复旦学报(医学版)2025,Vol.52Issue(1) :31-37.DOI:10.3969/j.issn.1672-8467.2025.01.004

上海市闵行区11~18岁学生健康危险行为的潜在剖面分析

Latent profile analysis of health risk behaviors among students aged 11 to 18 years in Minhang District,Shanghai

杨琴文 史慧静 韩雁 郭琪
复旦学报(医学版)2025,Vol.52Issue(1) :31-37.DOI:10.3969/j.issn.1672-8467.2025.01.004

上海市闵行区11~18岁学生健康危险行为的潜在剖面分析

Latent profile analysis of health risk behaviors among students aged 11 to 18 years in Minhang District,Shanghai

杨琴文 1史慧静 2韩雁 3郭琪4
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作者信息

  • 1. 上海市闵行区疾病预防控制中心健康教育科 上海 201101
  • 2. 复旦大学公共卫生学院妇幼与儿少卫生教研室 上海 200032
  • 3. 上海市闵行区疾病预防控制中心学校卫生科 上海 201101
  • 4. 上海市闵行区疾病预防控制中心学校卫生科 上海 201101;复旦大学公共卫生学院闵行分院 上海 201100
  • 折叠

摘要

目的 探索上海市闵行区11~18岁学生健康危险行为的潜在类别,明确不同类别学生健康危险行为的影响因素.方法 采用分层整群抽样方法选取上海市闵行区1 690名中学生作为研究对象,运用"上海市青少年健康危险行为监测问卷"收集数据,评估参与者在 6 类健康危险行为上的得分.通过潜在剖面分析(latent profile analysis,LPA)方法对学生的健康危险行为进行聚类,运用多因素Logistic回归模型分析相关影响因素.结果 上海市闵行区11~18岁学生健康危险行为可分为3个类别:第一类别组915人(54.14%),健康危险行为得分均处于中低水平,命名为"以各类行为中低危为突出表现的不健康行为组";第二类别组 539人(31.89%),精神成瘾得分较高,命名为"以精神成瘾为突出表现的不健康行为组";第三类别组236人(13.97%),在物质成瘾行为上得分较高,命名为"以物质成瘾为突出表现的不健康行为组".单因素分析结果显示,不同学校、年龄、民族、寄宿情况的学生健康危险行为3个潜在类别差异均有统计学意义(P<0.05).多因素Logistic回归分析结果显示,普高学生和职高学生相比于初中生,表现出以精神成瘾和物质成瘾为特征的不健康行为的风险更高,差异均有统计学意义(P<0.05).结论 上海市闵行区11~18岁学生健康危险行为存在3个潜在类别,且不同背景的学生在这些类别上的分布存在显著差异.建议针对具有不同学校属性和处于不同学习阶段的学生实施定制化的健康教育及干预措施.

Abstract

Objective To explore the potential categories of health risk behaviors among students aged 11 to 18 years in Minhang District,Shanghai in order to identify the influencing factors of health risk behaviors among different categories of students.Methods Using stratified cluster sampling techniques,a random selection of 1 690 middle school students from Minhang District,Shanghai,were chosen as the study sample.Data was collected using the"Shanghai Adolescent Health-Related Behavior Survey Questionnaire"to assess participants'scores on six categories of health risk behaviors.Latent profile analysis(LPA)was employed to cluster students'health risk behaviors,and a multifactorial Logistic regression model was used to analyze the related influencing factors.Results The health risk behaviors of students aged 11 to 18 in Minhang District,Shanghai,were categorized into 3 groups:Class 1,comprising 915 students(54.14%),with moderate to low scores in health risk behaviors,named"the group with moderately low levels of various health risk behaviors";Class 2,comprising 539 students(31.89%),with higher scores in psychological addiction,named"the group with psychological addiction as the prominent health risk behavior";Class 3,comprising 236 students(13.97%),with higher scores in substance addiction,named"the group with substance addiction as the prominent health risk behavior".The results of the univariate analysis for the three potential categories of student health risk behaviors show that there are statistically significant differences in the 3 potential categories of health risk behaviors among students of different schools,ages,ethnicities,and boarding situations(P<0.05).The analysis results of the multivariate Logistic regression indicate that compared to junior high school students,both senior high school students and vocational high school students have a higher risk of exhibiting unhealthy behaviors characterized by psychological addiction and substance addiction,with all differences being statistically significant(P<0.05).Conclusion The latent profile analysis reveals three distinct categories of health risk behaviors among students aged 11 to 18 years in Minhang District,Shanghai,with significant distribution differences among students from diverse backgrounds.Consequently,it is recommended that tailored health education and intervention measures be implemented for students with different school characteristics and at various educational stages.

关键词

学生/健康危险行为/潜在剖面分析(LPA)/影响因素/上海市,闵行区

Key words

students/health risk behaviors/latent profile analysis(LPA)/influencing factor/Minhang District,Shanghai

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出版年

2025
复旦学报(医学版)
复旦大学

复旦学报(医学版)

CSCD北大核心
影响因子:1.206
ISSN:1672-8467
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