邢台市女大学生童年期虐待经历调查及其对心理健康的影响

A Retrospective Survey of Childhood Abuse Among the Female College Students in Xingtai

目的了解邢台女大学生童年期受虐待的经历,探讨童年期虐待经历对女大学生心理健康影响。方法采用随机整群抽样法,对973名邢台女大学生进行童年时期受虐待经历不记名回顾性问卷调查。结果在被调查的973名女大学生中,44.5%学生被徒手打,28.5%学生被物品打,39.6%学生被羞辱,39.1%曾经目睹暴力场景,被迫发生性行为发生率为3.5%。有童年期虐待经历女生躯体化、人际关系敏感、强迫症状、焦虑、敌对、抑郁、恐怖、偏执等10个因子的平均分高于无虐待女生,自尊量表平均分值低,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示:父母婚姻状况正常是发生童年期虐待的保护因素(OR=7.655,P=0.005),母亲受教育程度高(OR=0.533,P=0.027)是儿童虐待发生的保护因素。结论童年期虐待经历影响大学生心理健康。

Objective To investigate the prevalence of childhood abuse among the female college students and explore the impact of childhood abuse on the mental health. Methods The childhood abuse experiences were surveyed among 973 female college students in Xingtai by anonymous questionnaire. Results In the 973 female students, there were 44. 5% of students reported that they had been beaten by hand, 28.5% of students reported that they had been beaten by stuff, 39.6% of students had experience of humiliation, 39. 1% of students had witnessed act of violence, 3.5% of females reported the child sexual abuse before the age of 16 years. Compared with students who had no child abuse experience, the students who had child abuse showed significantly higher risk on the psychological symptoms of somatization, obsessiveness, interpersonal sensitivity, depression, anxiety, hostility, photic anxiety and paranoid ideation. The students with child abuse showed significant lower average scores of self - esteem （P 〈 0. 05 ）. Multiple Logistic regression analysis showed that the protection factors including good marital relationship （ OR = 7. 655, P = 0. 005 ） and high education of mother （ OR = 0. 533, P = 0. 027）, which help avoiding the child abuse. Conclusion The child abuse among college students have negative affected the mental health of the students.