凉山艾滋病致孤儿童主观幸福感与学校联系感同伴关系和失眠的关系  

Relationships between subjective well-being, school connectedness, peer relationship, and insomnia in AIDS orphans of Yi nationality in Liangshan Prefecture

作　　者：赖诗敏 宋莎莎 李诗颖[2] 杨淑娟 汤万杰 张建新 周峻民 刘巧兰 LAI Shimin;SONG Shasha;LI Shiying;YANG Shujuan;TANG Wanjie;ZHANG Jianxin;ZHOU Junmin;LIU Qiaolan(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;School of Public Administration,Sichuan University,Chengdu 610041;Psychological Health and Educational Center,Sichuan University,Chengdu 610041)

机构地区：[1]四川大学:华西公共卫生学院/华西第四医院,成都610041 [2]四川大学:公共管理学院社会学与心理系,成都610041 [3]四川大学:心理健康教育中心,成都610041

出　　处：《中国艾滋病性病》2021年第4期382-386,共5页Chinese Journal of Aids & STD

基　　金：中国性病艾滋病防治协会项目(18H0893);四川省教育厅应用心理学研究中心项目(CSXL-182004)。

摘　　要：目的了解凉山州艾滋病致孤儿童主观幸福感现况,探讨其主观幸福感与学校联系感、同伴关系和失眠程度的关系。方法纳入孤儿571名,非孤儿979名,调查社会人口学特征、主观幸福感量表、失眠严重程度指数、学校联系感量表。通过构建结构方程模型分析变量间的关系。结果孤儿主观幸福感得分为(10.04±2.40),非孤儿(10.72±2.26),差异有统计学意义(P<0.05)。结构方程模型显示,该地区儿童青少年的同伴关系是主观幸福感的直接保护因素,失眠程度是主观幸福感的直接危险因素,两者通过学校联系感影响主观幸福感的部分中介效应分别为0.180(P<0.001,95%CI:0.132~0.237)和-0.069(P<0.001,95%CI:-0.103~-0.044),中介效应分别占总效应的31.7%和27.4%。群组分析结果显示,是否孤儿是失眠程度与主观幸福感关系的调节因素。结论凉山艾滋病致孤儿童青少年主观幸福感较低,干预策略应考虑帮助儿童青少年建立良好的同伴关系以及增强学校联系感,并且缓解其失眠情况。Objective To understand the current situation of subjective well-being of AIDS orphans in the areas with a high incidence of HIV/AIDS, and to explore the relationship between subjective well-being, school connectedness, peer relationship, and degree of insomnia. Method 571 orphans and 979 non-orphans were included in the study. The survey’s contents included sociodemographic characteristics, the Index of well-being, the Insomnia Severity Index(ISI), and the school connectedness scale. A structural equation model was used for statistical analysis. Results The score of subjective well-being of orphans was(10.04±2.40), and non-orphans(10.72±2.26)(P<0.05). The structural equation model results showed that the Peer relationship was the direct protective factor of subjective well-being and insomnia with a direct risk factor of SWB. The part mediation effect of school connection was 0.180 [P<0.001, 95%CI(0.132-0.237)] and-0.069[P<0.001, 95%CI(-0.103,-0.044)], accounted for 31.7% and 27.4% of the total effect respectively. Multiple group analysis showed that orphans were a moderating factor for the relationship of insomnia and subjective well-being, compared with the non-orphans. Conclusion The subjective well-being of AIDS orphans of Yi nationality in Liangshan prefecture appeared low. The related intervention strategies should help children and adolescents build good peer relationships,enhance school connections, and relieve insomnia.

关 键 词：艾滋病 致孤儿童 主观幸福感 同伴关系 学校联系感 失眠 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]