广东省某市青少年新型冠状病毒感染前后健康促进生活方式变化  

Changes in health-promoting lifestyles among adolescents before and after COVID-19 outbreak in a city in Guangdong Province

作　　者：谢慧妍[1] 夏亮 廖雅芬 罗月妙 XIE Huiyan;XIA Liang;LIAO Yafen;LUO Yuemiao(Zhaoqing Medical College,Zhaoqing,Guangdong 526040,China)

机构地区：[1]肇庆医学高等专科学校,广东肇庆526040 [2]广东省疾病预防中心 [3]肇庆市疾病预防控制中心

出　　处：《中国预防医学杂志》2023年第8期827-832,共6页Chinese Preventive Medicine

基　　金：广东省普通高校青年创新人才类项目(2019GKQNCX130);肇庆市科技创新指导类项目(2022040314029)。

摘　　要：目的探讨新型冠状病毒感染前后广东省某市青少年健康促进生活方式的变化。方法采用健康促进生活方式量表-Ⅱ修订版(HPLP-ⅡR)对广东省某市1所大专院校、1所中等职业学校和1所普通高中3124名学生进行问卷调查,采用倾向性评分法对疫情前(2019年12月6—20日)1601名学生及疫情期间(2020年3月20—28日)的另外1523名学生进行1∶1最邻近匹配,对匹配前后两组学生的健康促进生活方式得分进行比较。结果疫情期间青少年健康促进生活方式得分较疫情前下降,差异有统计学意义(t=3.84,P<0.05)。各维度得分方面,营养、健康责任、人际关系、压力管理和精神成长维度得分均低于疫情前,差异有统计学意义(t=9.59、3.19、3.44、2.95、5.93,P<0.05)。按照社会人口学特征进行分层分析结果显示,女生在健康责任、压力管理行为上得分较疫情前下降,差异有统计学意义(t=2.88、2.94,P<0.05)。疫情期间大专生组的健康促进生活方式总分、压力管理维度得分均较疫情前下降,差异有统计学意义(t=2.99、2.39,P<0.05);中专组疫情期间的健康责任维度得分比疫情前低,差异有统计学意义(t=2.47,P<0.05);高中组疫情期间体育运动和人际关系得分较疫情前下降,差异有统计学意义(t=2.20、3.14,P<0.05)。结论新型冠状病毒感染给青少年的健康促进生活方式带来负面影响。隔离封锁地区应采取有效措施,对大专女生、低经济水平、非独生子女等重点人群给予健康教育与心理关怀。Objective To investigate changes in health-promoting lifestyles among adolescents before and after COVID-19 outbreak in a city in Guangdong Province.Methods From a junior college,a secondary vocational school,and a high school in a city in Guangdong,a total of 3124 students were recruited and surveyed using the revised Health Promoting Lifestyle ProfileⅡ(HPLP-ⅡR).The 1601 students surveyed before COVID-19 outbreak(between December 6 and 20,2019)and the 1523 students surveyed during COVID-19 period(between March 20 and 28,2020)were matched using 1:1 nearest neighbor propensity score matching.Health-promoting lifestyles scores of the two groups after matching were compared.Results Health-promoting lifestyle score during COVID-19 was lower than that before the pandemic(t=3.84,P<0.05).In terms of the score of each dimension,the scores of nutrition,health responsibility,interpersonal relationship,stress management,and spiritual growth during the pandemic were all lower than those before(t=9.59,3.19,3.44,2.95,5.93,P 0.05).Stratified analysis by socio-demographic characteristics showed that scores of health responsibility and stress management behavior in female students significantly decreased compared with those before the pandemic(t=2.88,2.94,both P<0.05).Stratified by the type of school,the total score of health promotion lifestyle and the score of stress management dimension of junior college students statistically significantly decreased during the pandemic(t=2.99,2.39,both P<0.05);the health responsibility dimension score of the students from the secondary vocational school during the pandemic was statistically significantly lower than that before the pandemic(t=2.47,P<0.05);among the high school students,the scores of physical activity and interpersonal relationship during the pandemic were statistically significantly lower than those before the pandemic(t=2.20,3.14,both P<0.05).Conclusions The COVID-19 may exert a negative impact on adolescents'health-promoting lifestyle.Effective measures should be taken i

关 键 词：新型冠状病毒 健康促进生活方式 倾向性评分匹配 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健]