| 刘雪婷,汪晓语,徐裕杰,熊静远,成果.含糖饮料摄入轨迹与儿童自杀相关行为关联的纵向研究[J].中华流行病学杂志,2026,47(3):481-487 |
| 含糖饮料摄入轨迹与儿童自杀相关行为关联的纵向研究 |
| Longitudinal study on the association between sugar-sweetened beverage intake trajectories and suicide-related behaviors in children |
| 收稿日期:2025-07-15 出版日期:2026-03-19 |
| DOI：10.3760/cma.j.cn112338-20250715-00490 |
| 中文关键词: 自杀相关行为|含糖饮料摄入轨迹|儿童|队列研究 |
| 英文关键词: Suicide-related behaviors|Sugar-sweetened beverage intake trajectories|Children|Cohort study |
| 基金项目:国家自然科学基金青年项目（82304135） |
| 作者 | 单位 | E-mail | | 刘雪婷 | 四川大学华西第二医院华西妇儿营养中心, 成都 610041 | | | 汪晓语 | 四川大学华西第二医院华西妇儿营养中心, 成都 610041
四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室, 成都 610041
四川大学华西公共卫生学院/华西第四医院, 成都 610041 | | | 徐裕杰 | 四川大学华西第二医院华西妇儿营养中心, 成都 610041
四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室, 成都 610041 | | | 熊静远 | 四川大学华西公共卫生学院/华西第四医院, 成都 610041
主动健康与食品营养安全四川省重点实验室, 成都 610041 | | | 成果 | 四川大学华西第二医院华西妇儿营养中心, 成都 610041
四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室, 成都 610041 | ehw_cheng@163.com |
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| 中文摘要: |
| 目的 探讨儿童含糖饮料摄入轨迹对自杀相关行为的前瞻性影响。方法 以中国儿童营养与生长发育队列中3次调查为基础，应用群组轨迹模型（GBTM）建立儿童含糖饮料摄入轨迹发展模式，采用多因素logistic回归模型分析含糖饮料摄入轨迹与儿童自杀意念、自杀计划和自杀未遂的关联。结果 共有978名9~13岁儿童纳入分析，其中男童545名（55.72%）。GBTM识别出3种含糖饮料摄入轨迹，即缓慢增加组（70.55%）、快速增加组（7.98%）和先升后降组（21.47%）。与缓慢增加组相比，快速增加组和先升后降组儿童自杀相关行为检出率较高。在控制相关混杂因素后，与缓慢增加组相比，含糖饮料摄入先升后降组儿童自杀意念（OR=2.53，95%CI：1.02~6.25）、自杀计划（OR=3.16，95%CI：1.11~9.01）和自杀未遂（OR=6.67，95%CI：1.67~15.96）发生风险增加。结论 含糖饮料摄入存在先升后降波动的儿童出现自杀相关行为的风险增加。 |
| 英文摘要: |
| Objective To explore the prospective effects of sugar-sweetened beverage(SSB) intake trajectories on children's suicide-related behaviors. Methods Based on three waves of data from the China Child Nutrition and Growth Cohort, group-based trajectory modeling (GBTM) was used to identify developmental patterns of SSB intake trajectories. Multivariable logistic regression models were applied to analyze the associations between SSB intake trajectories and suicidal ideation, suicide plans, and suicide attempts. Results A total of 978 children aged 9-13 years were included in the analysis, of whom 545 (55.72%) were boys. GBTM identified three distinct SSB intake trajectories: a slow-increasing group (70.55%), a rapid-increasing group (7.98%), and a rise-then-decline group (21.47%). Compared with the slow-increasing group, children in the rapid-increasing group and the rise-then-decline group exhibited a higher prevalence of suicide-related behaviors. After adjusting for relevant confounding factors, the rise-then-decline intake trajectory group showed significantly increased risks of suicidal ideation (OR=2.53, 95%CI: 1.02-6.25), suicide plans (OR=3.16, 95%CI: 1.11-9.01), and suicide attempts (OR=6.67, 95%CI: 1.67-15.96) compared to the slow-increasing group. Conclusion Children whose SSB intake demonstrates a rise-then-decline pattern are at an increased risk of engaging in suicide-related behaviors. |
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