results Four distinct groups was identified for both females and males based on their profiles of health-risk behaviors. Females and males both report low and high risk profiles, and in a risk profile, Females and males both reports tobacco and alcohol use in a profile. Females has other two distinct profiles, one is highest in suicidal idea, unhealthy diet behaviors and drug use and the other is highest in depression and lAD. Males in one risk-profile is highest on almostall health risk behaviors compared to the other only highest in the suicidal idea and depression. Conclusion Primary and secondary prevention and education efforts should be gender-specific, meeting the unique needs of female and male adolescents. More targeted prevention messages based on particular behaviors or combinations of behaviors may be more effective.
出处
《中国行为医学科学》
CSCD
2005年第8期740-741,744,共3页
Chinese Journal of Behavioral Medical Science
关键词
城市
青少年
健康危险行为
聚集模式
分析
Health-risk behaviors
Students
Co-occurrence of health risk behaviors
