CAJ | 학술논문

目的探讨青春发育事件自我评定量表在城市青少年人群中的适用性,为开展青春期发育现场调查提供方法学依据.方法采用分层整群抽样方法,选取上海市小学四年级至高中三年级学生2593人,实际调查2562人；采用体格检查(性器官和第二性征Tanner分期)和问卷调查(采用青春发育事件自我评定量表)的方法评价个体的青春期发育水平,分析两种方法间的一致性与相关性,以及影响自评准确性的相关因素.结果 2562名男女生青春发育事件自我评定分数与性器官和第二性征视诊Tanner分期复合指数的线性相关系数分别为0.822和0.814.基于自评量表的青春发育分期与视诊Tanner分期复合指数间的Kappa值、符合率、Kendall's等级相关系数在男生中分别是0.217、35.24％和0.713,在女生中分别是0.333、51.42％和0.685.年龄越大、相对发育水平越高、自感家庭经济状况越好的个体越容易低估自身发育水平,男生比女生、超重或肥胖者比正常体重者更容易低估.结论当调查现场不允许进行性征发育的实际测量时,青春发育事件自我评定量表可以较为便捷地获取个体青春期发育水平的必要信息,可在流行病学调查中推广使用.
목적 탐토청춘발육사건자아평정량표재성시청소년인군중적괄용성,위개전청춘기발육현장조사제공방법학의거.방법 채용분층정군추양방법,선취상해시소학사년급지고중삼년급학생2593인,실제조사2562인；채용체격검사(성기관화제이성정Tanner분기)화문권조사(채용청춘발육사건자아평정량표)적방법평개개체적청춘기발육수평,분석량충방법간적일치성여상관성,이급영향자평준학성적상관인소.결과 2562명남녀생청춘발육사건자아평정분수여성기관화제이성정시진Tanner분기복합지수적선성상관계수분별위0.822화0.814.기우자평량표적청춘발육분기여시진Tanner분기복합지수간적Kappa치、부합솔、Kendall's등급상관계수재남생중분별시0.217、35.24％화0.713,재녀생중분별시0.333、51.42％화0.685.년령월대、상대발육수평월고、자감가정경제상황월호적개체월용역저고자신발육수평,남생비녀생、초중혹비반자비정상체중자경용역저고.결론 당조사현장불윤허진행성정발육적실제측량시,청춘발육사건자아평정량표가이교위편첩지획취개체청춘기발육수평적필요신식,가재류행병학조사중추엄사용.
Objective To explore the applicability of pubertal development scale in estimating sexual maturation among urban Chinese adolescents.Methods A cross-sectional survey was conducted among 2562 students of 4th to 12th grade in Shanghai,selected by stratified cluster sampling method.Self-reported pubertal maturation level was obtained by Pubertal Development Scale (PDS).Meanwhile,visual depiction of Tanner stages of breast,genital and pubic hair development were rated by a trained rater of the same gender,Results In 2562 students,the correlation between self-reported PDS and assessment from the raters were substantial,both in boys and girls (Pearson' s correlation coefficients:0.822 and 0.814,respectively).The overall agreement of pubertal development stages based on PDS and the rater' s assessment were 35.24％ and 51.42％ for boys and girls,respectively,with Kendall' s correlation coefficients as 0.713 and 0.685,respectively.Adolescents who were older,had relatively higher level of pubertal stages or adolescents from the richer families,tended to underestimate their actual level of pubertal maturation while those male subjects and overweight or obese subjects were even more likely to be so.Conclusion Using the self-reported PDS,we could conveniently obtain the necessary information regarding sexual maturation among the urban adolescents.It seemed especially useful in the related epidemiological survey when physical examination was precluded by cost,privacy and other concerns.