留守青少年危害健康行为共存模式及相关因素分析  

Analysis of coexistence patterns and influencing factors of health-endangering behaviors in left-behind adolescents

作　　者：徐涛[1] 张天成[2] 余静 杨雪晶 XU Tao;ZHANG Tiancheng;YU Jing;YANG Xuejing(College of Physical Education and Health,Guangxi Normal University,Guilin,Guangxi Zhuang Autonomous Region 541000,China;不详)

机构地区：[1]广西师范大学体育与健康学院,广西桂林541000 [2]吉首大学体育科学学院 [3]铜仁学院大健康学院 [4]广西师范大学文学院/新闻与传播学院,广西桂林541000

出　　处：《中国慢性病预防与控制》2024年第7期508-513,共6页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：2022年国家社科基金青年项目(22CTY007)。

摘　　要：目的了解留守青少年危害健康行为共存模式及相关因素,为制定针对性的防控措施提供科学依据。方法于2022年3—5月,采用随机整群抽样法抽取贵州省、湖南省、湖北省和重庆市8所中学的2061名留守青少年作为调查对象,采用基本信息问卷、中国青少年健康相关/危险行为问卷、青少年非自杀性自伤行为评定问卷、简易抑郁症状自评量表、手机依赖指数量表、学校归属感量表、童年不良经历问卷、一般自我效能感量表、自我控制能力量表进行问卷调查。采用Mplus 8.3软件运用潜类别分析法探究危害健康行为的共存模式。采用SPSS 25.0软件进行χ^(2)检验,单因素方差分析,无序多分类logistic回归模型分析。结果潜类别分析结果显示,留守青少年危害健康行为可分为成瘾与暴力行为模式组(155人,7.5%)、抑郁与自伤行为模式组(610人,29.6%)和低风险模式组(1296人,62.9%)3种模式。无序多分类logistic回归分析发现,与低风险模式组相比,汉族(OR=0.530,95%CI:0.321~0.875),学校归属感得分高(OR=0.828,95%CI:0.775~0.885)、自我控制能力得分高(OR=0.914,95%CI:0.896~0.932)的留守青少年进入成瘾与暴力行为模式组的风险较低,男性(OR=2.501,95%CI:1.664~3.758)、童年不良经历得分高(OR=1.590,95%CI:1.444~1.751)的留守青少年进入成瘾与暴力行为模式组的风险较高;男性(OR=0.726,95%CI:0.578~0.912)、学校归属感得分高(OR=0.850,95%CI:0.814~0.887)、自我控制能力得分高(OR=0.924,95%CI:0.913~0.936)的留守青少年进入抑郁与自伤行为模式组的风险较低,初中学段(OR=1.537,95%CI:1.184~1.995)、童年不良经历得分高(OR=1.412,95%CI:1.317~1.515)的留守青少年进入抑郁与自伤行为模式组的风险较高,均有统计学意义(P<0.05,P<0.01)。结论留守青少年危害健康行为可分为成瘾与暴力行为、抑郁与自伤行为、低风险3种共存模式,应针对学校归属感弱、童年不良经历多�Objective To understand the coexistence patterns and influencing factors of health-endangering behaviors in leftbehind adolescents,and provide the scientific basis for the development of targeted preventive and control measures.Methods From March to May 2022,the random cluster sampling method was used to select 2061 left-behind adolescents from 8 middle schools in Guizhou Province,Hunan Province,Hubei Province and Chongqing as the subjects.The investigation was performed with the basic information questionnaire,Chinese adolescent health-related/health-endangering behaviors questionnaire,adolescent non-suicidal self-injurious behavior questionnaire,simple depressive symptom scale,mobile phone dependence index scale,school sense of belonging scale,adverse childhood experiences questionnaire,general self-efficacy scale,and self-control ability scale.The latent category analysis was used to explore the coexistence patterns of health-endangering behaviors,the used software was Mplus 8.3.The χ^(2) test,one-way analysis of variance and disordered multi-classification logistic regression model were used to analyze the data,the used software was SPSS 25.0.Results The latent category analysis showed that the left-behind adolescents'health risk behaviors could be classified into three patterns:addiction and violent behavior pattern group(155 cases,7.5%),depression and self-injurious behavior pattern group(610 cases,29.6%)and low-risk pattern group(1296 cases,62.9%).Multivariate logistic regression analysis found that as compared with the low-risk pattern group,the left-behind adolescents with Han nationality(OR=0.530,95%CI:0.321-0.875),high score of school belonging(OR=0.828,95%CI:0.775-0.885)and high score of self-control(OR=0.914,95%CI:0.896-0.932)had the lower risk of entering the addiction and violent behavior model group;the left-behind adolescents with male(OR=2.501,95%CI:1.664-3.758)and high score of adverse childhood experiences(OR=1.590,95%CI:1.444-1.751)had the high risk of entering the addiction and violent beha

关 键 词：留守 青少年 危害健康行为 共存 相关因素 

分 类 号：R179[医药卫生—妇幼卫生保健]