长沙市城区中学生的危险行为及其聚集性分析

Dangerous behavior and it’s clustering among urban middle-school students in Changsha

目的:描述长沙市城区中学生危险行为的发生现状、聚集现象及其相关因素。方法:通过多阶段抽样调查3206名长沙市城区中学生。采用危险行为调查表了解样本危险行为发生现状,用孤独感条目、病人健康问卷抑郁量表、广泛性焦虑量表、人际关系量表评估样本的情绪状况和人际关系。结果:饮酒、打架、自伤、离家出走、吸烟、逃学、自杀、吸毒的一年发生率分别为30.8%、17.8%、5.3%、3.4%、3.0%、2.1%、1.8%和0.3%。14.6%的中学生发生≥2种危险行为。男性、非重点学校就读、独居、父母关系不好、有抑郁情绪的中学生危险行为的发生率更高。男性、非重点学校就读、独居、感到非常孤独和师生冲突性得分高的中学生更易发生危险行为聚集。结论:长沙市城区中学生最常见的危险行为是饮酒、打架。性别、学校类别、居住状态、情绪状况、师生关系可能与危险行为的发生和危险行为的聚集发生相关。

Objective: To describe the prevalence and clustering of dangerous behavior among urban middle school students in Changsha, and analyze the related factors. Methods: A total of 3206 urban middle school students were sampled by multistage sampling. The prevalence of dangerous behavior of students was investigated with the Dangerous Behavior Questionnaire. The loneliness items, Patient Health Questionnaire (PHQ-9), Generalized Anxi-ety Scale (GAD-7),and the self-made interpersonal relationship scale were used to assess the symptoms. Results: The annual incidence rates of drinking, fighting, self-injury, away from home, smoking, truancy, suicide and drug a-buse among urban middle school students in Changsha were 30. 8%, 17. 8%, 5. 3%, 3.4%, 3. 0%, 2. 1 %, 1. 8% and 0. 3%,respectively. 14. 6% of middle school students had more than two dangerous behaviors. Middle school students who were male, in non-key schools, living alone, with poor parental relationships, and with depression had a higher prevalence of dangerous behaviors. Middle school students who were male, in non-key schools, living a-lone, feel very lonely, and with high scores of conflict with teacher were more likely to have dangerous behaviors. Conclusion: It suggests that drinking and fighting may be the most common dangerous behaviors among urban middle school students in Changsha. Gender, school type, residence status, emotional status, and teacher- student relationship may be related to the prevalence of dangerous behavior and it^s clustering.