文章摘要
张哲夫.中国莱姆病研究的进展[J].中华流行病学杂志,1999,20(5):269-272
中国莱姆病研究的进展
Relationship beteen deliberate self-harm and suicidal behaviors in college students
收稿日期:1999-04-30  出版日期:2014-09-18
DOI:
中文关键词: 自伤|自杀|大学生
英文关键词: Self-harm|Suicide|College student
基金项目:
作者单位
张哲夫 中国预防医学科学院流行病学微生物学研究所,北京,102206 
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中文摘要:
      莱姆病是一种由蜱传伯氏疏螺旋体(Borreliaburgdorferi)引起的自然疫源性疾病,亦是一种人兽共患病。自1982年Burgdorfer及其同事分离到莱姆病病原体以来,莱姆病在流行病学、病原学、临床学、发病机制及菌苗等方面有了飞速发展。
英文摘要:
      Objective To describe the prevalence ofdeliberate self-harm(DSH)and suicidalbehaviors(SIB)as well as the relationship between them in a college student population.Methods A total of 4063 medical students were selected under the cluster sampling method in Anhui province.Data were analyzed by Pearson Chi—square and logistic regression.Results A total of4063(13.4%)students reported that they had deliberately harmed themselves during the past 12 months.The acts of DSH with 1 and more than or equal to2 times occurence ac+M4counted for3.7%and9.6%among all the respondents.The act of DSH was significantly higher among boys than that among girls.Rates of suicide ideation.suicide plan,attempted suicide and SIB in the last 4. 5%,1.4%.0.6 and4. 9%,respectively.However no statistically significant dilyerence was found in different sex.Students in the DSH groupnlat with SIB were found to have lower positive coping levels(OR=O.5,95%C/:0.3—0.8).getting less support from frithds(3-5 vs.1ess than or equal to 2:OR=O.6,95%c,:0.3—0.9;more than or equal to 6∞.1ess than or equal to 2:OR=O.4,95%C,:0.2-0.8).with highor negative coping levels(OR=2,1,95%CI:1.2—3.7),having more serious depressive symptoms(OR=2. 9,95%c,:1.6—5. 2)and anxiety symptoms(OR=2. 2. 95%CI:1.2—3.8).having more serious sleeping problems(OR=1.7. 95%C,:1.1—2. 8)and perceived fat(fat.moderate:OR=2. 0,95%CI:1.1—3.6)than the DSH group without SIB.The rates of SIB in students with DSH behavior were significantly higher than those in students without those behaviors(OR---4. 7,95%C/:3.5—6.4).Psyehosocial variables could attenuate the relationship between the DSH status and suicidal events (OR=3.3.95%CI:2. 4—4. 5).The DSH frequency exhibited a curvilinear relationship to SIB(OR=3.1一lO.0)and psychosocial variables also attenuated this relationship(OR=2. 4—5. 9).ConclusionIt was well known that SIB was not a suicidal gesture but our findings suggested that the presence of DSH might trigger the suicidal attempts.
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