海南省中学生校园欺侮和自杀倾向共发及与成瘾行为的相关性

Co-occurrence of campus bullying and suicidal tendency and its correlation with addictive behavior among middle and high school students in Hainan Province

目的了解海南省中学生校园欺侮和自杀倾向共发与成瘾行为间的相关性,为学校开展健康教育和行为干预提供理论依据。方法采用概率比例抽样与分层整群随机抽样相结合的方法,于2023年7月对海南省6654名中学生进行匿名问卷调查,依据中国青少年健康相关行为调查问卷、学生健康状况及影响因素调查表和自编问卷中的相关条目判定校园欺侮、自杀倾向及成瘾行为,同时分析学生校园欺侮和自杀倾向共发情况。运用二元Logistic回归方法分析中学生校园欺侮和自杀倾向共发与成瘾行为的相关性。结果海南省中学生校园欺侮报告率为28.48%,自杀倾向报告率为15.25%,校园欺侮和自杀倾向共发率为8.00%。Logistic回归分析结果显示,初中生、留守学生易共发校园欺侮和自杀倾向(OR值分别为1.55,1.52),网络成瘾、赌博、吸烟与学生校园欺侮和自杀倾向共发均呈正相关(OR值分别为3.14,2.18,2.07)(P值均<0.05)。结论有成瘾行为的中学生校园欺侮和自杀倾向共发的可能性更高。应对成瘾行为进行综合干预,降低中学生校园欺侮和自杀倾向共发,提高中学生的生命健康水平。

Objective To investigate the correlation between campus bullying and suicidal tendency symptoms comorbidity with addictive behavior among middle and high school students in Hainan Province,so as to provide a theoretical basis for health education and behavioral intervention in schools.Methods In July 2023,an anonymous questionnaire survey was conducted among 6654 middle and high school students in Hainan Province,selected by probability proportional sampling and stratified cluster random sampling method.Campus bullying,suicidal tendency and addictive behavior were determined according to the relevant items in the questionnaire on health related behaviors of Chinese students'health status and influencing factors questionnaire,and self-designed questionnaire.The co-occurrence of campus bullying and suicidal tendency among students was analyzed.The binary Logistic regression method was used to analyze the correlation between the co-occurrence of campus bullying and suicidal tendency and the addictive behavior of middle school students.Results The report rate of campus bullying among middle and high school students in Hainan Province was 28.48%,the suicidal tendency was 15.25%,and the co-occurrence of campus bullying and suicidal tendency was 8.00%.The results of Logistic regression analysis showed that middle school students and left-behind students were prone to campus bullying and suicide tendency(OR=1.55,1.52,P<0.05),while Internet addiction,gambling and current smoking showed significant positive correlation with comorbidity of campus bullying and suicide tendency(OR=3.14,2.18,2.07,P<0.05).Conclusions Middle and high school students with addictive behavior have a higher possibility of comorbidity of campus bullying and suicidal tendency.The comprehensive intervention of addictive behavior can reduce the incidence of co-occurrence of campus bullying and suicidal tendency,so as to improve health and wellbeing of middle school students.