云南医专生健康危险行为现状及与负性生活事件的关系
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摘要
目的了解医学大专生健康危险行为现状及与负性生活事件的关系,为降低其危险行为发生率提供科学依据.方法采用分层随机整群抽样方法抽取576名云南医学大专生,用一般情况问卷、健康危险行为问卷和青少年生活事件量表对其进行调查,采用描述性统计、卡方检验和Logistic回归分析.结果云南医学大专生吸烟率为3.1%,饮酒率为4.9%,拒食率为39.6%,打架率为13.5%,上网率为26.4%,滥用药物率为3.1%;不同性别、不同专业学生健康危险行为发生率差异统计学意义(P<0.05);Logistic回归分析结果示:负性生活事件总评分对饮酒率(OR=1.017,P<0.05)、拒食率(OR=1.018,P<0.05)、打架率(OR=1.021,P<0.05)、上网率(OR=1.025,P<0.05)和成瘾药物滥用率(OR=1.025,P<0.05)存在正性影响.人际关系因子对饮酒率(OR=1.162,P<0.05)、拒食率(OR=1.102,P<0.05)和药物滥用率(OR=1.260,P<0.05)有正性影响;受惩罚因子对打架率有正性影响(OR=1.144,P<0.05),对饮酒率有负性影响(OR=0.891,P<0.05);学习压力因子对打架率有正性影响(OR=1.143,P<0.05);丧失因子对打架率有负性影响(OR=1.144,P<0.05).结论负性生活事件是云南医学大专生危险行为的影响因素,且不同因子的影响方式存在差异.
Objective To analyze the situation of health- risk behaviors of the students in specialty medical science college of Yunnan and its relationship with negative life events, and provide scientific evidence for lowering the occurrence rate of health- risk behaviors. Me thods The stratified randomised cluster- sampling method was used to select 576 students of specialty medical science college, and the occurrence rate of health- risk behaviors and life events conditions were estimated by Youth Health- Risk Behavior Questionnaire and Adolescents Self- Rating Life Events Checklist. Descriptive statistic analysis, Chi- square test and Logistic regression analysis was used to analyze the data. Re s ults Among the students of specialty medical science college in Yunnan, the rate of smoking was3.1%,the rate of drinking was 4.9%,the rate of food refusal was 39.6%, the rate of fighting was 13.5%,the rate of obsessed with the internet was 26.4%, and the rate of substance abuse was 3.1%. There were significant differences between the students of different genders(P <0.05) or specialities(P <0.05). Logistic regression analysis showed total score of negative life events had positive influence on drinking(OR=1.017,P<0.05), food refusal(OR=1.018,P<0.05), fighting(OR=1.021,P<0.05), obsessed with the internet(OR=1.025,P <0.05), substance abuse(OR =1.025, P <0.05). The factor of interpersonal relationship had positive influence on drinking(OR=1.162,P<0.05), food refusal(OR=1.102,P<0.05), substance abuse(OR=1.260,P<0.05). The factor of punished had positive influence on fighting(OR=1.144,P<0.05), and had negative influence on drinking(OR =0.891, P <0.05). The factor of study pressure had positive influence on fighting(OR =1.143, P <0.05), and the factor of loss had negative influence on fighting(OR =1.144, P <0.05). Conclus ion Negative life events are influencing factors for health- risk behaviors of the students in specialty medical science college of Yunnan, and there is difference on the way that the factor of life events influencing health- risk behaviors.
Objective To analyze the situation of health- risk behaviors of the students in specialty medical science college of Yunnan and its relationship with negative life events, and provide scientific evidence for lowering the occurrence rate of health- risk behaviors. Me thods The stratified randomised cluster- sampling method was used to select 576 students of specialty medical science college, and the occurrence rate of health- risk behaviors and life events conditions were estimated by Youth Health- Risk Behavior Questionnaire and Adolescents Self- Rating Life Events Checklist. Descriptive statistic analysis, Chi- square test and Logistic regression analysis was used to analyze the data. Re s ults Among the students of specialty medical science college in Yunnan, the rate of smoking was3.1%,the rate of drinking was 4.9%,the rate of food refusal was 39.6%, the rate of fighting was 13.5%,the rate of obsessed with the internet was 26.4%, and the rate of substance abuse was 3.1%. There were significant differences between the students of different genders(P <0.05) or specialities(P <0.05). Logistic regression analysis showed total score of negative life events had positive influence on drinking(OR=1.017,P<0.05), food refusal(OR=1.018,P<0.05), fighting(OR=1.021,P<0.05), obsessed with the internet(OR=1.025,P <0.05), substance abuse(OR =1.025, P <0.05). The factor of interpersonal relationship had positive influence on drinking(OR=1.162,P<0.05), food refusal(OR=1.102,P<0.05), substance abuse(OR=1.260,P<0.05). The factor of punished had positive influence on fighting(OR=1.144,P<0.05), and had negative influence on drinking(OR =0.891, P <0.05). The factor of study pressure had positive influence on fighting(OR =1.143, P <0.05), and the factor of loss had negative influence on fighting(OR =1.144, P <0.05). Conclus ion Negative life events are influencing factors for health- risk behaviors of the students in specialty medical science college of Yunnan, and there is difference on the way that the factor of life events influencing health- risk behaviors.
引文
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[2]汪向东.心理卫生评定量表手册[J].中国心理卫生杂志.1998,12(增刊):106.
[3]宋彦喜,赵楠.大学生危险行为及其影响因素分析[J].经济与社会科学研究,2015,12(10):463
[4]马平,朱榆红,焦丽萍,等.昆明医学院新生心理健康状况调查研究[J].昆明医学院学报,2008,29(2):190-191.
[5]梁斌,陈国典.汉·藏中学生的生活事件·心理控制源和应付方式的比较研究[J].四川师范大学学报(社会科学版),2013,40(3):89-95.
[6]叶广俊.少儿卫生学[M].北京:人民教育出版社,2000:192.
[7]张运生.1496名大学生心理健康状况调查[J].中国公共卫生,2004,20(12):1523-1524.
[8]李火把.高职院校护理专业学生焦虑心理分析[J].阜阳职业技术学院学报,2015,26(3):34-37.
[9]曹爱,裴雪丹,艾梅,等.在校大学生负性生活事件调查与分析[J].卫生职业教育,2016,34(1):123-125.
[10]白俊云,王红,李华.医学生心理健康状况与人格特征的相关性[J].中国健康心理学杂志,2008,16(4):405-408.
[11]张林赟,陈威丽,孙焕彩.医学生就业的心理状况调查分析[J].新乡医学院学报,2011,28(6):700-702
[12]季成叶.青少年健康危险行为监测:学校卫生工作的重要前沿[J].中国学校卫生,2009,30(2):99-105.
[13]章荣华,陈卫平,李娜.浙江省青少年健康危险行为因素分析[J].中国学校卫生,2013,34(1):20-22.
[14]董瑞华.潍坊市在校青少年健康危险行为流行现状及其影响因素研究[D].济南:山东大学硕士生论文,2013.
[15]刘志浩,黄明豪,卫平民.南京市大学生健康危险行为分析[J].中国学校卫生,2013,34(9):1042-1044.
[16]叶广俊.现代儿童青少年卫生学[M].北京:人民卫生出版社,1999:38.
[17]王松梅,赵娴.农村初中学生的危险行为及其影响因素[J].卫生软科学,2008,22(6):455-458.
[18]梁瑛楠,杨丽珠;负性生活事件、认知方式对大学自杀意念的影响[A].北京:第十二届全国大学生心理健康教育与咨询学术交流会论文集,2015.
[19]逄丽红,杨志昌,李鹏辉,等.90后医学生心理健康状况及对策分析[J].中国现代医,2013,51(10):6-7.
[20]黄天德,罗书生,帅滟,等.四川凉山彝区高中非毕业生心理健康状况调查[J].成都医学院学报,2014,9(2):232-235.
[21]陈开梅,杨威,董磊,等.不同干预方式对中学生心理应激水平影响的追踪研究[J].中国学校卫生,2015,36(12):1882-1884.
[22]许旷宇.医学生职业规划现状与对策分析[J].川北医学院学报,2009,24(3):309-312.