CAJ | 학술논문

目的：了解库区留守中学生亚健康现况及健康危险行为因素，为以学校为基础的亚健康干预提供参考依据。方法采用多阶段整群随机抽样的方法，应用青少年亚健康多维评定问卷（MSQA）和自编青少年健康危险行为因素问卷对某库区3所乡镇中学共1528名留守中学生进行调查。结果重庆市某库区留守中学生身心、躯体、心理亚健康症状检出率分别为45．0％，23．3％，40．1％。躯体活力不足、生理功能低下、抵抗力下降检出率分别是10．2％、15．1％、12．0％；情绪问题、品行问题、社会适应困难人数检出率是25．85％、16．82％、34．29％。亚健康症状检出率男生高于女生（45．79％vs．44．15％，P＞0．05）；高一学生高于初一学生（51．95％vs．37．38％，P＜0．05）；独生子女高于非独生子女（45．18％vs．44．93％，P＞0．05）；住校学生高于走校学生（48．58％vs．36．68％，P＜0．05）。亚健康症状与不健康减肥行为、故意伤害行为、自杀相关行为、非故意伤害行为、网络成瘾行为有关。结论库区留守中学生亚健康症状处于一般水平，与多种因素有关，相关部门应引起重视，加强健康教育。
목적：료해고구류수중학생아건강현황급건강위험행위인소，위이학교위기출적아건강간예제공삼고의거。방법채용다계단정군수궤추양적방법，응용청소년아건강다유평정문권（MSQA）화자편청소년건강위험행위인소문권대모고구3소향진중학공1528명류수중학생진행조사。결과중경시모고구류수중학생신심、구체、심리아건강증상검출솔분별위45．0％，23．3％，40．1％。구체활력불족、생리공능저하、저항력하강검출솔분별시10．2％、15．1％、12．0％；정서문제、품행문제、사회괄응곤난인수검출솔시25．85％、16．82％、34．29％。아건강증상검출솔남생고우녀생（45．79％vs．44．15％，P＞0．05）；고일학생고우초일학생（51．95％vs．37．38％，P＜0．05）；독생자녀고우비독생자녀（45．18％vs．44．93％，P＞0．05）；주교학생고우주교학생（48．58％vs．36．68％，P＜0．05）。아건강증상여불건강감비행위、고의상해행위、자살상관행위、비고의상해행위、망락성은행위유관。결론고구류수중학생아건강증상처우일반수평，여다충인소유관，상관부문응인기중시，가강건강교육。
Objective To study the sub-health status and health-risky behaviors of left behind middle school students in Chongqing Three-gorge area and provide the reference for targeted interventions .Methods 1 528 cases of left behind middle school students were collected from three middle school by multistage cluster random sampling in a reservoir of Chongqing ,surveyed with questionnaire about health-risky behaviors and Multidimensional Sub-health Questionnaire of Adolescents(MSQA) .Results The rates of psychosomatic sub-health symptoms were 45 .0% ,body sub-health symptoms detection rate was 23 .3% ,psychological sub-health symptoms detection rate was 40 .1% .Body energy insufficiency ,the physiological function ,decreased resistance detection rate were 10 .2% ,15 .1% and 12 .0% ,respectively .The emotional problems ,behavioral problems ,social adaptation difficulties detection rate were 25 .9% ,16 .8% ,34 .3% ,respectively .The symptoms of sub-health detection rate of boys was higher than that of girls (P>0 .05) ,the junior grade One was higher than the senior grade One(P<0 .05) ,the one-child was higher than non-only child(P>0 .05) ,the boarding students was significantly higher than the day students(P<0 .05) .Logistic regression analysis showed that the risk factors had unhealthy diet behavior ,deliberately harm behavior ,suicide behavior ,unintentional injury behavior and Internet addiction .Conclusion The sub-health problem of left behind middle school student in Chongqing three-gorge area is in a general level ,the relevant departments should take some targeted interventions to improve students'health level .