摘要
目的了解贵阳市城区青少年心理健康状况与血压水平的相关性,为青少年心理健康教育、心理干预与高血压的早期预防提供依据。方法应用中国中学生心理健康量表(MSSMHS)对贵阳市城区8所中学13～18岁中学生2 990名进行问卷调查;按照《中国学生体质健康调研检测细则》标准测量血压、身高、体重。结果中学生心理健康量表总均分为(1.90±0.58),心理健康问题总检出率为37.1%,心理健康因子均分前3位为情绪不稳定(2.15±0.76)、学习压力(2.07±0.79)、强迫(1.97±0.62)。男生SBP为(109±11.12)mm Hg,DBP为(71±8.18)mm Hg;女生SBP为(105±10.62)mm Hg,DBP为(70±7.80)mm Hg。男生和女生SBP,DBP差异均有统计学意义(P值均<0.05)。15～17岁女生敌对、抑郁、学习压力、适应不良等因子与SBP呈显著正相关(P值均<0.05),17岁女生适应不良与DBP呈显著正相关(P<0.05)。多元逐步回归分析显示,体重、身高、年龄、学习压力4个变量是SBP的主要影响因素(P值均<0.05),体重、年龄、焦虑、身高4个变量是DBP的主要影响因素(P值均<0.05)。结论体重、身高、年龄、学习压力是SBP升高的独立危险因素;体重、年龄、身高是DBP升高的独立危险因素。中学生学习压力源对收缩压的影响最为显著。
Objective To find correlation between mental health and blood pressure of adolescents in Guiyang urban, and to provide reference for adolescent mental health education, mental intervention and early prevention of high blood pressure. Methods MSSMHS questionnaire was taken among 2 990 middle school students aged 13 to 18 who were from 8 middle schools in Guiyang urban. And they were tested about blood pressure, height and body weight according to Chinese students physical health survey test specification. Results The grand average { GA } score of MSSMHS was （ 1.90 ±0.58 }, and the total relevance ratio of mental health problem was 37.1%. The highest average score of mental health factors were emotional instability （2.15±0.76）, study stress （2.07 ±0.79） and enforced （ 1.97 ±0.62）. Boys SBP was { 109 ~ 11.12}mm Hg, DBP was { 71 ± 8.18 } mm Hg. Girls SBP was （ 105 ± 10.62 } mm Hg, DBP was { 70 ± 7.80 }mm Hg. And the differences between boys and girls was significant{ P 〈 0.05}. Hostility, dumps, study stress and malajustment were positively correlated with SBP among girls aged 15 to 17 （P 〈 0.05 ）. Malajustment was positively correlated with DBP among girls over 17 （P 〈0.05 ）. Multiple stepwise regression analysis showed that weight, height, age and study stress were the main influencing factors of SBP（ P 〈0.05 ）, and weight, age, anxiety and height were the main influencing factors of DBP（P〈0. 05}. Conclusion The body weight, height, age and study stress are the independent risk factors which elevated SBP. The body weight, age and height is the independent risk factors which elevated DBP. Middle school students SBP is significantly influenced by study stress.
出处
《中国学校卫生》
CAS
北大核心
2010年第1期55-57,共3页
Chinese Journal of School Health
基金
贵州省教育厅规划项目(编号:0703078)
贵阳医学院青年基金(编号:k2007-12)
关键词
精神卫生
血压
因素分析
统计学
青少年
Mental health
Blood pressure
Factor analysis, statistical
Adolescent
