河南中小学生生存质量及其与负性情绪社会支持的相关性

Quality of life among primary and middle school students and its association with negative emotions and social support in Henan Province

目的了解河南省9~15岁在校中小学生健康相关生存质量现状及其与负性情绪、社会支持的关系,为相关部门制定工作方向和重点提供依据。方法 2016年1-6月采取整群抽样的方式,抽取河南省6个城市24所中小学5 867名9~15岁中小学生完成儿童生活质量普适性核心量表、抑郁-焦虑-压力量表、领悟社会支持量表,采用多元线性回归分析社会支持的调节作用。结果河南省中小学生健康相关生存质量总分为(81.21±12.49)分。不同性别、学段、家庭月收入、主观父母关系、父母受教育程度的中小学生生存质量得分差异均有统计学意义(P值均<0.05)。负性情绪与生存质量、社会支持负相关(r值分别为-0.51,-0.30,P值均<0.01),社会支持与生存质量呈正相关(r=0.29,P<0.01)。多元线性回归分析显示,负性情绪得分对生存质量有负向预测作用(β=-0.23,P<0.01),而社会支持对生存质量有正向预测作用(β=0.16,P<0.01);负性情绪与社会支持的交互项对生存质量有负向预测作用(β=-0.18,P<0.01)。结论河南省9~15岁中小学生健康相关生存质量尚佳。社会支持能够缓冲抑郁、焦虑和压力等负性情绪对中小学生生存质量的影响。

Objective To understand the current status of health-related quality of life among primary and middle school students aged 9 to 15 years old in Henan Province, and to explore its relationship with negative emotions and social support. Methods Between January and June 2016, 24 primary and middle schools were selected from 6 cities of Henan Province, and 5 867 primary and middle school students were included and completed the Pediatric Quality of Life Inventory Measurement, Stress Anxiety Depression Scale, Perceived Social Support Scale. Hierarchical linear regression analysis was used to examine the moderating effect of social support. Results The total score of health-related quality of life of primary and middle school students in Henan was( 81.21±12.49). There were statistically significant differences in the quality of life among primary and middle school students with different gender, study period, family monthly income, subjective parental relationship and parental education( P<0.05). Negative emotions were negatively correlated with quality of life( r =-0.51, P<0.01) and social support( r =-0.30, P<0.01), while social support was positively correlated with quality of life( r = 0.29, P < 0.01). Regression analysis showed that negative emotional was negatively associated with quality of life( β =-0.23, P<0.01), while social support was positively associated with quality of life( β= 0.16, P<0.01). The interaction of negative emotions and social support was negatively associated with quality of life( β =-0.18,P<0.01). Conclusion Health-related quality of life among 9-15-year-old primary and middle school students in Henan province is satisfactory. Social support might buffer the negative impact of negative emotions including depression, anxiety and stress on quality of life of primary and secondary school students.