摘要
目的了解贵州省农村初中生危害健康行为共存状况及与自我控制相关性,为制订防控措施提供参考。方法于2021年11—12月,采用多阶段随机分层整群抽样方法抽取贵州省5个市(州)30所农村初中进行问卷调查,采用自编问卷和《自我控制量表》收集基本信息、危害健康行为发生状况、自我控制等资料。采用多元logistic回归模型分析危害健康行为共存与自我控制相关性。结果调查贵州省农村初中生4452人,其中危害健康行为轻度共存1222人,重度共存334人;不同年级、留守、学业成绩、学业压力、亲子关系、师生关系、同伴关系、遭受家庭暴力状况的初中生危害健康行为共存状况差异有统计学意义(χ^(2)=29.20、35.51、51.84、180.81、237.42、148.07、91.21、150.78,P<0.05)。贵州省农村初中生自我控制得分为48.00(39.00~57.00)分,重度共存组在自我控制及其5个维度的得分高于轻度共存组和非共存组,轻度共存组得分高于非共存组,3个组别得分差异有统计学意义(Z=719.83、499.99、208.69、280.75、235.06、666.15,P<0.05)。Logistic回归分析显示,以非共存组为参照组,自我控制得分高是贵州省农村初中生危害健康行为轻度共存组(OR=1.06,95%CI:1.05~1.07)和重度共存组(OR=1.11,95%CI:1.09~1.12)的危险因素。结论贵州省农村初中生危害健康行为共存率较高,自我控制能力弱的青少年危害健康行为更容易共存。
Objective To understand the association between co-occurrence of health risk behaviors and self-control among rural secondary school students in Guizhou Province,so as to provide evidence for prevention and control of risk behaviors.Methods Students from 30 rural middle schools in five cities(prefectures)of Guizhou Province were selected using multi-stage stratified cluster random sampling from November-December 2021,and surveyed using a selfadministered questionnaire and Self-Control Scale to collect basic information,health risk behavior occurrence status,and self-control status.Multivariable logistic regression was used to analyze the association between the co-occurrence of health risk behaviors and self-control.Results A total of 4452 students were surveyed,of whom 1222 had mild co-occurrence of harmful behaviors and 334 had severe co-occurrence.There were statistically significant differences in the co-occurrence of health risk behaviors among junior high school students in rural Guizhou by grade level,being left-behind children,academic achievement,academic stress,parent-child relationship,teacher-student relationship,peer relationship,and exposure to domestic violence(Z=719.83,499.99,208.69,280.75,235.06,666.15,P<0.05).Junior high school students in rural areas in Guizhou scored 48.00(39.00-57.00)in self-control.The scores in self-control and its 5dimensions in the severe co-occurrence group were higher than those in the mild co-occurrence group and the non-cooccurrence group,and the scores in the mild co-occurrence group were higher than those in the non-co-occurrence group,all with statistically significant differences(χ^(2)=29.20,35.51,51.84,180.81,237.42,148.07,91.21,150.78,P<0.05).Logistic regression analysis showed that,with the non-co-occurrence group as the reference group,having high selfcontrol scores was a risk factor for both mild co-occurrence(OR=1.06,95%CI:1.05-1.07)and severe co-occurrence of health risk behaviors(OR=1.11,95%CI:1.09-1.12)among rural junior high school students in Guizhou(P<0.05).Conclusions Co-occurrence of health risk behaviors may be common among rural secondary school students in Guizhou province.Adolescents with weak self-control ability are more likely to have co-occurrence of health risk behaviors.
作者
徐涛
余静
张天成
蔡云燕
XU Tao;YU Jing;ZHANG Tiancheng;CAI Yunyan(School of Sports and Health Science,Tongren University,Tongren,Guizhou 554300,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2023年第9期935-940,共6页
Chinese Preventive Medicine
基金
国家社科基金青年项目(22CTY007)。
关键词
危害健康行为
共存
自我控制
相关性
初中生
Health risk behaviors
Co-occurrence
Self-control
Association
Junior high school students
作者简介
徐涛,博士研究生,副教授,主要从事青少年体质与健康促进研究;通信作者:蔡云燕,E-mail:306954307@qq.com。
