中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
2期
150-153
,共4页
许韶君%陶芳标%郝加虎%苏普玉%孙莹%朱鹏%祖萍%赵玉秋
許韶君%陶芳標%郝加虎%囌普玉%孫瑩%硃鵬%祖萍%趙玉鞦
허소군%도방표%학가호%소보옥%손형%주붕%조평%조옥추
心理病理学%自伤行为%意外伤害%青少年
心理病理學%自傷行為%意外傷害%青少年
심리병이학%자상행위%의외상해%청소년
Psychopathology%Self-injurious behavior%Unintentional injury%Adolescent
目的 分析青少年心理亚健康对自伤和意外伤害行为的影响,探讨伤害行为的预测因素,为心理行为干预提供科学依据.方法 整群抽取8个城市12 113名初中、高中和大学生为研究对象,在基线调查(T0)后3、6、9个月分别进行3次随访,采用“青少年亚健康多维评定问卷”评价基线心理亚健康,使用自编自伤行为和意外伤害行为问卷调查基线及每隔3个月自伤行为和意外伤害行为的发生情况.结果 男女生9个月随访期间自伤行为报告率分别为19.4％和19.9％,≥4种自伤行为报告率分别为4.7％和4.2％,差异均无统计学意义(x2=0.442,P=0.506；x2=1.609,P=0.205).男女生意外伤害行为报告率分别为62.2％和57.3％,≥4种意外伤害行为报告率分别为3.8％和3.4％,差异均有统计学意义(x2=79.731,P=0.000;x2=8.653,P=0.004).3个随访时段自伤和意外伤害行为报告率均随基线心理病理症状数的增加而增加,差异均有统计学意义(P＜0.05).多因素logistic回归分析显示,基线心理亚健康状态对随访各时段发生自伤和意外伤害行为均有预测作用.结论 基线心理亚健康状态对青少年自伤行为和意外伤害行为均有预测作用,应及早对心理亚健康状态的青少年进行心理行为干预.
目的 分析青少年心理亞健康對自傷和意外傷害行為的影響,探討傷害行為的預測因素,為心理行為榦預提供科學依據.方法 整群抽取8箇城市12 113名初中、高中和大學生為研究對象,在基線調查(T0)後3、6、9箇月分彆進行3次隨訪,採用“青少年亞健康多維評定問捲”評價基線心理亞健康,使用自編自傷行為和意外傷害行為問捲調查基線及每隔3箇月自傷行為和意外傷害行為的髮生情況.結果 男女生9箇月隨訪期間自傷行為報告率分彆為19.4％和19.9％,≥4種自傷行為報告率分彆為4.7％和4.2％,差異均無統計學意義(x2=0.442,P=0.506；x2=1.609,P=0.205).男女生意外傷害行為報告率分彆為62.2％和57.3％,≥4種意外傷害行為報告率分彆為3.8％和3.4％,差異均有統計學意義(x2=79.731,P=0.000;x2=8.653,P=0.004).3箇隨訪時段自傷和意外傷害行為報告率均隨基線心理病理癥狀數的增加而增加,差異均有統計學意義(P＜0.05).多因素logistic迴歸分析顯示,基線心理亞健康狀態對隨訪各時段髮生自傷和意外傷害行為均有預測作用.結論 基線心理亞健康狀態對青少年自傷行為和意外傷害行為均有預測作用,應及早對心理亞健康狀態的青少年進行心理行為榦預.
목적 분석청소년심리아건강대자상화의외상해행위적영향,탐토상해행위적예측인소,위심리행위간예제공과학의거.방법 정군추취8개성시12 113명초중、고중화대학생위연구대상,재기선조사(T0)후3、6、9개월분별진행3차수방,채용“청소년아건강다유평정문권”평개기선심리아건강,사용자편자상행위화의외상해행위문권조사기선급매격3개월자상행위화의외상해행위적발생정황.결과 남녀생9개월수방기간자상행위보고솔분별위19.4％화19.9％,≥4충자상행위보고솔분별위4.7％화4.2％,차이균무통계학의의(x2=0.442,P=0.506；x2=1.609,P=0.205).남녀생의외상해행위보고솔분별위62.2％화57.3％,≥4충의외상해행위보고솔분별위3.8％화3.4％,차이균유통계학의의(x2=79.731,P=0.000;x2=8.653,P=0.004).3개수방시단자상화의외상해행위보고솔균수기선심리병리증상수적증가이증가,차이균유통계학의의(P＜0.05).다인소logistic회귀분석현시,기선심리아건강상태대수방각시단발생자상화의외상해행위균유예측작용.결론 기선심리아건강상태대청소년자상행위화의외상해행위균유예측작용,응급조대심리아건강상태적청소년진행심리행위간예.
Objective To investigate the association between psychological sub-healthy status and risks on injuries and related predictors among adolescents in China,in order to develop reasonable intervention programs.Methods Adolescents were selected from middle schools and colleges in eight cities.Baseline status on sub-healthy that related to psycho-pathology was measured using the Multidimensional Sub-health Questionnaire of Adolescents (MSQA).Data on Self- or unintentional injuries were collected using a standardized injury surveillance questionnaire every 3 months,for three times (T0,T1,T2 and T3).Results A total of 12 113 students completed the study.Prevalence rates related to self-injury among boys and girls were 19.4％ and 19.9％,respectively.The rates of having more than 4 types of self-injuries in boys and girls were 4.7％ and 4.2％,respectively.Boys had a significantly higher unintentional injury rate than that of girls (62.2％ vs.57.3％ ).The differences in the rates of having more than 4 types of unintentional injury between boys (3.8％) and girls (3.4％) were also statistically significant.Rates on self- and unintentional-injuries increased in T1,T2 and T3 when the psychological symptoms had an increase.Data from Multiple regression analysis demonstrated that the baseline psychological sub-healthy status was a predictive factor for higher risk of self- and unintentional- injuries at each of the follow-up waves.Conclusion Sub-healthy status of psycho-pathology was associated with an increased risk on self-and unintentional injuries among adolescents.Integrative psycho-pathological and behavioralintervention programs might help in reducing the risk of injuries among the Chinese adolescents.
