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.
引文
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