| 青春早中期心理应激对青少年健康危险行为的预测作用 |
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| 引用本文： | 张琴,刘琴,李月月,方波,盛露露,吴文懿,周源柯,席璇.青春早中期心理应激对青少年健康危险行为的预测作用[J].中国学校卫生,2022,43(5):653-657. |
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| 作者姓名： | 张琴 刘琴 李月月 方波 盛露露 吴文懿 周源柯 席璇 |
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| 作者单位： | 重庆医科大学公共卫生与管理学院/医学与社会发展研究中心/健康领域社会风险预测治理协同创新中心，重庆 400016 |
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| 基金项目： | 国家自然科学基金青年科学基金项目(81502825)； |
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| 摘 要： | 目的 探讨青春早中期心理应激对青少年健康危险行为的预测作用，为早期识别青少年健康危险行为发生风险提供依据。 方法 于2018年4月从重庆市4所中小学通过立意抽样招募1 046名五至八年级中小学生，采用问卷调查和体格检查的方法收集调查对象基本情况和心理应激水平；于2018年10月收集健康危险行为自我报告情况，采用多因素Logistic回归分析青春早中期心理应激与青少年健康危险行为的关系。 结果 青少年健康危险行为报告率由高到低分别为不合理运动(62.05%)、偏食行为(24.76%)、打架(21.03%)、自杀意念(17.02%)、离家出走意念(9.85%)、情绪不良(8.80%)、吸烟(4.21%)、喝酒(3.73%)、赌博(3.63%)、网络成瘾(3.06%)。多因素Logistic回归分析结果显示，高水平心理应激与打架(OR=1.02，95%CI=1.01~1.03)、自杀意念(OR=1.02，95%CI=1.01~1.03)、情绪不良(OR=1.02，95%CI=1.01~1.03)、离家出走意念(OR=1.02，95%CI=1.01~1.03)、不合理运动(OR=1.01，95%CI=1.00~1.02)、吸烟(OR=1.02，95%CI=1.00~1.03)、网络成瘾(OR=1.02，95%CI=1.00~1.03)、偏食(OR=1.01，95%CI=1.01~1.02)和赌博行为(OR=1.02，95%CI=1.01~1.04)呈正相关(P值均 < 0.05)。 结论 青少年健康危险行为以不合理运动和偏食行为报告率相对较高，青春早中期心理应激状况对青少年健康危险行为报告风险具有正向预测作用。
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| 关 键 词： | 青春期 应激，心理学 危险行为 回归分析 青少年 |
| 收稿时间： | 2021-11-27 |
Predictive effects of psychological stress in early and middle puberty on adolescent health-risk behaviors |
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| Affiliation: | School of Public Health and Management, Chongqing Medical University/Research Center for Medicine and Social Development/Innovation Center for Social Risk Governance in Health, Chongqing(400016), China |
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| Abstract: | Objective To explore whether psychological stress in early and mid-puberty is predictive of adolescent health-risk behaviors. Methods In April 2018, a total of 1 046 primary and secondary school students from grade 5 to 8 were recruited through purposive sampling. The basic information and psychological stress of the respondents were collected by questionnaire and physical examination. In addition, self-reports of health-risk behaviors were collected in October 2018. Logistic multiple regression analysis was used to analyze the relationship between psychological stress and health risk behaviors of adolescents. Results The reported health-risk behaviors of the surveyed adolescents ranking from high to low were unreasonable physical activity (62.05%), food preferences (24.76%), fighting (21.03%), suicidal ideation (17.02%), ideation of running away from home (9.85%), low mood (8.80%), smoking (4.21%), drinking (3.73%), gambling (3.63%) and internet addiction (3.06%). Logistic multiple regression analysis showed that the high level of psychological stress was a risk factor for fighting (OR=1.02, 95%CI=1.01-1.03), suicidal ideation (OR=1.02, 95%CI=1.01-1.03), low mood (OR=1.02, 95%CI=1.01-1.03), ideation of running away from home (OR=1.02, 95%CI=1.01-1.03), unreasonable physical activity (OR=1.01, 95%CI=1.00-1.02), smoking (OR=1.02, 95%CI= 1.00-1.03), internet addiction (OR=1.02, 95%CI=1.00-1.03), food preferences (OR=1.01, 95%CI= 1.00-1.02) and gambling (OR=1.02, 95%CI=1.01-1.04)(P < 0.05). Conclusion Unreasonable physical activity and food preferences are most common health-risk behaviors among adolescents. Psychological stress during early to middle puberty is predictive of adolescent health-risk behaviors. |
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