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研究

李丹; 史慧静; 张越; 王文; 谭晖; 王震维

文章摘要

李丹,史慧静,张越,王文,谭晖,王震维.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研究[J].中华流行病学杂志,2012,33(6):580-583

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研究

Applicability of self-rated pubertal development scale among urban Chinese adolescents

收稿日期:2012-01-15 出版日期:2014-09-09

DOI：

中文关键词: 春发育事件自我评定青少年适用性

英文关键词: Pubertal development scale Adolescents Applicability

基金项目:国家自然科学基金(81172684)

作者	单位	E-mail
李丹	复旦大学公共卫生学射复旦大学公共卫生安全教育部重点实验室, 上海 200032
史慧静	复旦大学公共卫生学射复旦大学公共卫生安全教育部重点实验室, 上海 200032	hjshi@fudan.edu.cn
张越	复旦大学公共卫生学射复旦大学公共卫生安全教育部重点实验室, 上海 200032
王文	复旦大学公共卫生学射复旦大学公共卫生安全教育部重点实验室, 上海 200032
谭晖	复旦大学公共卫生学射复旦大学公共卫生安全教育部重点实验室, 上海 200032
王震维	复旦大学公共卫生学射复旦大学公共卫生安全教育部重点实验室, 上海 200032

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中文摘要:

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.

英文摘要:

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 4^th to 12^th 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.

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