青少年生物节律紊乱与健康危险行为共存的相关性  

Association between biorhythm disorders and the co-occurrence of health-risk behaviors in adolescence

作　　者：翟娅妮 王雪莱 万宇辉[3] 陶芳标[3] 沈菊华[4] 孙重秀 孙力菁 罗春燕[1] ZHAI Yani;WANG Xuelai;WAN Yuhui;TAO Fangbiao;SHEN Juhua;SUN Chongxiu;SUN Lijing;LUO Chunyan(Child and Adolescent Health Institute,Shanghai Municipal Center for Disease Control&Prevention,Shanghai(200336),China;不详)

机构地区：[1]上海市疾病预防控制中心儿童青少年健康所,200336 [2]复旦大学公共卫生学院 [3]安徽医科大学公共卫生学院 [4]上海市奉贤区疾病预防控制中心危害因素监测科 [5]上海市金山区疾病预防控制中心食品儿少科

出　　处：《中国学校卫生》2024年第4期470-474,共5页Chinese Journal of School Health

基　　金：国家社会科学基金项目(22BTY105);上海市加强公共卫生体系建设三年行动计划(2023—2025年)优秀学科带头人(GWVI-11.2-XD14)。

摘　　要：目的阐述青少年生物节律紊乱与健康危险行为共存的相关性,为青少年健康危险行为的干预提供参考依据。方法于2023年3—4月基于方便抽样和分层随机整群抽样的方法,选取上海市2381名青少年为研究对象,采用青少年生物节律紊乱评定问卷(SQBRDA)、自编健康危险行为调查表调查青少年生物节律紊乱状况和9种健康危险行为,运用多元Logistic回归模型分析两者之间的相关性。结果青少年生物节律紊乱平均得分为(68.25±0.42)分。健康危险行为无共存、轻度共存、中度共存和重度共存组的检出人数分别为234(9.83%)、1176(49.39%)、830(34.86%)和141(5.92%)名。生物节律紊乱总得分与健康危险行为共存发生风险呈正向关联,生物节律紊乱高分组的青少年发生健康危险行为轻度共存、中度共存、重度共存的风险分别是低分组的9.05倍(95%CI=4.25~19.15)、44.55倍(95%CI=20.75~96.05)、110.05倍(95%CI=40.65~297.95)(P值均<0.01)。结论上海市青少年健康危险行为呈现较严峻的共存现象,生物节律紊乱与健康危险行为共存发生风险呈正向关联,可通过调节生物节律紊乱来综合性干预青少年健康危险行为。Objective To elucidate the association between biorhythm disorders and health-risk behaviors in adolescence,so as to provide reference for appropriate interventions.Methods From March to April 2023,2381 adolescents in Shanghai were selected as research objects using convenience sampling and stratified random cluster sampling methods.The Self-rating Questionnaire of Biological Rhythm Disorders for Adolescents(SQBRDA)and the self-report health-risk behaviors questionnaire were used to investigate the status of adolescent biorhythm disorders and nine kinds of health-risk behaviors,while a multivariate Logistic regression model was employed to analyze the association between the two variables.Results The average SQBRDA score was(68.25±0.42)The incidence and detection rates of health risk behaviors in the groups with no co-occurrence,mild co-occurrence,moderate co-occurrence,and severe co-occurrence were 234(9.83%),1176(49.39%),830(34.86%)and 141(5.92%),respectively.The total SQBRDA score was positively correlated with the risk of co-occurrence of health-risk behaviors.The risk of mild co-occurrence,moderate co-occurrence,and severe co-occurrence of health-risk behaviors was 9.05 times(95%CI=4.25-19.15,P<0.01),44.55 times(95%CI=20.75-96.05,P<0.01)and 110.05 times(95%CI=40.65-297.95,P<0.01)higher,respectively,among adolescents with higher scores of biorhythm disorders compared to adolescents with lower scores of biorhythm disorders.Conclusions Health-risk behaviors among adolescents in Shanghai draw attention to a serious phenomenon whereby biorhythm disorders are positively correlated with the risk of co-occurrence.Comprehensive interventions aimed at addressing adolescent health-risk behaviors should focus on regulating biorhythm disorders.

关 键 词：生物节律 危险行为 回归分析 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健] C913.5[医药卫生—公共卫生与预防医学] R852.6[经济管理] G479[社会学]