中学生心理健康素养及童年期虐待与饮酒行为的关联

  目的  探讨中学生心理健康素养和童年期虐待与饮酒行为的关联，为有童年期不良经历者后期危险行为的干预提供参考。  方法  于2020年10月至2021年6月在北京市、广东省阳江市、河南省郑州市3座城市，采用多阶段方便整群抽样的方法，对16 853名初、高中学生的心理健康素养水平、童年期虐待经历及饮酒行为等情况进行调查。采用多因素Logistic回归模型分析心理健康素养及童年期虐待与饮酒行为之间的关联。  结果  中学生心理健康素养总体得分为(82.11±12.85)分；童年期虐待的总检出率为42.86%，最近饮酒和过量饮酒的检出率分别为10.82%和5.14%，男生、高中生、独生子女、自评家庭经济情况较差及亲密伙伴≥6个的学生最近饮酒及过量饮酒的检出率均高于对应组学生(χ2值分别为135.75，59.25，16.70，57.48，36.67；109.38，9.75，10.32，65.13，21.50，P值均 < 0.01)。缺乏心理健康素养OR值(OR值95%CI)分别为1.27(1.14~1.43)、1.85(1.55~2.22)] 和有童年期虐待OR值(OR值95%CI)分别为1.93(1.75~2.13)、1.64(1.43~1.89)]的中学生最近饮酒和过量饮酒的发生风险均增加(P值均 < 0.01)。有童年期虐待经历且缺乏心理健康素养者最近饮酒与过量饮酒的检出率均最高，分别为15.05%，7.30%；OR值(OR值95%CI)分别为2.47(2.09~2.92)、3.37(2.55~4.44)。  结论  中学生缺乏心理健康素养及有童年期虐待均与饮酒行为有关联。预防童年期虐待?提高心理健康素养水平，有益于中学生饮酒行为的防控。

Association of mental health literacy and childhood abuse with alcohol drinking behaviors in middle school students

  Objective  To examine the association of mental health literacy (MHL) and childhood abuse with alcohol drinking behaviors in middle school students, so as to provide a reference for the intervening risky behaviors of the people with bad experiences during childhood.  Methods  A total of 16 853 middle school students in Beijing, Zhengzhou of Henan Province, and Yangjiang of Guangdong Province were enrolled by multistage convenient cluster sampling method from October 2020 to June 2021 for their self-reported MHL, childhood abuse, and alcohol drinking behaviors. Multivariate Logistic regression model was used to analyze the correlation of MHL and childhood abuse with alcohol drinking behaviors.  Results  The overall score of MHL of students was (82.11±12.85) points. The rate of childhood abuse was 42.86%, the rate of recent drinking and excessive drinking were 10.82% and 5.14%, respectively. The detection rate of recent drinking and excessive drinking among students in boys, high school, only-child, poor family economic status and more intimate partners were higher than their peers(χ2=135.75, 59.25, 16.70, 57.48, 36.67; 109.38, 9.75, 10.32, 65.13, 21.50, P < 0.01). Students who lack MHL OR(95%CI)=1.27(1.14-1.43, 1.85(1.55-2.22)] and had childhood abuse OR(95%CI)=1.93(1.75-2.13), 1.64(1.43-1.89)] had an increased risk of recent drinking and excessive drinking(P < 0.01). The highest rate of recent and excessive drinking occurred in students with childhood abuse and lack MHL (15.05% and 7.30%), with OR(95%CI) about 2.47(2.09-2.92) and 3.37(2.55-4.44).  Conclusion  Lacking MHL and childhood abuse experiences of middle school students are related to alcohol drinking behaviors. Preventing childhood abuse and improving MHL are beneficial to the prevention and control of middle school students' drinking behaviors.