童年期虐待忽视与初中女生身心健康的关联  

Association of childhood maltreatment with physical and mental health among junior high school girls

作　　者：谢钱茹 黄晓曼 文雪 汪耿夫[2] XIE Qianru;HUANG Xiaoman;WEN Xue;WANG Gengfu(Department of Maternal Health Care,Hefei Maternal and Child Health Care Institute,Hefei 230041,Anhui Province,China;不详)

机构地区：[1]合肥市妇女儿童保健中心妇女保健部,安徽230041 [2]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室

出　　处：《中国学校卫生》2024年第11期1584-1588,共5页Chinese Journal of School Health

基　　金：国家自然科学基金项目(82204071)。

摘　　要：目的 探究初中女生遭受童年期虐待忽视与身心健康之间的关联,为预防青少年身心健康提供基础数据。方法2023年4-6月,采用分层随机整群抽样方法抽取安徽省6座城市共5 083名初中女生,使用中文版儿童创伤问卷简表、躯体症状量表-8、7条目广泛性焦虑障碍量表和9条目患者健康问卷开展调查。采用χ^(2)检验进行组间比较,采用Logistic回归分析和χ^(2)趋势检验探讨童年期虐待忽视与初中女生身心健康的关联。结果 34.3%的初中女生报告在小学及以前遭受过至少1种童年期虐待忽视,躯体虐待、情感虐待、性虐待、躯体忽视和情感忽视的报告率分别为13.9%,27.1%,7.3%,7.0%和12.5%。不同类型童年期虐待忽视与初中女生焦虑症状、抑郁症状、躯体症状检出率均呈正相关(OR=2.53~6.90,P值均<0.01);且随着童年期虐待忽视数量的增加,女生焦虑症状、抑郁症状、躯体症状检出的可能性均增加(χ_(趋势)^(2)值分别为446.42,679.10,396.36;1种虐待忽视OR值分别为2.20,3.17,2.72;≥4种虐待忽视OR值分别为7.10,15.60,8.47,P值均<0.01)。结论 童年期虐待忽视与初中女生身心健康密切相关,加强童年期虐待忽视预防控制,有助于缓解初中女生的负面身心健康状况。Objective To explore the association of childhood maltreatment with physical and mental health in junior high school girls,so as to provide a basic data for the prevention of adolescent physical and mental health.Methods From April to June 2023,a total of 5083 junior high school girls in six cities in Anhui Province were selected by a stratified cluster random sampling method and surveyed by Childhood Trauma Questionnaire-Short Form,Somatic Symptom Scale-8,7-tiem Generalized Anxiety Disorder Scale and Patient Health Questionnaire-9.Chi-quare test was used for inter group comparison,and Logistic regression analysis and Chi-quare trend test were used to explore the association of childhood maltreatment with physical and mental health of junior high school girls.Results About 34.3%of junior high school girls experienced at least one type of childhood maltreatment in elementary school and before,and the reporting rates of physical abuse,emotional abuse,sexual abuse,physical neglect and emotional neglect were 13.9%,27.1%,7.3%,7.0%and 12.5%,respectively.Different types of childhood maltreatment were positively correlated with the detection of anxiety symptoms,depressive symptoms and somatic symptoms(OR=2.53-6.90,P<0.01).And as the number of childhood maltreatment increased,the detection possibilty of anxiety symptoms,depressive symptoms and somatic symptoms in girls also increased(χ_(trend)^(2)=446.42,679.10,396.36;1 type of childhood maltreatment:OR=2.20,3.17,2.72;more than 4 types of childhood maltreatment:OR=7.10,15.60,8.47,P<0.01).Conclusion Childhood maltreatment is closely related to the physical and mental health of junior high school girls,and strengthening the prevention and control of childhood maltreatment can help alleviate the negative physical and mental health impacts on junior high school girls.

关 键 词：虐待儿童 精神卫生 青春期发育 回归分析 学生 女(雌)性 

分 类 号：R179[医药卫生—妇幼卫生保健] B845.67[医药卫生—公共卫生与预防医学] G444[哲学宗教—心理学] R339.55[哲学宗教—发展与教育心理学]