DuRant Robert H, Neiberg Rebecca, Champion Heather, Rhodes Scott D, Wolfson Mark
Department of Social Science and Health Policy, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27104, USA.
South Med J. 2008 Feb;101(2):129-37. doi: 10.1097/SMJ.0b013e31815d247d.
This study examined the relationships between watching wrestling on television (TV) and engaging in health risk behaviors among an older multi-state sample of adolescents.
In 2001, a random sample of 2,307 youth ages 16 to 20 years from 138 communities in 17 US states completed telephone surveys as part of the national evaluation of the Enforcing Underage Drinking Laws Program. The survey measured multiple health risk behaviors, including substance use, involvement in date fighting, other violent behaviors, and sexual risk behaviors. The frequency of watching wrestling on TV during the two week period before the survey was measured with a scale of 0 to 14 or more times. Multivariate analyses were conducted with logistic regression using a generalized estimating equation (GEE) model with an exchangeable correlation structure that controlled for within-group clustering. Data are presented as adjusted odds ratios (OR) and 95% confidence intervals.
Males (22.4%) reported watching wrestling more than females (13.6%). After adjusting for ethnicity, sex, median family income, age, region of the country, other fighting behaviors, and family composition, the frequency of watching wrestling was associated with having tried to hurt someone with a weapon (OR = 1.67, CI = 1.05-2.66), engaging in sexual intercourse without using birth control (1.42, 1.01-1.98), being a current cigarette smoker (1.31, 1.02-1.69), and not drinking (0.64, 0.48-0.85). When the frequency of watching wrestling was treated as an independent variable, after adjusting for covariates, each additional time wrestling was watched on TV was associated with an increased risk of being in a date fight (1.16, 1.02-1.30), threatening to hurt someone with a weapon (1.14, 1.02-1.28), hurting someone with a weapon (1.19, 105-1.34), and engaging in sexual intercourse without using birth control (1.13, 1.03-1.23). For example, youth who had watched wrestling six times during the past two weeks were 144% more likely to have engaged in a date fight than adolescents who had not watched wrestling.
The more frequently these adolescents reported watching wrestling on TV, the more likely they were to engage in violent and other health risk behaviors.
本研究调查了在一个来自多个州的青少年样本中，观看电视摔跤节目与健康风险行为之间的关系。
2001年，从美国17个州138个社区随机抽取2307名16至20岁的青少年作为样本，完成电话调查，这是对《执行未成年人饮酒法律计划》进行全国评估的一部分。该调查测量了多种健康风险行为，包括物质使用、参与约会打斗、其他暴力行为以及性风险行为。通过0至14次或更多次的量表来测量调查前两周内观看电视摔跤节目的频率。采用广义估计方程（GEE）模型进行多变量分析，该模型具有可交换的相关结构，可控制组内聚类。数据以调整后的优势比（OR）和95%置信区间呈现。
男性（22.4%）报告观看摔跤节目的比例高于女性（13.6%）。在调整种族、性别、家庭收入中位数、年龄、国家地区、其他打斗行为和家庭构成后，观看摔跤节目的频率与曾试图用武器伤害他人（OR = 1.67，CI = 1.05 - 2.66）、未采取避孕措施进行性交（1.42，1.01 - 1.98）、当前吸烟（1.31，1.02 - 1.69）以及不饮酒（0.64，0.48 - 0.85）有关。当将观看摔跤节目的频率作为自变量时，在调整协变量后，每次额外观看电视摔跤节目都与参与约会打斗（1.16，1.02 - 1.30）、威胁用武器伤害他人（1.14，1.02 - 1.28）、用武器伤害他人（1.19，1.05 - 1.34）以及未采取避孕措施进行性交（1.13，1.03 - 1.23）的风险增加相关。例如，在过去两周内观看摔跤节目六次的青少年参与约会打斗的可能性比未观看摔跤节目的青少年高144%。
这些青少年报告观看电视摔跤节目的频率越高，他们参与暴力和其他健康风险行为的可能性就越大。
