大学生慢性腹部症状情况及其童年生活相关影响因素分析

Chronic abdominal discomfort in college students and its influencing factors in childhood

[目的]调查大学生慢性腹部症状情况,分析其童年生活相关的影响因素,为了解青少年慢性腹部症状机制提供依据。[方法]运用方便抽样的方法,选取武汉市某高校学生2119例进行问卷调查,问卷进行了一般情况调查、腹部症状、焦虑抑郁筛选问题和童年生活相关因素记录,采用逻辑回归,评估大学生慢性腹部症状的童年生活相关因素。[结果]2119例中1745例完成问卷(82.4%),其中216例(12.4%)存在慢性腹部症状。慢性腹部症状学生肠道症状困扰显著高于无慢性腹部症状学生(P<0.001),排便满意度显著低于无慢性腹部症状学生(P<0.001)。单因素分析显示,相比于无慢性腹部症状学生,慢性腹部症状学生中女性更多,倾向于低身高、体质量或体质指数,单亲家庭、童年存在受虐经历或焦虑的学生更多。多因素回归分析显示女性(OR=3.27;95%CI:2.43~4.39)、单亲家庭(OR=1.69,95%CI:1.00~2.86)和童年受虐经历(OR=2.84;95%CI:1.29~6.26)是慢性腹部症状的独立风险因素。[结论]大学生慢性腹部症状比例占12.4%,女性、单亲家庭及童年受虐待的生活经历是其独立风险因素。

[Objective]To investigate the chronic abdominal discomfort in college students and analyze the influencing factors related to their childhood life,so as to provide evidence for understanding the mechanism of chronic abdominal discomfort in adolescents.[Methods]Using convenient sampling method,2119 college students from a university in Wuhan in September 2016 were selected to conduct a questionnaire survey.The general characteristics,abdominal symptoms,anxiety and depression screening questions and childhood related factors were recorded in the questionnaire.Logistic regression was used to evaluate the related factors of childhood life of college students with chronic abdominal discomfort.[Results]Among the 2119 college students,1745(82.4%)completed the questionnaire,among which 216(12.4%)had chronic abdominal discomfort.The intestinal symptoms of students with chronic abdominal discomfort were significantly more bothersome than those without chronic abdominal discomfort(P<0.001),and defecation satisfaction was significantly lower than that of students without chronic abdominal discomfort(P<0.001).Univariate analysis showed that there were more female students with chronic abdominal discomfort.Student with chronic abdominal discomfort tended to be low in height,weight or body mass index,and more students had experience of abuse or anxiety in single parent families and childhood.Multivariate regression analysis showed that female(OR=3.27;95%CI:2.43-4.39),single parent family(OR=1.69;95%CI:1.00-2.86)and childhood abuse(OR=2.84;95%CI:1.29-6.26)were independent risk factors for chronic abdominal discomfort.[Conclusion]The 12.4%of college students suffer from chronic abdominal discomfort.Female,single parent family and childhood abuse are the independent risk factors.