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某医卫高职院校大学生健康危险行为及其影响因素研究

发布时间:2019-05-29 19:40
【摘要】:目的了解医卫高职院校大学生健康危险行为的现状和流行病学特征,探讨青少年健康危险行为发生的影响因素,为制定干预措施提供科学依据。 对象与方法采用整群抽样方法自填问卷集体调查方法,对长沙卫生职业学院一、二年级学生进行现场调查。问卷内容包括个人社会人口学特征和青少年健康危险行为的情况。数据经EpiData3.2软件录入,使用SPSS17.0进行统计分析。主要统计方法包括χ2检验和logistic回归。 结果1、调查600名大学生,有效问卷584份,有效应答率97.33%。其中男生49人(8.9%),女生503人(91.1%)。 2、在饮食相关危险行为的调查中,发生率最高的是很少喝牛奶的达73.2%,发生率最低的是经常喝汽水的占4.34%;在缺乏体力活动行为的调查中,发生率最高的是缺乏体育锻炼的达87.97%,发生率最低的是经常参加课外补习的占6.82%;在对非故意伤害行为的调查中,发生率最高的是不安全骑车行为达42.94%,发生率最低的是不安全游泳行为占2.75%;在对故意伤害行为的调查中,发生率最高的是有过情感低落状态的达99.64%,发生率最低的是自杀未遂占3%;在对物质滥用相关行为的调查中,发生率最高的是饮酒成瘾行为的达9.46%,发生率最低的是有吸毒行为的占1.23%;在对精神成瘾行为的调查中,发生率最高的是有赌博行为的达18.82%,发生率最低的是有网络成瘾的占9.58%;在对不良性行为的调查中,发生率最高的是不使用安全套行为的达5.59%,发生率最低的是被迫发生性行为的占1.20%。 3、单因素分析显示,经常吃甜食行为、很少喝牛奶行为、不良减肥行为、缺乏体育锻炼行为、长时间做功课行为、交通违规行为和安眠药滥用行为的报告率在不同年级差异有统计学意义(P0.05);缺乏体育锻炼行为、经常玩电子游戏行为、不安全游泳行为、吸烟和饮酒上瘾行为、是否有过性行为和多性伴侣行为的报告率在性别间差异有统计学意义(P0.05);经常吃西式快餐行为、很少喝牛奶行为、交通违规行为、不安全骑车行为、打架行为和吸烟上瘾行为的报告率在不同学历母亲组间差异有统计学意义(P0.05);经常不吃早餐行为、偏食行为、不良减肥行为、缺乏体育锻炼行为、经常玩电子游戏行为和饮酒上瘾行为的报告率在BMI不同组间差异有统计学意义(P0.05);经常不吃早餐行为、交通违规行为和吸烟上瘾行为的报告率在不同学历父亲组间差异有统计学意义(P0.05);不良减肥行为、交通违规行为、吸烟行为、吸毒行为和多性伴侣行为的报告率在不同学习成绩组间差异有统计学意义(P0.05)。但是经常喝汽水、经常看电视、经常上网、经常进行课外补习、躯体或言语暴力、情绪低落、自杀、离家出走、赌博、被迫性行为等行为未发现与人口学因素有关。多因素分析结果表明:女生(OR=4.408)缺乏体育锻炼行为报告率高,物质滥用行为(OR=0.168)和不良行为(OR=0.153)的报告率低。而离异家庭(OR=5.968)和高年级(OR=1.448)精神成瘾行为的报告率高。 结论1、某医卫高职院校大学生健康危险行为的发生率较高,其中经常吃甜食的有60.79%,很少喝牛奶的占73.2%,偏食的37.76%,不健康减肥行为的有65.01%,有缺乏体育锻炼的有87.97%,经常看电视的有34.09%,经常玩电子游戏的有35.65%,经常性上网的有40.20%,不安全骑车行为有42.94%,交通违规行为有14.09%,曾经遭受过躯体或者言语暴力的有38.81%,有过情感低落状态的有99.64%。离家出走想法的有17.91%,自杀意念的有10.70%,有赌博行为的有18.82%,有网络成瘾的有9.58%,有接触过色情读物的有9.95%。 2、除缺乏体育锻炼行为以外,男生部分健康危险行为发生率高于女生;成绩差的学生部分健康危险行为发生率高于成绩好的学生;BMI高的学生部分健康危险行为高于BMI低的学生;二年级学生健康危险行为发生率高于一年级学生;父、母亲低学历的学生部分健康危险行为明显高于父、母亲学历高者。提示性别为男性、成绩差、BMI值高、高年级、父母亲学历低很可能是青少年健康危险行为的危险因素。
[Abstract]:Objective To study the current situation and epidemiological characteristics of the health risk behaviors of the college students in the medical and medical colleges and universities, and to explore the influencing factors of the health risk behaviors of the adolescents and to provide the scientific basis for the development of the intervention measures. The object and method adopt the cluster sampling method to self-fill the questionnaire collective investigation method, to carry out on-the-spot adjustment to the students of the second year and the second grade of the Changsha Health Vocational College The contents of the questionnaire include the demographic characteristics of the individual and the situation of adolescent health risk Status. Data is entered via Epidata 3.2 software. Use SPSS17.0 to make statistics. Analysis. The main statistical methods include the "2" and the logistic regression. As a result,600 college students,584 effective questionnaires and effective response rate were investigated. 33 per cent, of which 49 were male (8.9 per cent) and 503 (91 per cent). 1%). In the study of food-related risk behavior, the highest incidence was 73.2% of the milk, with the lowest incidence of 4.34% of the regular drink; in the absence of physical activity, the highest incidence was the lack of physical exercise for up to 8. 7.97%, the lowest occurrence rate is 6.82% of the regular participation; in the investigation of the non-intentional injury behavior, the highest incidence rate is 42.94% of the unsafe cycling behavior, and the lowest occurrence rate is that the unsafe swimming behavior is 2.75%; in the case of the intentional injury In the survey, the highest incidence was up to 99.64% of the depressed state, with the lowest incidence of 3% of the attempted suicide; in the investigation of the related behavior of substance abuse, the highest incidence was 9.46% of the behavior of alcohol addiction, and the lowest rate was the proportion of drug-taking behavior. 1.23%; in the study of the behavior of mental addiction, the highest incidence was 18.82% of the gambling behavior, with the lowest incidence of 9.58% of the Internet addiction; in the investigation of the bad behavior, the highest incidence was the fact that the condom was not used. 5.59 per cent, with the lowest incidence of forced sexual activity 1.20%.3. The single-factor analysis shows that there is a statistical significance in the different grades of the reporting rate of the behavior of the sweets, the behavior of bad weight loss, the lack of physical exercise, the long-time study behavior, the traffic violation and the abuse behavior of the sleeping pills. (P0.05); lack of physical exercise, often play video game behavior, unsafe swimming behavior, smoking and alcohol consumption addictive behavior, whether there is a statistical difference between sex and sex (P0.05), and often eat western fast food behavior, There was no significant difference in the reporting rate of milk behavior, traffic violation, unsafe cycling behavior, fighting behavior and smoking addiction (P0.05). The report rate of the behavior of the spent physical exercise, the behavior of the video game and the behavior of alcohol consumption was statistically significant among the different groups (P0.05); the rate of reporting on the behavior of the breakfast, the traffic violation and the smoking addiction was statistically significant among the different academic groups. (P0.05). The reporting rate of bad weight-losing behavior, traffic violation, smoking behavior, drug-taking behavior and multi-partner behavior is of statistical significance in different academic achievement groups. (P0.05). But I often drink soda, often watch TV, often use the Internet, often carry out extra-curricular remedial, physical or speech violence, depression, suicide, run away, gamble, forced sexual behavior, etc. The results of multi-factor analysis showed that female (OR = 4.408) had a high rate of physical exercise, substance abuse behavior (OR = 0.168) and bad behavior (OR = 0.15). 3) Low reporting rate, and divorced family (OR = 5.968) and senior (OR = 1.448) mental addiction Conclusion 1. The incidence of health risk behavior of college students in a medical and medical college is high. Among them, there are 60.79% of the desserts, 73.2% of the milk, 37.76% of partial food, 65.01% of unhealthy weight loss behaviors, and 87.97% of the lack of physical exercise. According to 34.09%, there are 35.65% of the video games, 40.20% of the regular internet, 42.94% of the unsafe cycling behavior, 14.09% of the traffic violation, 38.81% of the physical or verbal violence, and the feeling of depression. There are 99.64% of the state, 17.91% of the idea of running away from home, 10.70% of the suicidal ideation, 18.82% of the gambling behavior, 9.58% of the internet addiction, and the contact with the pornography. There are 9.95% of the reading materials. In addition to the lack of physical exercise, the incidence of the health risk behavior of the male part is higher than that of the female students; the students with poor performance are higher than those of the students with good results; and the high BMI is part of the health risk. A student with a higher behavior than a BMI; a second-year student whose health-risk behavior is higher than that of a first-year student; and a part of the health-risk behavior of a parent and a mother with a low degree of education. higher than the parent and mother's degree. The prompt sex is male, the score is poor, the BMI is high, the senior and the parents have a low degree of education and are likely to be teenagers
【学位授予单位】:中南大学
【学位级别】:硕士
【学位授予年份】:2013
【分类号】:G715.5;R194.3

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