童年期虐待与青少年不良饮食心理行为的研究  

Impact of childhood abuses on the psychology and behaviors regarding harmful dietary pattern in adolescents

作　　者：叶青[1] 陶芳标[1] 方东升[1] 黄锟[1] 孙莹[1] 

机构地区：[1]安徽医科大学公共卫生学院,合肥230032

出　　处：《中华流行病学杂志》2006年第4期319-323,共5页Chinese Journal of Epidemiology

摘　　要：目的了解童年期虐待对青少年不良饮食心理行为的影响。方法采用问卷调查方式。在安徽省2个地区整群选取9所中学的5141名学生进行童年期虐待和青少年不良饮食心理行为的调查。结果童年期重度躯体虐待、中度躯体虐待、精神虐待、身体接触性性虐待和非身体接触性性虐待发生率分别为29．9％、64,8％、51．4％、5．3％和24．5％。初中、高中和职高男生童年期的重度躯体虐待、非身体接触性性虐待和身体接触性性虐待发生率均高于女生,差异有统计学意义;总体上,女生(53．1％)童年期精神虐待发生率高于男生(49．8％),差异有统计学意义(x2=5．484,P< 0．05)。初中学生5种类型虐待的发生率相对较低,高中学生的中度躯体虐待和精神虐待发生率相对较高。在初中、高中和职高学生11种不良饮食心理行为中,有9种发生率女生高于男生,差异有统计学意义。多因素非条件logistic回归分析显示,童年期虐待是11种青少年不良饮食心理行为的危险因素。结论童年期虐待对青少年的饮食行为产生负面影响。Objective To examine the effect of childhhood abuses on adolescents＇ psychology and behaviors related to harmful dietary pattern. Methods Anonymous questionnaire study on childhood abuses,adolescents＇ psychology and behaviors regarding their dietary patterns was conducted among 5141 students in 9 middle schools in 2 areas of Anhui province. Results Among 5141 students,29.9% reported having severe childhood physical abuse, 64. 8% having intermediate childhood physical abuse, 51.4% having mental abuse, 5.3 % having physical contact sexual abuse and 24.5 % having non physical contact sexual abuse. In junior,senior middle schools and vocational schools, the incidence rate of severe childhood physical abuse, physical contact sexual abuse and non-physical contact sexual abuse among male students was higher than that among female students. In total, the incidence rate of childhood mental abuse among female students （53.1%） was higher than that among male students （49.8%） and with significant differenee（x^2 = 5. 484, P 〈 0.05）. The incidence rate of 5 kinds of childhood abuses among junior middle school students was relatively low, and the incidence rate of intermediate childhood physical abuse and mental abuse was higher among senior middle school students. The incidence rate of 9 among the 11 kinds of psychology and behaviors related to harmful dietary pattern among female students in the middle schools and vocational schools was higher than that among male students. By unconditional multivariate logistic regression model, results showed that the childhood abuses was among the 11 kinds of psychological and behavioral risk factors related to harmful dietary pattern. Conclusion Childhood abuses had negative effects on dietary behaviors in adolescents.

关 键 词：虐待 童年期 青少年 饮食心理 饮食行为 

分 类 号：B844.2[哲学宗教—发展与教育心理学]