重庆青少年青春期身心健康知信行与生活质量的关系  

Moderating effect of pubertal knowledge-attitude-practice in relationship between pubertal status and quality of life:a cross-sectional study

作　　者：刁华 王宏[1] 杨连建 李婷 金凤 蒲杨 赵影剑 DIAO Hua;WANG Hong;YANG Lianjian;LI Ting;JIN Feng;PU Yang;ZHAO Yingjian(School of Public Health and Management,Chongqing Medical University,Chongqing,400016,China;不详)

机构地区：[1]重庆医科大学公共卫生与管理学院/医学与社会研究中心/健康领域社会风险预测治理协同创新中心,重庆400016 [2]重庆市綦江区中小学生保健所

出　　处：《中国学校卫生》2020年第1期36-39,共4页Chinese Journal of School Health

基　　金：教育部人文社会科学研究规划基金项目(17YJA840015)。

摘　　要：目的探讨青春期知信行在青春期阶段影响青少年生活质量过程中的调节作用,为制定改善青少年生活质量的措施提供依据。方法采用分层整群抽样,抽取重庆市2个区县6746名中小学生,采用青春期发育量表(PDS)和基本情况调查表、青少年生活质量量表进行调查。结果青春期早期、中期和后期的青少年生理、心理维度及总生活质量得分低于青春期前青少年(P值均<0.05);青春期中期(B=-1.10)和后期(B=-2.88)的青少年社会维度得分低于青春期前青少年;但青春期阶段对青少年青春期维度生活质量的影响无统计学意义(P>0.05)。青春期知信行与青少年心理、社会、青春期维度和总生活质量呈正相关(B值分别为0.02,0.04,0.04,0.09,P值均<0.01),但对生理维度的影响无统计学意义(P=0.06)。交互作用分析显示,青春期知信行在青春期阶段对社会维度(B=0.03)和总生活质量(B=0.06)影响过程中起调节作用(P值均<0.05),但对心理维度无调节作用(P>0.05)。结论加强青少年青春期健康教育是提高和改善青少年生活质量的关键。Objective To explore the relationship between pubertal status,pubertal KAP and adolescents quality of life and the moderating effect of pubertal KAP between pubertal status and quality of life,and to provide a reference for making measures to improve adolescents quality of life.Methods A descriptive cross-sectional study design which recruited 6746 adolescents in two districts of Chongqing with cluster sampling was applied.Data was collected by Adolescent Quality of Life Scale developed by our team,Pubertal Development Scale(PDS)from Petersen and Crockett,self-designed KAP questionnaire and basic situation questionnaire.Results The early puberty,mid-puberty and late puberty suffered lower physical,psychological and total quality of life than the pre-pubertal(P<0.05).The mid-puberty(B=-1.10,P<0.01)and late puberty(B=-2.88,P<0.01)had lower social quality of life than the pre-pubertal Significant difference was not found between pubertal dimension and pubertal status(P>0.05).Pubertal KAP impacted on psychological(B=0.02),social(B=0.04),pubertal(B=0.04)dimensions and total quality of life(B=0.09)positively(P<0.01),but no physical dimension(P=0.06).Moderating effect results revealed that pubertal KAP moderated the negative impact of pubertal status on social dimension(B=0.03,P=0.02)and total quality of life(B=0.06,P=0.01),but no psychological dimension(P>0.05).Conclusion Promoting puberty health education of adolescents was the key to improving their quality of life.

关 键 词：青春期 健康知识 态度 实践 生活质量 健康促进 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健] G479[医药卫生—公共卫生与预防医学]