印度北部农村地区 18-24 岁年轻男性的健康行为、结果及其相互关系：一项横断面研究。
Health behaviors, outcomes and their relationships among young men aged 18-24 years in a rural area of north India: A cross-sectional study.
机构信息
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
出版信息
PLoS One. 2019 Jul 26;14(7):e0220285. doi: 10.1371/journal.pone.0220285. eCollection 2019.
BACKGROUND
There is limited information related to health behaviors and their related factors among young men in rural setting of India. This study was conducted to investigate multiple health risk behaviors and outcomes among young men aged 18-24 years in rural India.
METHODS
This was a community-based cross-sectional survey conducted in the Ballabgarh block of Faridabad district, Haryana, India. Information regarding socio-demographic details, substance use, injury & violence, mental health and sexual behaviors were collected using a semi-structured interview schedule. Age adjusted prevalence estimates of behaviors and outcomes are computed along with 95% Confidence Intervals. Mediation analysis was carried out to examine relationships between socio-demographic variables, select behaviors and outcomes reported in the study.
RESULTS
A total of 836 young men participated in the study, with mean (SD) age of 20.6 (1.9) years. The age-adjusted prevalence (with 95% Confidence Interval) for ever use of tobacco, alcohol, and other substances was 34.2% (33.9, 34.5), 23.4% (23.2, 23.6), and 4.5% (4.4, 4.5), respectively. Loneliness and suicidal thoughts were reported by 237 and 35 youth men with age adjusted prevalence as 28.6%, 95% CI: 28.4-28.8 and 4.3%, 95% CI: 4.23-4.31, respectively. A total of 330 young men met serious injury in past one year (prevalence 39.3%, 95%CI: 39.01-39.67). Almost one-third of men (prevalence 30.6%, 95%CI: 30.34-30.85) had engaged in pre-marital sexual intercourse. Current substance use was found to be significant mediator for associations with socio-demographic variables studied for dependent variables viz. pre-marital sexual intercourse and serious injury.
CONCLUSION
High prevalence of various risk behaviors and outcomes was found in young men aged 18-24 years in our rural setting. It is imperative that multi-component health intervention package be rolled out to address these.
背景
在印度农村地区，有关青年男性健康行为及其相关因素的信息有限。本研究旨在调查印度农村地区 18-24 岁青年男性的多种健康风险行为和结果。
方法
这是在印度哈里亚纳邦法里达巴德区巴拉加赫区块进行的一项基于社区的横断面调查。使用半结构式访谈表收集了社会人口统计学详细信息、物质使用、伤害和暴力、心理健康和性行为方面的信息。计算了行为和结果的年龄调整患病率估计值，并附有 95%置信区间。进行中介分析以检验研究中报告的社会人口统计学变量、选择行为和结果之间的关系。
结果
共有 836 名青年男性参加了研究，平均（SD）年龄为 20.6（1.9）岁。曾经使用烟草、酒精和其他物质的年龄调整患病率（95%置信区间）分别为 34.2%（33.9，34.5）、23.4%（23.2，23.6）和 4.5%（4.4，4.5）。237 名和 35 名青年男性报告孤独和自杀念头，年龄调整患病率分别为 28.6%（95%CI：28.4-28.8）和 4.3%（95%CI：4.23-4.31）。过去一年共有 330 名青年男性发生严重伤害（患病率 39.3%，95%CI：39.01-39.67）。几乎三分之一的男性（患病率 30.6%，95%CI：30.34-30.85）有婚前性行为。目前的物质使用被发现是与研究的社会人口统计学变量相关的因变量（婚前性行为和严重伤害）的显著中介。
结论
在我们的农村环境中，18-24 岁的青年男性存在各种风险行为和结果的高患病率。必须推出多组分健康干预套餐来解决这些问题。
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