青少年的身体穿孔与高危行为。

Body piercing and high-risk behavior in adolescents.

作者信息

Roberts Timothy A, Auinger Peggy, Ryan Sheryl A

机构信息

Division of Adolescent Medicine, Department of Pediatrics, Strong Children's Research Center, Golisano Children's Hospital at Strong, University of Rochester School of Medicine, Rochester, NY 14642, USA.

出版信息

J Adolesc Health. 2004 Mar;34(3):224-9. doi: 10.1016/j.jadohealth.2003.06.005.

DOI:10.1016/j.jadohealth.2003.06.005

PMID:14967346

Abstract

PURPOSE

To evaluate the association of body piercing with sociodemographic factors, peer substance use, and high-risk behaviors.

METHODS

Cross-sectional analysis using Wave II of the National Longitudinal Study of Adolescent Health (Add Health) Public Use Dataset, a nationally representative, school-based sample of 4337 adolescents, aged 13-18 years, surveyed in 1996. The major predictor variable was body piercing at locations other than the ears. The outcome variables were selected from five areas of high-risk behaviors including sexual intercourse, substance use (problem drinking, smoking, and marijuana use), violent behavior (fighting and inflicting injuries), antisocial behavior (truancy, shoplifting, and running away), and mood problems (depression, suicidal ideation and suicide attempts). The association between body piercing and peer substance use was also examined.

RESULTS

Females (7.2% vs. 1.5%) and older adolescents were more likely to report piercing (all p's <.01) In linear regression analysis, controlling for sociodemographic factors, body piercing was significantly associated with higher levels of peer substance use (beta = 1.40 [99% CI.57-2.23]). In logistic regression analyses, controlling for sociodemographic factors, piercing was associated with sexual intercourse (OR = 4.5 [99% CI 2.1-10.0]), smoking (3.1 [1.6-5.9]), marijuana use (3.0 [1.6-5.9]), truancy (2.6 [1.3-5.3]), running away from home (3.0 [1.2-7.2]), suicidal ideation (2.5 [1.2-4.9]), and suicide attempts (3.0 [1.2-7.5]).

CONCLUSIONS

Clinically, body piercing may serve as a marker for higher levels of peer substance use and potential problem behavior.

摘要

目的

评估身体穿孔与社会人口学因素、同伴物质使用及高危行为之间的关联。

方法

采用《青少年健康全国纵向研究》（“Add Health”）公开使用数据集的第二波数据进行横断面分析，该数据集是1996年对4337名年龄在13 - 18岁的青少年进行的具有全国代表性的基于学校的抽样调查。主要预测变量是耳部以外部位的身体穿孔。结果变量从五个高危行为领域中选取，包括性交、物质使用（问题饮酒、吸烟和使用大麻）、暴力行为（打架和伤人）、反社会行为（逃学、行窃和离家出走）以及情绪问题（抑郁、自杀意念和自杀未遂）。同时也研究了身体穿孔与同伴物质使用之间的关联。

结果

女性（7.2%对1.5%）和年龄较大的青少年更有可能报告有穿孔行为（所有p值均<0.01）。在线性回归分析中，控制社会人口学因素后，身体穿孔与同伴物质使用水平较高显著相关（β = 1.40 [99%置信区间0.57 - 2.23]）。在逻辑回归分析中，控制社会人口学因素后，穿孔与性交（比值比 = 4.5 [99%置信区间2.1 - 10.0]）、吸烟（3.1 [1.6 - 5.9]）、使用大麻（3.0 [1.6 - 5.9]）、逃学（2.6 [1.3 - 5.3]）、离家出走（3.0 [1.2 - 7.2]）、自杀意念（2.5 [1.2 - 4.9]）和自杀未遂（3.0 [1.2 - 7.5]）有关。