Effects of lifestyle behaviors on psychological and behavioral problems among school-age children
Objective To explore the association between lifestyle and psycho-behavioral problems in school-age children,in order to provide scientific basis for the prevention of children's behavioral problems.Methods Using stratified whole-cluster sampling,1 200 school-age children aged 9-13 years in Xi'an were selected for a paper questionnaire survey in May 2023.Their behavioral and emotional problems in the past six months were evaluated using the Youth Self-Report(YSR).Information on basic family situation and lifestyles was collected through self-designed questionnaires on the demographic characteristics of their families and their lifestyles.The correlation between children's lifestyles and psycho-behavioral problems was explored and validated using the x2 test and binary logistic Logistic regression model.Results The detection rate of psychological and behavioral problems in school-age children in this study was 22.4％ (252/1 127).Thinking problems were most prominent among the factors(14.8％),followed by social problems(10.6％).Multivariate Logistic regression analysis showed that picking eating(OR=4.595,95％ CI:1.593-13.249),doing homework＞3h/d(OR=3.644,95％ CI:1.640-8.096),and screen time＞2h/d(OR=2.691,95％ CI:1.311-5.527)or＞3h/d(OR=3.542,95％ CI:1.848-6.789),and never doing housework(OR=7.477,95％ CI:1.372-40.733)were risk factors for psychological and behavioral problems in school-age children.Occasional(OR=0.530,95％ CI:0.315-0.892)or frequent(OR=0.447,95％ CI:0.266-0.753)participation in physical activity,visiting a healthcare worker(OR=0.205,95％ CI:0.115-0.365)or a doctor(OR=0.341,95％ CI:0.150-0.772)in sick,having few illnesses in infancy and early childhood(OR=0.435,95％ CI:0.219-0.866),and having 4 or more good friends(OR=0.270,95％ CI:0.093-0.783)reduced the risk of developing psychological and behavioral problems in school-age children.Conclusions Lifestyle of school-age children is closely related to psycho-behavioral problems.Paying attention to children's thinking and social problems,advocating scientific diet,active exercise,encouraging children to participate in household chores appropriately,reducing video screen time,and controlling undesirable habits will help improve their behavioral problems.
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