出 处:《卫生研究》2020年第6期914-920,共7页Journal of Hygiene Research
基 金:湖南省社会科学成果评审委员会一般课题(No.XSP18YBZ142);湖南省哲学社会科学基金(No.17YBA331);湖南省教育厅科学研究重点项目(No.18A278)。
摘 要:目的了解武陵山区农村4个少数民族青少年伤害行为特征。方法2016年9—10月采用多阶段分层整群随机抽样法,从湘西土家族苗族自治州、怀化通道侗族自治县、张家界桑植县白族乡共抽取4所农村中学的2170名中学生,平均年龄(15.25±1.70)岁,其中男生1011人、女生1159人,初中生1187人、高中生983人,土家族537人、苗族546人、侗族523人、白族564人,对其伤害相关行为采用“中国青少年健康相关行为调查问卷”进行调查。结果武陵山区农村4个少数民族青少年非故意伤害行为报告率分别为骑车违规29.49%(640/2170)、步行违规3.18%(69/2170)和非安全游泳29.49%(640/2170),故意伤害行为报告率分别为打架26.36%(572/2170)、常无安全感7.60%(165/2170)、自杀意念18.85%(409/2170)、自杀计划6.54%(142/2170)、曾自杀过3.27%(71/2170)、常心情不愉快31.06%(674/2170)、常孤独17.05%(370/2170)、常失眠11.84%(257/2170)、抑郁15.85%(344/2170)、想离家出走26.22%(569/2170)和离家出走尝试6.87%(149/2170)。伤害行为相关分析表明:骑车违规行为与非安全游泳、打架、常孤独、常失眠、离家出走意念、离家出走尝试行为呈正相关(r=0.051~0.227,P<0.05);步行违规行为与打架、常无安全感、自杀意念、常心情不愉快、常孤独、常失眠、离家出走意念、离家出走尝试行为呈正相关(r=0.047~0.096,P<0.05);非安全游泳行为与打架、常心情不愉快、离家出走意念、离家出走尝试行为呈正相关(r=0.048~0.222,P<0.05);打架行为与自杀意念、常失眠、抑郁、离家出走意念、离家出走尝试行为呈正相关(r=0.053~0.164,P<0.05);常无安全感行为与自杀意念、常心情不愉快、常孤独、常失眠、抑郁、离家出走尝试行为呈正相关(r=0.046~0.146,P<0.05);自杀意念行为与常心情不愉快、常孤独、常失眠、抑郁、离家出走意念、离家出走尝试行为呈正相关(r=0.157~0.342,P<0.05);常心情不愉�OBJECTIVE To know about the characteristics of injury behaviors of the four ethnic adolescents in rural of Wuling mountainous area.METHODS From September to October 2016,a multiple stages hierarchical cluster random sampling method was used to extract 2170 middle school students aged(15.25±1.70)years old from 4 rural middle schools(1011 boys,1159 girls;1187 junior high school students,983 senior high school students;537 students from the Tujia Nationality,546 from the Miao Nationality,523 from the Dong Nationality,and 564 from the Bai Nationality),and conducted a survey on their injuries-related behaviors by“Chinese adolescent health related behaviors questionnaire”.RESULTS The incidence rate of cycling violations,walking violations and non-safeswimming in unintentional injury behaviors of the four ethnic adolescents in rural of Wuling Mountainous Area were 29.49%(640/2170),3.18%(69/2170),29.49%(640/2170),respectively.As to intentional injury behavior,The rates of fight,perennial insecure,suicidal idea,suicide plan,have commit suicide,enduring unpleasant mood,enduring loneliness,enduring insomnia,depression,wanting to run away from home,and having ran away from home were:26.36%(572/2170),7.60%(165/2170),18.85%(409/2170),6.54%(142/2170),3.27%(71/2170),31.06%(674/2170),17.05%(370/2170),11.84%(257/2170),15.85%(344/2170),26.22%(569/2170),6.87%(149/2170),respectively.The correlation analysis of injury behavior showed that cycling violations and non-safe swimming,fight,enduring loneliness,enduring insomnia,wanting to run away from home,having ran away from home were positively correlated(r=0.051-0.227,P<0.05);walking violations and fight,perennial insecure,suicidal idea,enduring unpleasant mood,enduring loneliness,enduring insomnia,wanting to run away from home,having ran away from home were positively correlated(r=0.047-0.096,P<0.05);non-safe swimming and fight,enduring unpleasant mood,wanting to run away from home,having ran away from home were positively correlated(r=0.048-0.222,P<0.05);fight and suicidal idea,
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