中学生健康危险行为与心理健康状况的关系

  目的  了解潍坊市中学生心理健康现状，分析中学生健康危险行为对心理健康状况的影响，为改善潍坊市中学生的心理健康状况及有效预防心理健康问题的产生提供参考依据。  方法  采用课题组编制的基本情况调查表和Kessler 10(K10)量表，对分层随机整群抽取的潍坊市3 185名中学生展开调查，应用χ2检验、二元Logistic回归等方法进行统计学分析。  结果  潍坊市中学生心理健康状况良好的有1 634名(51.3%)，一般854名(26.8%)，较差394名(12.4%)，差303名(9.5%)；睡眠时间、吸烟情况等是中学生心理健康状况的影响因素(P值均 < 0.05)。Logistic回归分析结果显示，相较于睡眠时间＜8 h的中学生，睡眠时间≥8 h的中学生心理健康状况更好(OR=0.36)；相较于不吸烟的中学生，吸烟的中学生心理健康状况较差(OR=3.53)。  结论  健康危险行为与中学生心理健康状况密切相关。有关部门应加强健康生活方式的教育及宣传力度，密切关注健康危险行为与心理健康状况之间的影响。

Relationship between health risk behaviors and mental health of middle school students

  Objective  To understand mental health status of middle school students in Weifang, and to analyze its association with health risk behaviors, and to provide a reference basis for the effective prevention of mental health problems.  Methods  Using the self-designed questionnaire and Kessler l0 (K10), a total of 3 185 middle school students in Weifang selected by using stratified clustered sampling were investigated. Chi-square test and binary Logistic regression was used for statistical analysis.  Results  Among the middle school students in Weifang, 1 634(51.3%) reported good mental health, 854(26.8%) in moderate level, 394(12.4%) reported poor mental health, and 303(9.5%) reported very poor mental health. Sleep duration and smoking were associated with mental health of middle school students (P < 0.05). Logistic regression analyses showed that, compared with adolescents with sleep duration less than 8 h, mental health among students whose sleep duration ≥8 h was better(OR=0.36); compared with non-smokers, students who smoked showed worse mental health status (OR=3.53).  Conclusion  Health-risk behaviors are closely related to mental health of middle school students. Relevant departments should strengthen education and publicity of healthy lifestyles, and pay close attention to the impact of health risk behaviors on mental health.