摘要
目的了解青少年常见身心病理症状流行情况及其对6个月后自杀、自伤行为的影响。方法采用整群抽样法,于2008年3月从我国东部地区的北京、绍兴、广州,中部地区的太原、哈尔滨、鄂州,西部地区的重庆、贵阳共8个市中抽取部分青少年,采用《青少年亚健康多维评定问卷》等,对青少年社会人口统计学情况、生活方式、身心病理症状、自杀及自伤行为情况进行调查。基线调查时共收回有效问卷17622份,6个月后进行随访,收回与基线调查时编号一致的有效问卷14407份。对身心病理症状、自杀及自伤行为等的检出情况及影响因素进行X^2检验及logistic回归分析。结果基线调查时常见躯体、心理病理症状总检出率分别为24.1%(4255/17622)和30.9%(5447/17622),检出率最高的分别为多饮多食(6.4%,1130/17622)、在家里几乎很难安心学习(11.8%,2087/17622)。男性常见心理病理症状检出率(30.7%,2637/8599)高于躯体病病理症状(24.0%,2061/8599)(P〈0.05);女性常见心理病理症状检出率(31.1%,2810/9023)高于躯体病病理症状(24.3%,2194/9023)(P〈0.05)。高中阶段常见身心病理症状检出率(46.8%,2905/6208)高于初中(37.3%,2337/6262)和大学(33.2%,1711/5152)(P值均〈0.05)。西部地区常见躯体病理症状和心理病理症状检出率(30.2%,1471/4871;40.6%,1979/4871)均高于中部(22.4%,1443/6453;27.0%,1743/6453)和东部地区(21.3%,1341/6298;27.4%,1725/6298)(P值均〈0.05)。多因素logistic回归分析结果显示,常见躯体病理症状数≥2个是6个月后自杀意念(RR:1.44,95%CI:1.16-1.79)、自杀未遂(RR=1.79,95%CI:1.22-2.61)和白伤行为(RR=1.39,95%CI:1.17-1.66)的共同危险因素,常见心理病理症状数≥4个也是6个月后自杀意念(RR=1.74,95%CI:1.39-2.17)、自杀未遂(RR:2.08,95%CI:1.39-3.11)和自伤行为(RR=1.90,95%CI:1.59-2.28)的共同危险因素。结论各类身心病理症状在青少年中普遍存在,且常见身心病理症状数较多是青少年自杀、自伤行为的危险因素。
Objective To investigate the prevalence of common psychosomatic symptoms among Chinese adolescents and the influence on 6 months later suicide and self-injurious behavior. Methods Based on the cluster sampling method, the participants who were recruited from 8 cities from 3 areas in China,including Eastern areas (Beijing, Shaoxing and Guangzhou) , Middle areas( Ezhou, Harbin and Taiyuan ) and Western areas (Guiyang and Chongqing ), were administered by multidimensional sub-health questionnaire of adolescents ( MSQA ) in March 2008. Demographics, life style, psychosomatic symptoms, suicide and self-injurious behavior were also assessed. A total of 17 622 questionnaires were valid at baseline. Six months later, 14 407 questionnaires were eligible for two waves investigation. Analysis of Pearson chi-square and logistic model regression analysis were employed to compare the incidence of psychosomatic symptoms, suicide and self-injurious behaviors among different areas and to explore the possible risk factors of those symptoms and behaviors.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2012年第3期202-208,共7页
Chinese Journal of Preventive Medicine
基金
国家高技术研究发展计划(2006AA022427)