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海南省中学生校园欺侮和自杀倾向共发及与成瘾行为的相关性

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目的 了解海南省中学生校园欺侮和自杀倾向共发与成瘾行为间的相关性,为学校开展健康教育和行为干预提供理论依据。方法 采用概率比例抽样与分层整群随机抽样相结合的方法,于2023年7月对海南省6 654名中学生进行匿名问卷调查,依据中国青少年健康相关行为调查问卷、学生健康状况及影响因素调查表和自编问卷中的相关条目判定校园欺侮、自杀倾向及成瘾行为,同时分析学生校园欺侮和自杀倾向共发情况。运用二元Logistic回归方法分析中学生校园欺侮和自杀倾向共发与成瘾行为的相关性。结果 海南省中学生校园欺侮报告率为28。48%,自杀倾向报告率为15。25%,校园欺侮和自杀倾向共发率为8。00%。Logistic回归分析结果显示,初中生、留守学生易共发校园欺侮和自杀倾向(OR值分别为1。55,1。52),网络成瘾、赌博、吸烟与学生校园欺侮和自杀倾向共发均呈正相关(OR值分别为3。14,2。18,2。07)(P值均<0。05)。结论 有成瘾行为的中学生校园欺侮和自杀倾向共发的可能性更高。应对成瘾行为进行综合干预,降低中学生校园欺侮和自杀倾向共发,提高中学生的生命健康水平。
Co-occurrence of campus bullying and suicidal tendency and its correlation with addictive behavior among middle and high school students in Hainan Province
Objective To investigate the correlation between campus bullying and suicidal tendency symptoms comorbidity with addictive behavior among middle and high school students in Hainan Province,so as to provide a theoretical basis for health educa-tion and behavioral intervention in schools.Methods In July 2023,an anonymous questionnaire survey was conducted among 6 654 middle and high school students in Hainan Province,selected by probability proportional sampling and stratified cluster ran-dom sampling method.Campus bullying,suicidal tendency and addictive behavior were determined according to the relevant items in the questionnaire on health related behaviors of Chinese students'health status and influencing factors questionnaire,and self-de-signed questionnaire.The co-occurrence of campus bullying and suicidal tendency among students was analyzed.The binary Logistic regression method was used to analyze the correlation between the co-occurrence of campus bullying and suicidal tendency and the addictive behavior of middle school students.Results The report rate of campus bullying among middle and high school students in Hainan Province was 28.48%,the suicidal tendency was 15.25%,and the co-occurrence of campus bullying and suicidal tendency was 8.00%.The results of Logistic regression analysis showed that middle school students and left-behind students were prone to campus bullying and suicide tendency(OR=1.55,1.52,P<0.05),while Internet addiction,gambling and current smoking showed significant positive correlation with comorbidity of campus bullying and suicide tendency(OR=3.14,2.18,2.07,P<0.05).Con-clusions Middle and high school students with addictive behavior have a higher possibility of comorbidity of campus bullying and suicidal tendency.The comprehensive intervention of addictive behavior can reduce the incidence of co-occurrence of campus bull-ying and suicidal tendency,so as to improve health and wellbeing of middle school students.

ViolenceSuicideBehavior,addictiveMental healthRegression analysisStudents

邵志晓、耿修来、邹金婷、王文豪、张东献

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海南医学院管理学院,海口 571199

暴力 自杀 行为,成瘾 精神卫生 回归分析 学生

海南省自然科学基金海南省自然科学基金海南医学院研究生创新科研课题(2022)

822RC706823RC501HYYB2022A34

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(4)
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