文章摘要
许韶君,陶芳标,郝加虎,苏普玉,孙莹,朱鹏,祖萍,赵玉秋.青少年心理亚健康对自伤及意外伤害行为的预测作用[J].中华流行病学杂志,2012,33(2):150-153
青少年心理亚健康对自伤及意外伤害行为的预测作用
Psychopathological sub-healthy status as predictor on self-or unintentional injuries among Chinese adolescents:a school-based follow-up study
收稿日期:2011-07-26  出版日期:2014-09-10
DOI:
中文关键词: 心理病理学;自伤行为;意外伤害;青少年
英文关键词: Psychopathology;Self-injurious behavior;Unintentional injury;Adolescent
基金项目:国家高新技术研究发展计划(863计划)(2006AA02Z427); 安徽省教育厅高校省级自然科学研究项目(KJ2010B392)
作者单位E-mail
许韶君 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032  
陶芳标 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032 fbtao@ahmu.edu.cn 
郝加虎 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032  
苏普玉 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032  
孙莹 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032  
朱鹏 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032  
祖萍 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032  
赵玉秋 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级重点实验室, 合肥 230032  
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中文摘要:
      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12113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%, 多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%, 多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;f=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。
英文摘要:
      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(TO, 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 behavioral intervention programs might help in reducing the risk of injuries among the Chinese adolescents.
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