| 宁波市中学生暴力行为流行现状及影响因素分析 |
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| 引用本文： | 朱银潮,李辉,龚清海,王永.宁波市中学生暴力行为流行现状及影响因素分析[J].中国学校卫生,2017,38(9):1362-1365. |
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| 作者姓名： | 朱银潮 李辉 龚清海 王永 |
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| 作者单位： | 浙江省宁波市疾病预防控制中心,315010 |
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| 摘 要： | 了解宁波市中学生暴力流行现状及影响因素,为制定校园暴力干预措施提供依据.方法 通过多阶段分层整群抽样的方法抽取宁波市70所初高中学校10 787名学生进行问卷调查,问卷在美国青少年危险行为监测系统(Youth Risk Behavior Surveillance System,YRBSS)的基础上进行编制,主要包含人口学信息、自我暴力、躯体暴力和网络暴力等内容.结果 在调查前1年内,20.20%的学生发生了暴力行为.其中12.88%的学生曾发生至少1次的打架行为,8.86%曾在校园内打架.分别有2.40%和5.36%的学生曾遭受至少1次的校园欺凌和网络欺凌.5.42%的学生实施过自我暴力行为,且30.09%自我暴力实施者需送医院就诊.多因素分析显示,男生和城市地区是打架的危险因素(OR值分别为5.51,1.23),而高年级和跟父母一起生活则是保护因素(OR值分别为0.78,0.81);男生、城市地区和父母婚姻关系异常是学生遭受校园欺凌的危险因素(OR值分别为3.32,1.48,2.04),而高年级、近视和跟父母一起生活的则是保护因素(OR值分别为0.88,0.71,0.63);男生、城市地区和父母婚姻关系异常是中学生遭受网络欺凌的危险因素(OR值分别为1.72,1.35,1.50),而跟父母一起生活的则是保护因素(OR=0.61);父母关系异常是学生发生自我暴力的危险因素(OR=1.84),而高年级、跟父母一起生活则是保护因素(OR值分别为0.90,0.87).结论 青少年暴力普遍存在,低年级中学男生、父母婚姻异常家庭的孩子是暴力的高危人群,需要采取综合性的防制措施.
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| 关 键 词： | 暴力 流行病学研究 因素分析 统计学 精神卫生 学生 |
Epidemiology and risk factors of violence among the middle school students in Ningbo |
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| Abstract: | Objective To estimate the prevalence and associated factors of violence among middle school students in Ningbo city.Methods A total of 10 787 students from 70 middle schools were recruited through multi-stage random sampling.All data were collected by self-reported questionnaire regarding demographic information,self-directed violence,physical violence and cyberbully,which was modified from the Youth Risk Behavior Surveillance System in USA.Results In the last 12 months before the survey,20.20% students reported violent behaviors.Specifically,12.88% students had been in a physical fight at least one time,and 68.83% of which happened on school property.About 2.40% and 5.36% students had been bullied on school property and cyberbullied respectively.And 5.42% of all students reported self-directed violence and 30.09% of which needed treatment in hospital.Results of multivariate logistic regression indicated that male(OR=5.51,3.32,1.72),urban(OR=1.23,1.48,1.35),the abnormal marital status among their parents (OR =2.04,1.50 and 1.84) could increase the risk,while higher grade (OR =0.78,0.88),living with their parents (OR=0.81,0.63,0.61) and myopia (OR=0.71) could reduce the risk of physical fighting,selfdirected voilence,and cyberbully.Conclusion Adolescent violence is a common concern.Males,students in lower grade and those with separated parents in middle schools are especially vulnerable to bullying.Prevent and address bullying behavior should be embedded within a comprehensive bullying prevention strategy. |
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