伤害倾向性特征青少年人群负性生活事件的病例对照研究

A case-control study on characteristics of negative life events in adolescents with injury proneness

目的:探讨伤害倾向性特征的青少年人群的负性生活事件特征,为预防青少年多发性伤害提供理论依据。方法:采用病例对照研究的方法,使用青少年生活事件量表(ASCLE)、Beck焦虑量表(BAI)、Beck抑郁自评量表(BDI)和家庭功能指数量表(APGAR)等工具,对伤害倾向性组和对照组进行测量,比较伤害倾向性组和对照组在负性生活事件频度和应激量,并通过多因素logistic回归分析探索伤害倾向性与各研究因素之间的关系。结果:伤害倾向性组有17项生活事件的频度高于对照组且差别有统计学意义;单因素分析显示伤害倾向性组的BAI、BDI和ASLEC得分均高于对照组;多因素logistic回归显示负性生活事件丧失因子应激量(OR=1.06,P=0.025)和焦虑状况(OR=1.05,P<0.001)是伤害倾向性的危险因素。结论:伤害倾向性特征青少年人群伤害的发生与其经历的负性生活事件存在着一定的关系,应当根据其生活环境特征开展保护并予以健康教育,预防伤害的进一步发生。

Objective： To discuss the characteristics of the negative life events in the injury proneness adolescents,and to provide theoretical basis for the prevention of multiple injuries to adolescents. Method： The Adolescent Self-Rating Check-list of Life Events （ASCLE）,Beck Anxiety Inventory （BAI）,Beck Depression Inventory （BDI） and Family APGAR Index were used in this case-control studyto compare the negative life events frequency and stress amount of case group with that of control group.Multi-logistic regressions were used to explore the relationship between the injury proneness and each research factors. Result： The frequency of 17 negative life events in adolescents with injury proneness was higher than that of control group,which is of statistical significance.Single factor analysis showed that the BAI,BDI and ASLEC scores all exceed that of control group.Multi-logistic regressions suggested that the lack of stress （ OR =1.06, P =0.025）and anxiety（ OR =1.05, P 〈0.001） in the negative life events were the dangerous factorsto suffer from injury proneness. Conclusion： The injury that happens to the adolescents with injury proneness has a certain relationship with the negative life events they have experienced.Therefore,a further injury can be prevented by protecting and giving healthy lectures according to the characteristics of their living environment.