Association between biorhythm disorders and the co-occurrence of health-risk behaviors in adolescence
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.
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