Loke A Y, Mak Y W, Wu C S T
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon Hong Kong, China.
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon Hong Kong, China.
Public Health. 2016 Aug;137:113-23. doi: 10.1016/j.puhe.2016.02.024. Epub 2016 Apr 6.
The aim of this study was to explore the relationship between peer pressure and the health risk behaviors of secondary school students.
Cross-sectional study using a self-completed questionnaire.
Secondary school students in Year 3 were the target population of this study. Information was solicited from students on their perceptions of peer pressure using a questionnaire employing the Peer Pressure Inventory and their involvement in risk behaviors using a modified global school-based student health survey.
A total of 840 secondary students from Hong Kong completed the questionnaires. The prevalence of secondary students who had ever smoked was 6.4%, consumed alcohol 39.2%, ever used drugs 0.5%, were sexually active 3.9%, and involved in bullying 20.5%. A higher proportion of secondary students involved in risk behaviors were affiliated with peers who were involved in the same activities: smoking (48.9%), drinking alcohol (86.5%), using drugs (18.2%), engaged in sexual activity (34.5%), and bullying (82.6%). The perception of peer conformity and peer involvement was found to be significantly correlated with the students' health risk behaviors, particularly with regard to smoking, drinking alcohol, and bullying. A logistic regression analysis showed that having friends who are involved in the same risk behaviors is the single most important factor associated with the participation of secondary students in those specific risk behaviors.
The results of this study provided a better understanding of the association between peer pressure and the adoption of health behaviors. The development of effective peer-led prevention programs to reduce the uptake of health risk behaviors should therefore be promoted to prevent adolescents from developing serious health problems.
本研究旨在探讨同伴压力与中学生健康风险行为之间的关系。
采用自填式问卷的横断面研究。
本研究的目标人群为初三学生。通过一份使用同伴压力量表的问卷，征求学生对同伴压力的看法，并通过一份经过修改的全球学校学生健康调查，了解他们参与风险行为的情况。
共有840名来自香港的中学生完成了问卷。曾经吸烟的中学生患病率为6.4%，饮酒的为39.2%，曾经使用毒品的为0.5%，有性行为的为3.9%，参与欺凌的为20.5%。参与风险行为的中学生中，有更高比例的人与参与相同活动的同伴有关联：吸烟（48.9%）、饮酒（86.5%）、使用毒品（18.2%）、进行性行为（34.5%）和欺凌（82.6%）。发现对同伴从众和同伴参与的认知与学生的健康风险行为显著相关，尤其是在吸烟、饮酒和欺凌方面。逻辑回归分析表明，有参与相同风险行为的朋友是与中学生参与这些特定风险行为相关的最重要单一因素。
本研究结果有助于更好地理解同伴压力与健康行为采用之间的关联。因此，应推动制定有效的同伴主导预防计划，以减少健康风险行为的发生，防止青少年出现严重的健康问题。
