中国青少年健康风险行为对心理健康和身体活动的聚类效应。
Clustering effects of health risk behavior on mental health and physical activity in Chinese adolescents.
机构信息
Department of Sport and Health, School of Physical Education, Shandong University, Jinan, 250061, China.
Department of Science and Technology, Shandong Institute of Commerce and Technology, Jinan, 250103, China.
出版信息
Health Qual Life Outcomes. 2020 Jul 3;18(1):211. doi: 10.1186/s12955-020-01468-z.
PURPOSE
Risk behaviors are significantly impacting physical and psychological health among adolescents, resulting in a tremendous public health issue. The aim of this study is to examine the association of clustered risk behaviors with mental health and physical activity, and identify to what extent the clustering of various risk behaviors is associated with psychological health and physical activity in Chinese adolescents.
METHODS
Students aged 16-18 years, male 16.2 ± 1.03, female 16.3 ± 1.56, were recruited from 30 high schools to complete an online questionnaire in fall semester 2017. A structured questionnaire, 2017 state and local youth risk behavior survey was revised, modified, and translated into Chinese. Five questions were designed to assess physical activity times of the last 7 days. Symptom checklist 90 (SCL-90) was used to investigate the mental health status of the participants. Statistical analyses were done employing chi-square tests, two step cluster analysis, logistic regression.
RESULT
Results illustrate that girls report a significantly higher mean of being bullied in school, electronically bullied, feeling sad or hopeless, and trying cigarette smoking. Two-step cluster analysis and regression analysis find that alcohol use, smoking and sedentary behavior have significant effect on adolescent health. Logic regression demonstrated that risk behaviors have significantly associated with mental health and physical activity in specific cluster.
CONCLUSION
This study finds that a specific behavior cluster has significant impact on mental health and physical activity among adolescents. Integrating risk behaviors cluster with factors can be employed to target high-risk adolescents who have poor physical and psychosocial health. The research suggest that more effective and feasible school intervention programs can be designed to promote adolescent health-related behavior in terms of those pathways.
目的
风险行为对青少年的身心健康有重大影响，是一个严重的公共卫生问题。本研究旨在探讨多种风险行为的聚集与心理健康和身体活动的关系，并确定中国青少年各种风险行为聚集与心理健康和身体活动的关联程度。
方法
从 30 所高中招募 16-18 岁的学生，男生 16.2±1.03 岁，女生 16.3±1.56 岁，让他们在 2017 年秋季学期完成在线问卷。采用结构问卷，对 2017 年州和地方青少年风险行为调查进行修订、修改和翻译。设计了 5 个问题来评估过去 7 天的身体活动时间。采用症状清单 90（SCL-90）评估参与者的心理健康状况。采用卡方检验、两步聚类分析、逻辑回归进行统计分析。
结果
结果表明，女生报告在学校被欺负、被电子欺负、感到悲伤或绝望以及尝试吸烟的比例明显更高。两步聚类分析和回归分析发现，饮酒、吸烟和久坐行为对青少年健康有显著影响。逻辑回归表明，风险行为与特定聚类中的心理健康和身体活动显著相关。
结论
本研究发现，特定的行为聚类对青少年的心理健康和身体活动有重大影响。将风险行为聚类与因素相结合，可以针对身体和心理社会健康状况较差的高风险青少年。研究表明，可以设计更有效和可行的学校干预计划，从这些途径促进青少年与健康相关的行为。
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