生活事件、应对方式、家庭亲密度与中专男生健康危害行为

LIFE EVENTS,COPING STYLES,FAMILY COHESION AND HEALTH-RISK BEHAVIORS OF MALE STUDENTS IN TECHNICAL SECONDARY SCHOOLS

目的:了解中专男生健康危害行为现况及其与生活事件、应对方式及家庭亲密度的关系。方法:对某市两所中专学校在校430名男生进行无记名问卷调查,生活事件评定采用青少年自评生活事件量表(ASLES),应对方式采用特质应对方式问卷(TSCQ)进行评定,家庭亲密度采用家庭环境量表中文版(FES-CV)进行评定。结果:该市中专男生13岁前吸烟的有17.9%,13岁前喝酒的有52.6%。第1次吸烟时间、近1年来因喝酒而受伤的次数以及性行为的发生与负性生活事件的发生率密切相关,喝酒受伤的次数与生活事件的发生强度呈现一定的剂量-反应关系。13岁前喝酒和有性行为者消极应对水平高。有性行为者家庭亲密度低;随近1年来喝酒受伤次数的增加,家庭亲密度逐渐降低。父母离婚、消极应对分别是13岁前吸烟、喝酒的危险因素,父亲外出打工是13岁前吸烟、喝酒的危险因素。健康适应事件、父母再婚和被责打3次以上是性行为发生的危险因素。结论:中专男生健康危害行为比较常见,应加强健康教育和性教育,建立健康的行为和生活方式。

Objective： To explore the status of health-risk behaviors and their association with life events, coping styles, and family cohesion of male students in technical secondary schools. Methods. Anonymous questionnaires were filled it, by 430 male students of 2 technical secondary schools. Life events were assessed by Adolescent Self- Rating Life Events Check List （ASLES）, coping styles were assessed by TSCQ and family cohesion was estimated by FES - CV. Results： The prevalence of smoking and drinking before 13 years old was 17.9% and 52.5% respectively. First smoking time, injuries due to drinking during the past year and sexual behaviors were closely related with negative life events. There was some dose-response relation between frequencies of injuries due to drinking and life events. The level of negative coping were high among students drinking before 13 years old and those with sexual behaviors. Low family cohesion was observed in those with sexual behaviors, and the cohesion gradually declined with the increasing times of injuries due to drinking. Parents＇ divorce and negative coping styles are risk factors of smoking and drinking before 13 years old respectively, father＇s not outworking was protective factor of smoking and drinking before 13 years old. Events of healthfitness, parents＇ remarriages and being physically abused more than 3 times were risk factors of sexual behaviors. Conclusion： The health- risk behaviors are common of male Students in technical secondary school. Health and sexual education should be carried out and should help them to build up healthful behaviors and living maners.