重庆市某区中学生亚健康状况对攻击性行为的影响  

The effect of subhealth on aggressive behavior among middle school students in a district of Chongqing

作　　者：叶思言 王林[1] 席璇 刘琴[1] YE Siyan;WANG Lin;XI Xuan;LIU Qin(College of Public Health,Research Center for Medicine and Social Development,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学公共卫生学院/医学与社会发展研究中心,重庆400016

出　　处：《医学新知》2025年第4期402-408,共7页New Medicine

基　　金：国家自然科学基金面上项目(81973067)。

摘　　要：目的探讨重庆市某区中学生亚健康状况对攻击性行为的影响。方法以2021年重庆市开展的某青少年青春发育队列研究中参与随访调查的中学生为研究对象,采用青少年亚健康多维评定问卷(MSQA)调查中学生亚健康状况,采用攻击性行为量表(BWAQ)评估其随访半年后高攻击性行为的发生情况。采用χ2和t检验进行组间比较,多因素Logistic回归探索亚健康对中学生高攻击性行为的影响。结果共纳入473名中学生,其身心、躯体和心理亚健康状态检出率分别为12.9%、15.4%和12.5%;高攻击性行为倾向检出率为29.2%,BWAQ平均得分为(79.81±21.99)分。身心、躯体和心理亚健康检出组中学生BWAQ量表总分及各维度得分均显著高于未检出组(P<0.05)。多因素Logistic回归分析显示身心亚健康[OR=5.046,95%CI(2.739,9.297)]、躯体亚健康[OR=4.087,95%CI(2.341,7.134)]、心理亚健康[OR=4.757,95%CI(2.549,8.878)]以及父子关系较差是中学生高攻击性行为倾向的危险因素。结论中学生亚健康状况及父子关系是其攻击性行为的重要影响因素,应定期关注、监测中学生亚健康状态,注重其日常健康管理,同时构建和谐的亲子关系,促进中学生身心健康发展。Objective To explore the impact of subhealth status on aggressive behaviors among middle school students in a district of Chongqing.Methods The study subjects were middle school students participating in the follow-up survey of a youth adolescent development cohort conducted in Chongqing in 2021.The Multidimensional Sub-health Questionnaire of Adolescents(MSQA)was employed to evaluate subhealth status,while the Buss-Warren’s Aggression Questionnaire(BWAQ)was used to assess the occurrence of high aggressive behaviors six months later.Chi-square and t-tests were used for intergroup comparisons,and multivariate Logistic regression was employed to explore the influence of subhealth on high aggressive behavior among middle school students.Results A total of 473 middle school students were included,with detection rates of physical-mental subhealth,physical subhealth,and mental subhealth at 12.9%,15.4%,and 12.5%.The detection rate of high aggressive behavior tendency is 29.2%,and the average BWAQ score is(79.81±21.99)points.The total score and scores of each dimension of the BWAQ scale for students in the detection group of physical,mental,physical,and psychological sub-health were significantly higher than those in the undetected group(P<0.05).Multivariate Logistic regression analysis showed that physical-mental subhealth[OR=5.046,95%CI(2.739,9.297)],physical subhealth[OR=4.087,95%CI(2.341,7.134)],mental subhealth[OR=4.757,95%CI(2.549,8.878)],and poor father-child relationship were risk factors for high aggressive behavior tendency among middle school students.Conclusion The subhealth status of middle school students and their father-child relationship are significant influencing factors of their aggressive behavior.It is necessary to regularly monitor and pay attention to the subhealth status of middle school students,focus on their daily health management,and build a harmonious parent-child relationship to promote the healthy physical and mental development of middle school students.

关 键 词：攻击性行为 身心亚健康 躯体亚健康 心理亚健康 中学生 

分 类 号：R749.92[医药卫生—神经病学与精神病学]