学校联结与初中生危害健康行为共存的交叉滞后分析  

A cross-lagged analysis of the co-occurrence of health-risk behaviors and school connectedness among junior high school students

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

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

出　　处：《中国学校卫生》2024年第11期1565-1569,共5页Chinese Journal of School Health

基　　金：国家社会科学基金青年项目(22CTY007)。

摘　　要：目的 探讨学校联结与初中生危害健康行为共存的因果关系,为降低初中生危害健康行为的发生提供参考。方法 采用方便抽样与整群抽样相结合的方法抽取吉首市2所初级中学924名学生作为调查对象,于2023年4月(T1)和10月(T2)采用青少年危害健康行为问卷和学校联结量表进行2次间隔6个月的追踪调查,采用t检验对不同调查时间和不同性别初中生学校联结与危害健康行为共存得分进行比较,采用Mplus 8.3软件进行交叉滞后分析。结果 初中生在T1和T2调查中学校联结得分分别为(38.86±7.46)(37.87±7.71)分,危害健康行为共存得分分别为(1.64±0.68)(1.83±0.53)分,两次调查得分差异均有统计学意义(t值分别为4.24,-4.14,P值均<0.05)。两次调查学校联结与危害健康行为共存得分相关性均有统计学意义(r=-0.46~-0.33,P值均<0.05)。交叉滞后分析结果显示,T1学校联结负向预测T2危害健康行为共存(β=-0.08),T1危害健康行为共存负向预测T2学校联结(β=-0.15)(P值均<0.05)。结论 学校联结与初中生危害健康行为共存存在纵向因果关系;提升初中生学校联结水平,有助于降低其危害健康行为共存状况。Objective To explore the causal relationship between adolescent school connectedness and the co-occurrence with health risk behaviors among junior high school students,so as to provide the reference for reducing the occurrence of adolescents'health risk behaviors among junior high school students.Methods A total of 924 students from two junior high schools in Jishou City were selected by the convenience sampling and cluster sampling methods,and two follow-up surveys were conducted at 6-month intervals in April(T1)and October(T2)of 2023 using the Adolescent Health Risk Behavior Questionnaire and the School Connection Scale.The scores of the co-occurrence of school connectedness and health risk behaviors among junior high school students were compared by different survey periods and genders using the t-test,and cross-lagged analyses were performed using Mplus 8.3 software.Results School connectedness scores among junior high school students in T1 and T2 surveys were(38.86±7.46)(37.87±7.71)and co-occurrence of health risk behaviors scores were(1.64±0.68)(1.83±0.53),respectively,and the differences between the scores of the 2 surveys were statistically significant(t=4.24,-4.14,P<0.05).The correlation between school connectedness and co-occurrence of health risk behaviors were statistically significant in both surveys(r=-0.46 to-0.33,P<0.05).Cross-lagged analyses showed that school connectedness in T1 negatively predicted the co-occurrence of health risk behaviors in T2(β=-0.08),and the co-occurrence of health risk behaviors in T1 negatively predicted the school connectedness in T2(β=-0.15)(P<0.05).Conclusions There is a longitudinal causal relationship between school connectedness and co-occurrence of health risk behaviors among junior high school students.School connectedness should be improved through various ways to reduce the co-occurrence of health risk behaviors.

关 键 词：合作行为 危险行为 交叉滞后分析 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] G479[经济管理]