Oregon Health Authority, Public Health Division, Portland, Oregon 97232, USA.
Pediatrics. 2012 May;129(5):846-51. doi: 10.1542/peds.2011-2482. Epub 2012 Apr 16.
To examine the risk behaviors associated with participation in the "choking game" by eighth-graders in Oregon.
We obtained data from the 2009 Oregon Healthy Teens survey, a cross-sectional weighted survey of 5348 eighth-graders that questioned lifetime prevalence and frequency of choking game participation. The survey also included questions about physical and mental health, gambling, sexual activity, nutrition, physical activity/body image, exposure to violence, and substance use.
Lifetime prevalence of choking game participation was 6.1% for Oregon eighth-graders, with no differences between males and females. Of the eighth-grade choking game participants, 64% had engaged in the activity more than once and 26.6% >5 times. Among males, black youth were more likely to participate than white youth. Among both females and males, Pacific Islander youth were much more likely to participate than white youth. Multivariate logistic regression revealed that sexual activity and substance use were significantly associated with choking game participation for both males and females.
At >6%, the prevalence of choking game participation among Oregon youth is consistent with previous findings. However, we found that most of those who participate will put themselves at risk more than once. Participants also have other associated health risk behaviors. The comprehensive adolescent well visit, as recommended by the American Academy of Pediatrics, is a good opportunity for providers to conduct a health behavior risk assessment and, if appropriate, discuss the dangers of engaging in this activity.
调查俄勒冈州八年级学生参与“窒息游戏”的风险行为。
我们从 2009 年俄勒冈州健康青少年调查中获取数据，这是一项对 5348 名八年级学生进行的横断面加权调查，询问了他们一生中参与“窒息游戏”的频率和频率。该调查还包括关于身体健康和心理健康、赌博、性行为、营养、体育活动/身体形象、暴力接触和药物使用的问题。
俄勒冈州八年级学生参与“窒息游戏”的终身患病率为 6.1%，男女之间没有差异。在参与“窒息游戏”的八年级学生中，64%的人不止一次参与过该活动，26.6%的人参与过 5 次以上。在男性中，黑人青年比白人青年更有可能参与。在女性和男性中，太平洋岛民青年比白人青年更有可能参与。多变量逻辑回归显示，性行为和药物使用与男性和女性参与“窒息游戏”显著相关。
在俄勒冈州，参与“窒息游戏”的青少年患病率超过 6%，与之前的发现一致。然而，我们发现大多数参与者会不止一次地使自己处于危险之中。参与者也有其他相关的健康风险行为。美国儿科学会建议的全面青少年健康检查是提供者进行健康行为风险评估的好机会，如果合适的话，还可以讨论参与这项活动的危险。
