女性青少年童年期情感忽视状况及其与健康相关危险行为的关联

Childhood emotional neglect and associations with health-harming behaviors in female adolescents:survey in Beijing

目的了解女性青少年童年期情感忽视状况及其与健康相关危险行为的关联,为制定预防儿童情感忽视措施提供参考依据。方法采用方便样本,对同意参与本研究的北京市某大专二年级女生开展自填式问卷调查。结果在被调查的826名女生中,有24.8%报告童年期曾有过被情感忽视的经历。运用Logistic回归分析调整一般人口学特征后,与没有童年期情感忽视经历的女生比较,童年期有过情感忽视经历的女生出现抑郁、自杀意念、计划自杀、斗殴、饮酒醉过、吸烟、饮食行为异常等健康相关危险行为的相对危险性增加。结论童年期情感忽视是女性青少年健康相关危险行为的危险因素,应关注儿童情感忽视的预防,减少青少年健康相关危险行为的发生。

Objective To explore the prevalence of childhood emotional neglect and its association with health-harming behaviors in female adolescents,to provide evidence for prevention of child emotional neglect. Methods A cross sectional study and cluster sampling method was used in female adolescents from a college in Beijing.Data were collected by self-reported questionnaires. Results About quarter of the 826 respondents reported childhood emotional neglect experiences.After controlling for demographic effects,compared with the respondents who reported no childhood emotional neglect experiences,those who reported childhood emotional neglect experiences were at significantly increased risk of many health-harming behaviors,e.g.depression,attempted suicide,suicide plan,fighting,drunkenness,smoking and dietary behavior disorders. Conclusions A girl who survives childhood emotional neglect is at increased risk of developing health-harming behaviors during adolescence.Prevention of child emotional neglect to reduce heath-harming behaviors in adolescents needs large-scale deployment in China.