云南医专生健康危险行为现状及与负性生活事件的关系  

Analysis of The Situation of Health-risk Behaviors and Its Relationship with Negative Life Events among the Students in Specialty Medical Science College of Yunnan

作　　者：王松梅[1] 王丽[2] 赵娴[2] 宋明武[1] 陶芸[1] 孙承欢[1] WANG Song-mei;WANG li;ZHAO Xian;SONG Ming-wu;TAO Yun;SUN Cheng-huan(School of Public Health,Kunming Medical University;Kunming Medical University, Kunming Yunnan 650500,China)

机构地区：[1]昆明医科大学公共卫生学院 [2]昆明医科大学,云南昆明650500

出　　处：《昆明医科大学学报》2016年第6期43-47,共5页Journal of Kunming Medical University

基　　金：云南公共卫生与疾病防控协同创新中心基金资助项目(2014YNPHXT06)

摘　　要：目的了解医学大专生健康危险行为现状及与负性生活事件的关系,为降低其危险行为发生率提供科学依据.方法采用分层随机整群抽样方法抽取576名云南医学大专生,用一般情况问卷、健康危险行为问卷和青少年生活事件量表对其进行调查,采用描述性统计、卡方检验和Logistic回归分析.结果云南医学大专生吸烟率为3.1%,饮酒率为4.9%,拒食率为39.6%,打架率为13.5%,上网率为26.4%,滥用药物率为3.1%;不同性别、不同专业学生健康危险行为发生率差异统计学意义(P<0.05);Logistic回归分析结果示:负性生活事件总评分对饮酒率(OR=1.017,P<0.05)、拒食率(OR=1.018,P<0.05)、打架率(OR=1.021,P<0.05)、上网率(OR=1.025,P<0.05)和成瘾药物滥用率(OR=1.025,P<0.05)存在正性影响.人际关系因子对饮酒率(OR=1.162,P<0.05)、拒食率(OR=1.102,P<0.05)和药物滥用率(OR=1.260,P<0.05)有正性影响;受惩罚因子对打架率有正性影响(OR=1.144,P<0.05),对饮酒率有负性影响(OR=0.891,P<0.05);学习压力因子对打架率有正性影响(OR=1.143,P<0.05);丧失因子对打架率有负性影响(OR=1.144,P<0.05).结论负性生活事件是云南医学大专生危险行为的影响因素,且不同因子的影响方式存在差异.Objective To analyze the situation of health-risk behaviors of the students in specialty medical science college of Yunnan and its relationship with negative life events, and provide scientific evidence for lowering the occurrence rate of health-risk behaviors. Methods The stratified randomised cluster-sampling method was used to select 576 students of specialty medical science college, and the occurrence rate of health-risk behaviors and life events conditions were estimated by Youth Health-Risk Behavior Questionnaire and Adolescents Self-Rating Life Events Checklist. Descriptive statistic analysis, Chi-square test and Logistic regression analysis was used to analyze the data. Results Among the students of specialty medical science college in Yunnan, the rate of smoking was 3.1%,the rate of drinking was 4.9%,the rate of food refusal was 39.6%, the rate of fighting was 13.5%,the rate of obsessed with the internet was 26.4%,and the rate of substance abuse was 3.1%. There were significant differences between the students of different genders (P <0.05) or specialities (P <0.05) . Logistic regression analysis showed total score of negative life events had positive influence on drinking (OR=1.017, P<0.05), food refusal (OR=1.018,P <0.05), fighting (OR=1.021,P <0.05), obsessed with the internet(OR=1.025,P<0.05), substance abuse(OR=1.025,P <0.05) . The factor of interpersonal relationship had positive influence on drinking(OR=1.162,P <0.05),food refusal(OR=1.102, <0.05), substance abuse(OR=1.260, P<0.05) . The factor of punished had positive influence on fighting(OR=1.144, P<0.05), and had negative influence on drinking(OR=0.891, P<0.05) . The factor of study pressure had positive influence on fighting(OR=1.143, P<0.05), and the factor of loss had negative influence on fighting(OR=1.144,P <0.05) . Conclusion Negative life events are influencing factors for health-risk behaviors of the students in specialty medical science college of Yunnan, and there is difference on the way that the factor of life events influencing he

关 键 词：健康危险行为 负性生活事件 医学大专生 

分 类 号：B843.1[哲学宗教—心理学]