武陵山区青少年危害健康行为潜在类别及与学校联结的关联  

Latent classes of health-risk behaviors and their association with school connectedness among adolescents in the Wuling Mountain Area

作　　者：张天成[1] 周县委 徐涛[2] 张福兰[1] 王澳伦 ZHANG Tiancheng;ZHOU Xianwei;XU Tao;ZHANG Fulan;WANG Aolun(Physical Education Institute,Jishou University,Jishou(416000),Hunan Province,China;不详)

机构地区：[1]吉首大学体育科学学院,湖南416000 [2]广西师范大学体育与健康学院

出　　处：《中国学校卫生》2024年第4期509-513,共5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(22YJA880086);湖南省教育厅科学研究重点项目(21A0346);湖南省哲学社会科学基金一般项目(19YBA285)。

摘　　要：目的了解武陵山区青少年危害健康行为潜在类别及其与学校联结的关联,为制定分类高效干预措施提供参考。方法于2023年3—6月,运用多阶段分层整群随机抽样法抽取武陵山区8所学校的3386名初、高中学生为调查对象,采用基本信息问卷、危害健康行为问卷、学校联结量表进行调查。采用潜在类别分析探究武陵山区青少年危害健康行为的潜在类别,运用无序多分类Logistic回归模型分析潜在类别与学校联结的关联。结果武陵山区青少年危害健康行为可分为外显行为高风险组(5.64%)、内隐行为高风险组(26.90%)、低风险组(67.45%)3个潜在类别;不同性别、民族、家庭类型的青少年在外显行为高风险组、内隐行为高风险组和低风险组3个潜在类别组的分布差异均有统计学意义(χ^(2)值分别为117.91,22.55,21.51,P值均<0.05);无序多分类Logistic回归模型分析结果显示,以低风险组为参照,学校联结得分高与外显行为高风险组(OR=0.89,95%CI=0.88~0.91)和内隐行为高风险组(OR=0.90,95%CI=0.89~0.91)均呈负相关(P值均<0.05)。结论武陵山区青少年危害健康行为类别特征明显,外显行为高风险组、内隐行为高风险组均与学校联结存在负向关联。应积极采取相应措施,提高青少年学校归属感,降低危害健康行为的聚集共存状况。Objective To understand the potential categories of health-risk behaviors among adolescents in the Wuling Mountain Area and their association with school connectedness,so as to provide reference for formulating classified and effective intervention measures.Methods From March to June 2023,3386 middle and high school students from eight schools in the Wuling Mountain Area were selected using the multistage stratified cluster random sampling method.A basic information questionnaire,health-risk behaviors questionnaire,and school connectedness scale were utilized for the survey.The latent classes of adolescent health-risk behaviors in the Wuling Mountain Area were investigated by using latent class analysis,while an multinomial Logistic regression model was employed to analyze the association between latent classes and school connectedness.Results Adolescent health-risk behaviors in the Wuling Mountains Area were classified into three latent classes:high-risk class of episodic behaviors(5.64%),high-risk class of implicit behaviors(26.90%),and low-risk class of implicit behaviors(67.45%).Gender,ethnicity,and family type revealed significant differences in the distribution of the three latent classes(χ^(2)=117.91,22.55,21.51,P<0.05).The results of the regression model analysis showed that,with the low-risk class as the reference category,high school connectedness scores were associated with the high-risk class of episodic behaviors(OR=0.89,95%CI=0.88-0.91)and the high-risk class of implicit behaviors(OR=0.90,95%CI=0.89-0.91)(P<0.05).Conclusions The characteristics of adolescent health-risk behavior classes in the Wuling Mountain Area are obvious.The high-risk class of episodic behaviors and the high-risk class of implicit behaviors are negatively correlated with school connectedness.Corresponding measures should be taken to enhance adolescents'sense of belonging in school and reduce the aggregation and co-occurrence of health-risk behaviors.

关 键 词：危险行为 学校联结 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] G478[经济管理] G479[社会学]