Huang Juan, Tang Jie, Tang Lina, Chang Hong Juan, Ma Yuqiao, Yan Qiuge, Yu Yizhen
Department of Child, Adolescence and Woman Health Care, School of Public health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Public health, Guangzhou Medical University, Guangzhou, Guangdong, China.
J Affect Disord. 2017 Mar 15;211:20-26. doi: 10.1016/j.jad.2016.12.044. Epub 2017 Jan 4.
Aggression is a serious problem for both individuals and society. Despite progress in aggression research, its persistence among adolescents living in rural areas remains to be investigated. We evaluate the prevalence of aggression and the association between stressful life events and aggression in a nationwide, school-based sample of adolescents living in rural areas of China.
A sample of 13,495 Chinese rural students (7065 boys and 6430 girls; 11-20 years old) was selected from 15 representative rural areas from 5 provinces in China using stratified randomized cluster sampling. Aggression, stressful life events, neglect, emotional management, social support, and demographic characteristics were assessed via self-report questionnaires. Multivariate logistic regressions were used to estimate the association of stressful life events and aggression after controlling for confounds.
The prevalence of aggressive behavior among Chinese adolescents living in rural areas was 24.3%. Regression analyses indicated that the odds of aggression were negatively influenced by chronic long-term stressors related to interpersonal problems (OR=2.03, 95% CI [1.75-2.36]), health adaptation difficulties (OR=1.21, 95% CI [1.09-1.34]), and other troubles (OR=1.93, 95% CI [1.74-2.14]), even after adjustment for parental neglect, emotional management, social support, and other relevant factors.
This study was cross-sectional; thus, it is necessary to validate the causal relationship between stressful life events and aggression via follow-up studies.
Aggression was prevalent among Chinese adolescents living in rural areas, and interpersonal problems, health adaption difficulties, and other troubles were considered potential independent risk factors for aggression.
攻击行为对个人和社会而言都是一个严重问题。尽管在攻击行为研究方面取得了进展，但生活在农村地区的青少年中该行为持续存在的情况仍有待研究。我们在中国农村地区青少年的全国性学校样本中评估攻击行为的患病率以及应激性生活事件与攻击行为之间的关联。
采用分层随机整群抽样方法，从中国5个省份的15个具有代表性的农村地区选取了13495名中国农村学生样本（7065名男生和6430名女生；年龄在11至20岁之间）。通过自填问卷评估攻击行为、应激性生活事件、忽视、情绪管理、社会支持和人口统计学特征。在控制混杂因素后，使用多因素逻辑回归来估计应激性生活事件与攻击行为之间的关联。
生活在中国农村地区的青少年中攻击行为的患病率为24.3%。回归分析表明，即使在对父母忽视、情绪管理、社会支持和其他相关因素进行调整后，与人际问题相关的慢性长期应激源（比值比[OR]=2.03，95%置信区间[CI][1.75 - 2.36]）、健康适应困难（OR=1.21，95%CI[1.09 - 1.34]）和其他麻烦（OR=1.93，95%CI[1.74 - 2.14]）对攻击行为的发生几率有负面影响。
本研究为横断面研究；因此，有必要通过随访研究来验证应激性生活事件与攻击行为之间的因果关系。
攻击行为在中国农村地区青少年中普遍存在，人际问题、健康适应困难和其他麻烦被认为是攻击行为的潜在独立危险因素。
