江西省高中生肢体暴力行为影响因素分析

Comparative analysis of risk factors related to physical violence in high school students in Jiangxi

目的了解江西省高中生发生肢体暴力现况及其影响因素,为教育部门预防和减少校园暴力行为提供决策依据。方法采取分层整群抽样方法,抽取南昌市5所城市高中高一、高二学生,采用方便抽样的方法抽取婺源县1所农村高中高一、高二学生,共抽取2 694名学生作为研究对象。用Logistic回归对肢体暴力行为进行多因素及危险因素累积效应分析。结果高中生肢体暴力的报告率为10.13%,其中男生和女生分别为16.48%,3.13%。多因素Logistic回归分析结果显示,城市高中生(OR=1.38)、男生(OR=4.18)、在家中见过互殴(OR=1.38)、受到成年人身体伤害(OR=1.78)、遭遇校园欺凌(OR=2.32)、吸烟(OR=4.77)、饮酒(OR=1.46)、玩电子游戏(OR=2.14)、曾与不良生活习惯者居住(OR=2.15)为发生肢体暴力的危险因素;年级为"高二"为发生肢体暴力的保护因素(OR=0.63,P<0.05)。危险因素分别为2,3,≥4个者,与无危险因素相比,发生肢体暴力风险OR值分别为4.73,10.21,27.25(P值均<0.05)。结论吸烟、饮酒、学校为城市高中等因素易导致青少年暴力行为的发生。应从多方面入手,重点针对相关危险因素,采取措施减少肢体暴力行为的发生。

Objective The study aimed to determine the current situation of physical violent among high school Students in Jiangxi Province.Methods Stratified cluster sampling was adopted to investigate grade 1and grade 2students in 5urban high schools from Nanchang.Convenient sample of grade 1and grade 2students in one rural high school,were selected from Wuyuan county in Jiangxi province.All the 2694high school students completed a questionnaire survey.Logistic regression was used to analyze the cumulative effects of physical violence adjusting muhiple covariates,Results The detection rate of physical violence was 10.13%,with boys and girls being 16.5%and 3.1%,respectively.Logistic regression showed that urban schools(OR =1.38,P = 0.04),being boy(OR=4.18,P<0.01),family violence witness(OR=1.38,P=0.03),physical abuse experiences(OR=1.78,P= 0.01),school bullying victimization(OR=2.32,P<0.01),smoking(OR=4.78,P<0.01),drinking(OR=1.46,P=0.07),video game playing (OR=2.14,P<0.01)and family members with unhealthy lifestyle (OR=2.15,P=0.00)were risk factors,while being in grade two (OR=0.63,P=0.00)was.protective factor for physical violence.Compared to student with no risk factors,the risk odds for physical.violence increased significantly with cumulating of risk factors (OR=4.73,10.21,27.25,P<0.05).Conclusion Smoking,drinking and living in urban area prompt risk for physical violence among teenagers,which further hampers physical and mental well-being Of young people.Specific strategies should be developed and-implemented to reduce the occurrence of physical violence through multiple pathways.