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中职生节食暴食行为与非自杀性自伤行为的关系

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目的 探讨中职生节食、暴食行为与非自杀性自伤行为(NSSI)之间的关系,为制定预防中职生NSSI的有效干预措施提供科学依据。方法 2023年10-12月,采用分层整群随机抽样方法从贵州省9所中职学校抽取2 364名学生进行自填式问卷调查,采用非条件二元Logisitic回归分析中职生节食、暴食行为及两者共存与NSSI的关系,并进行性别分层。结果 贵州省中职生NSSI检出率为27。5%,6。8%的中职生有节食行为,10。5%有暴食行为,2。9%同时表现出节食和暴食行为。非条件二元Logistic回归调整模型结果显示,有节食行为(OR=2。37)、暴食行为(OR=2。31)及两者共存(OR=2。60)中职生发生NSSI的风险较高;性别分层分析结果显示,男、女生具有节食、暴食及节食暴食共存行为,NSSI风险均增加(女生:OR值分别为2。27,2。26,2。78;男生:OR值分别为2。15,2。08,2。02)(P值均<0。01)。结论 中职生节食、暴食行为会增加NSSI风险。在预防和干预中职生的NSSI问题时,应加强对饮食行为习惯的关注。
Association of dieting and binge eating with non-suicidal self-injury among secondary vocational school students
Objective To explore the relationship between dieting and binge eating with non-suicidal self-injury(NSSI)among secondary vocational school students,so as to provide a scientific basis for the development of effective interventions to prevent NS-SI.Methods From October to December 2023,2 364 students were selected by stratified cluster random sampling method from nine secondary vocational schools in Guizhou Province to conduct a self-administered questionnaire survey.Unconditional binary Lo-gisitic regression was used to analyze the relationship between dieting,binge-eating behaviours,and the co-occurrence of the two and NSSI among secondary vocational school students,and were stratified by sex.Results The detection rate of NSSI among sec-ondary vocational school students in Guizhou Province was 27.5%,6.8%of secondary vocational school students reported dieting,10.5%reported binge-eating behaviour,and 2.9%showed both dieting and binge-eating behaviours.The adjusted model of uncondi-tional binary Logistic regression showed that the presence of dieting(OR=2.37),binge-eating behaviour(OR=2.31),and the co-occurrence of both(OR=2.60)were associated with higher risk of NSSI among secondary vocational school students;stratified anal-ysis by gender showed that both males and females with dieting,binge eating and coexistence of dieting and binge eating behaviours were at increased risk of NSSI(females:OR=2.27,2.26,2.78;males:OR=2.15,2.08,2.02)(P<0.01).Conclusions Die-ting and binge eating behavior of secondary vocational school students will increase the risk of NSSI.When preventing and interve-ning NSSI problems of secondary vocational school students,it should pay more attention to eating habits.

Food habitsSelf-injurious behaviorMental healthRegression analysisStudents

韩杨、王连花、李秋硕、孔维森、李众、冷佩洪、庄礼润、李兵、庹安写

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贵州医科大学公共卫生与健康学院/环境污染与疾病监控教育部重点实验室,贵阳 561113

贵阳市开阳县疾病预防控制中心应急办公室

贵州医科大学医学人文学院

贵州大学外国语学院

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饮食习惯 自我伤害行为 精神卫生 回归分析 学生

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(12)