摘要
目的了解绍兴市青少年吸烟、饮酒、不健康减肥等危害健康行为的发生情况,探讨社会及心理因素对其的影响作用。方法采取整群抽样方法,抽取绍兴市1所大学、2所高中、2所初中的学生作为研究对象,采用自填式问卷调查的方式收集研究对象的人口统计学变量、吸烟、饮酒、饮食相关行为等。同时使用《亚健康多维评定问卷》评价青少年的心理卫生状况。结果不同性别青少年健康危害行为差异均有统计学意义,男性吸烟、饮酒和醉酒的发生率均明显高于女性(χ2值分别为78.512,80.441,29.938,P值均<0.01),而女性不健康减肥行为和吃多感觉内疚的发生率明显高于男性(χ2=8.636,P=0.003;χ2=148.591,P<0.01)。多因素Logistic回归分析结果显示,户籍和亚健康状态对青少年不健康减肥行为的发生率存在显著关联。高年级、处于亚健康状态是醉酒行为的危险性因素,学习负担轻、女性是醉酒行为的保护因素。结论亚健康状态对青少年醉酒、不健康减肥行为等具有良好的预测作用,评价青少年亚健康状况对危害健康行为的防制具有积极的作用。
Objective To understand alcohol drinking,cigarette smoking,unhealthy weight control behaviors and the effect of psychosocial factors on these risk behaviors among Shaoxing adolescents,and to explore the soci-psychological factors on it.Methods Cluster sampling method was used to select one university,two high schools and two middle schools in Shaoxing City.In a prospective,longitudinal study,all adolescents were surveyed with a baseline and 3 follow-up assessments over one year period,information regarding demographic variable,alcohol drinking,cigarette smoking,diet-related behaviors was collected by self-administered questionnaire,and the Multidimensional Sub-health Questionnaire of Adolescents(MSQA)was used to assess mental health.Data were analyzed using Pearson Chi-square and multivariate Logistic regression.Results Male adolescents were significantly more likely to engage in cigarette smoking,alcohol drinking and heavy episodic drinking than female adolescents(χ2=78.512,P0.01;χ2=80.441,P0.01;χ2=29.938,P0.01),while female adolescents significantly more likely to engage in unhealthy weight control behaviors(χ2=8.636,P=0.003;χ2=148.591,P0.01).In the logistic regression model,resident place and sub-health status were significantly associated with unhealthy weight control behaviors,the adolescents with high grade and sub-health status were correlated with greater likelihood of heavy episodic drinking,and having light study burden,female adolescent were protect factors of episodic drinking.Conclusion The sub-health status is an important predictor of later heavy episodic drinking and unhealthy weight control behaviors in adolescents.Thus,it is important to screen sub-health-status for prevention and control of youth risk behavior.
出处
《中国学校卫生》
CAS
北大核心
2010年第12期1417-1419,共3页
Chinese Journal of School Health
基金
绍兴市重点科研社会发展项目(编号:2008A23012)
国家高新技术研究发展计划(863计划)资助项目(编号:2006AA02Z427)
关键词
吸烟
饮酒
体重测验
酒精中毒
急性
因素分析
统计学
青少年
Smoking
Alcohol drinking
Weight loss
Alcoholic intoxication
Factor analysis
statistical
Adolescent