青少年健康相关危险行为的类型及与心理健康的关系:基于潜在剖面分析的结果

Adolescent Health Risky Behavior:Types and Relationship with Mental Health——Based on Latent Profile Analysis

目的:探讨青少年健康相关危险行为的类型,在性别上的差异,及其与心理健康水平的关系。方法:采用潜在剖面分析方法对2734名中学生的健康危险行为进行分析。结果:①青少年的健康危险行为分为三个潜在类别:高危组、边缘组和低危组,比例分别为:2.9%、16.4%、80.7%。②与低危组相比,女生更不容易进入高危组,且达到统计显著(OR=-0.95,P<0.01);与低危组相比,女生更不容易进入边缘组,且达到统计显著(OR=-0.56,P<0.01)。③除了人际和谐维度,生活幸福、乐于学习、情绪稳定、考试镇定和心理健康总分在低危组上均显著高于边缘组和高危组;同时,边缘组得分也显著高于高危组。结论:青少年健康危险行为分为三类;高危组、边缘组和低危组,且在性别和心理健康水平上表现出差异。

Objective： To investigate types of adolescent health risk behaviors, gender difference and the relationship with mental health. Methods： Latent profile analysis（LPA） was used to explore types of health risk behaviors of 2734 mid- dle school and high school students. Results： （j）Adolescent health risk behaviors could be divided into three types, name- ly, high-risk group, marginal-risk group and low-risk group, and the prevalence were 2.9%, 16.4%, 80.7%, respectively. （~）In comparison to male students, female students are 0.89 times less likely to be in high-risk group, and 0.56 times less in marginal-risk group; both showing significant differences （P〈0.01）. （~）The scores on the total scale of mental health and the subscales （including life well-being, learning satisfaction, exam calmness and emotional stability, except for interper- sonal harmony） were significantly higher in low-risk group than those in other groups. Furthermore, the scores of margirtal-dsk group were significantly higher than those of high-risk group. Conclusion： Adolescent health risk behaviors could be divided into three types with gender difference as well as different mental health levels.