嚼食槟榔与相关健康危险行为的关联性分析

Correlation of areca-nut chewing and other health risk behaviors

目的了解湘西州中职生嚼食槟榔行为及其健康危险行为的现状,分析两者的关系,为相关部门开展贫困地区中职生健康促进提供理论依据。方法采用分层随机整群抽样法,抽取湘西州5个县市的5所中职学校,30个教学班共1 127名中职生进行健康相关行为的问卷调查。结果中职生尝试嚼食槟榔、现在嚼食槟榔、经常嚼食槟榔、不吃早餐、缺乏体育锻炼、吸烟、饮酒、网络成瘾的报告率分别为62. 82%、47. 20%、7. 99%、27. 15%、74. 53%、38. 24%、46. 58%和8. 96%。Pearson相关等级分析显示,尝试嚼食槟榔与饮酒呈正相关(r=0. 089),现在嚼食槟榔与不吃早餐、打架、吸烟、饮酒呈正相关(r=0. 221,r=0. 218,r=0. 609,r=0. 364),经常嚼食槟榔与网络成瘾呈正相关(r=0. 137),Logistic回归分析显示,现在嚼食槟榔是不吃早餐(OR=2. 54)、打架(OR=2. 95)、吸烟(OR=17. 0)、饮酒(OR=3. 81)的危险因素,经常嚼食槟榔是吸烟(OR=2. 65)、饮酒(OR=3. 86)、网络成瘾(OR=3. 05)的危险因素。结论湘西州中职生嚼食槟榔行为普遍存在,学生健康危险行为不容乐观,嚼食槟榔行为与其健康危险行为伴随出现,应对湘西州中职生不同人群嚼食槟榔与其健康危险行为的特征,制定有针对性的干预措施。

Objective To explore the status quo of areca-nut chewing behavior and health risk behaviors of secondary vocational students in Xiangxi autonomous prefecture,to analyze the relationship between them and to provide theoretical basis for the health promotion of secondary vocational students in poor areas.Methods Stratified random cluster sampling method was adopted to select 30 classes of 1127 students from 5 secondary vocational schools in 5 counties of Xiangxi autonomous prefecture for a questionnaire survey on health-related behaviors.Results The reported rates of trying areca-nut chewingareca-nut,chewing areca-nut presently,often chewing arecanut,not having breakfast,lacking physical exercises,smoking,drinking,and Internet addiction were 62.82%,47.20%,7.99%,27.15%,74.53%,38.24%,46.58%and 8.96%,respectively.Pearson correlation analysis showed that trying areca-nut chewing was positively correlated with drinking(r=0.089).Chewing areca-nut presently was positively related to not having breakfast,fighting,smoking and drinking(r=0.221,r=0.218,r=0.609,r=0.364),and often chewing areca-nut was positively related to Internet addiction(r=0.137).Logistic regression analysis showed that chewing areca-nut presently was the risk factor of not eating breakfast(OR=2.54)fighting(OR=2.95),smoking(OR=17.0)and drinking(OR=3.81),and often chewing areca-nut was the risk factor of smoking(OR=2.65),drinking(OR=3.86)and Internet addiction(OR=3.05).Conclusions The behavior of chewing areca-nut among secondary vocational school students in Xiangxi autonomous prefecture is common,and the health risk behaviors of students were not optimistic.The behavior of chewing areca-nut is correlated with health risk behaviors.Therefore,it is necessary to formulate specific intervention measures on the basis of the characteristics of chewing areca-nut and studentshealth risk behaviors.