新疆中学生腰围与心理亚健康的关联

Correlation between waist circumference and psychological sub-health of middle school students in Xinjiang

目的 探讨新疆中学生腰围状况及其与心理亚健康的关联,为新疆中学生保持合理腰围和心理健康干预及促进提供参考和帮助。方法 采用分层整群抽样的方法,在新疆乌鲁木齐、克拉玛依、伊宁、喀什地区对6 191名13~15岁中学生进行人口学因素、生活方式、腰围和心理亚健康的测试调查。采用χ^(2)检验、单因素方差分析、Logistic回归分析的方法分析腰围与心理亚健康的关联。结果 新疆中学生心理亚健康检出率为21.4%。情绪问题、行为问题、社会适应困难方面的检出率分别为28.4%,28.1%,17.7%。不同腰围等级中学生心理亚健康的情绪问题、社会适应困难、心理亚健康得分比较,差异均有统计学意义(F值分别为4.03,10.90,5.81,P值均<0.05)。多因素Logistic回归分析显示,与正常腰围值组相比,高腰围值中学生发生社会适应困难(OR=1.45,95%CI=1.20~1.75)、心理亚健康问题(OR=1.46,95%CI=1.22~1.74)的风险较高(P值均<0.01)。结论 新疆中学生心理亚健康问题凸显,腰围与心理亚健康问题呈正相关。学校应注重中学生心理健康教育,保障合理饮食、睡眠和生活习惯,促进其身心健康发展。

Objective To understand the association between waist circumference with psychological sub-health among middle school students in Xinjiang,and to provide evidence for the management of waist circumference and effective prevention of mental health problems.Methods By using the stratified cluster sampling,6191 middle school students aged 13-15 in Urumqi,Karamay,Yining,and Kashgar of Xinjiang were surveyed on demographic information,lifestyle,waist circumference,and psychological sub-health symptoms.Chi-square test,one-way ANOVA,and Logistic regression analysis were used to analyze the association between waist circumference and mental sub-health.Results The detection rate of psychological sub-health among secondary school students in Xinjiang was 21.4%.The detection rates of emotional problems,behavioral problems,and social adjustment difficulties were 28.4%,28.1%,and 17.7%,respectively.Significant differences in the detection rate of emotional problems,social adjustment difficulties,and psychological sub-health scores were observed among students with different waist circumference levels(F=4.03,10.90,5.81,P<0.05).Logistic regression analysis showed that secondary school students with high waist circumference had a higher risk of social adjustment difficulties(OR=1.45,95%CI=1.20-1.75)and psychological sub-health problems(OR=1.46,95%CI=1.22-1.74)compared to those with normal waist circumference(P<0.01).Conclusion Psychological sub-health problems of middle school students in Xinjiang are prominent,and the waist circumference is positively related to the psychological sub-health problems.Schools should pay attention to the mental health education of middle school students,ensure reasonable diet,sleep and living habits,and promote their physical and mental health development.