摘要
目的 阐述青少年生物节律紊乱与健康危险行为共存的相关性,为青少年健康危险行为的干预提供参考依据.方法 于2023年3-4月基于方便抽样和分层随机整群抽样的方法,选取上海市2 381名青少年为研究对象,采用青少年生物节律紊乱评定问卷(SQBRDA)、自编健康危险行为调查表调查青少年生物节律紊乱状况和9种健康危险行为,运用多元Logistic回归模型分析两者之间的相关性.结果 青少年生物节律紊乱平均得分为(68.25±0.42)分.健康危险行为无共存、轻度共存、中度共存和重度共存组的检出人数分别为234(9.83％)、1 176(49.39％)、830(34.86％)和141(5.92％)名.生物节律紊乱总得分与健康危险行为共存发生风险呈正向关联,生物节律紊乱高分组的青少年发生健康危险行为轻度共存、中度共存、重度共存的风险分别是低分组的9.05倍(95％CI=4.25～19.15)、44.55倍(95％CI=20.75～96.05)、110.05倍(95％CI=40.65～297.95)(P值均＜0.01).结论 上海市青少年健康危险行为呈现较严峻的共存现象,生物节律紊乱与健康危险行为共存发生风险呈正向关联,可通过调节生物节律紊乱来综合性干预青少年健康危险行为.
Abstract
Objective To elucidate the association between biorhythm disorders and health-risk behaviors in adolescence,so as to provide reference for appropriate interventions.Methods From March to April 2023,2 381 adolescents in Shanghai were select-ed as research objects using convenience sampling and stratified random cluster sampling methods.The Self-rating Questionnaire of Biological Rhythm Disorders for Adolescents(SQBRDA)and the self-report health-risk behaviors questionnaire were used to investi-gate the status of adolescent biorhythm disorders and nine kinds of health-risk behaviors,while a multivariate Logistic regression model was employed to analyze the association between the two variables.Results The average SQBRDA score was(68.25±0.42)The incidence and detection rates of health risk behaviors in the groups with no co-occurrence,mild co-occurrence,moderate co-oc-currence,and severe co-occurrence were 234(9.83％),1 176(49.39％),830(34.86％)and 141(5.92％),respectively.The total SQBRDA score was positively correlated with the risk of co-occurrence of health-risk behaviors.The risk of mild co-occurrence,moderate co-occurrence,and severe co-occurrence of health-risk behaviors was 9.05 times(95％CI=4.25-19.15,P＜O.O1),44.55 times(95％CI=20.75-96.05,P＜0.01)and 110.05 times(95％CI=40.65-297.95,P＜0.01)higher,respectively,among adoles-cents with higher scores of biorhythm disorders compared to adolescents with lower scores of biorhythm disorders.Conclusions Health-risk behaviors among adolescents in Shanghai draw attention to a serious phenomenon whereby biorhythm disorders are posi-tively correlated with the risk of co-occurrence.Comprehensive interventions aimed at addressing adolescent health-risk behaviors should focus on regulating biorhythm disorders.
基金项目
国家社会科学基金(22BTY105)
上海市加强公共卫生体系建设三年行动计划优秀学科带头人项目(2023-2025)(GWVI-11.2-XD14)
NETL
NSTL
万方数据