Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, Anhui, China.
BMC Public Health. 2024 Feb 26;24(1):603. doi: 10.1186/s12889-024-17934-y.
To explore the relationship between cumulative ecological risk and individual risky behavior and multiple forms of aggregated behaviors among adolescents, and examine the gender differences.
A large-scale, nationally representative, and students-based investigation was conducted in rural and urban areas of eight provinces in China from October to December 2021. A total of 22 868 adolescents with an average age of 14.64 years completely standardized questionnaire in which the sociodemographic characteristics, socio-ecological risk factors and risky behaviors were used to analyze.
Of included students, 48.4% encountered the high level of social-ecological risk. The prevalence of breakfast intake not daily, alcohol use (AU), smoking, physical inactivity, prolonged screen time (ST) on weekdays and weekends, suicidal ideation, suicidal plan, suicidal attempt, and non-suicidal self-injury (NSSI) was 41.0%, 11.9%, 3.4%, 61.9%, 15.1%, 51.1%, 27.7%, 13.9%, 6.5% and 27.0% respectively. 22.2% of participants engaged in high-risk behaviors. All were significantly influences of increased cumulative ecological risk on individual behavior and low-risk clustering behaviors separately. The odds ratio of breakfast intake not daily, AU, smoking, physical inactivity, prolonged ST in weekday and weekend, suicidal ideation, suicidal plan, suicidal attempt, and NSSI for the adjusted model in low versus high level of cumulative ecological risk was respectively significant in both boy and girls, and the ratio of odds ratios (ROR) was separately 0.95 (p = 0.228), 0.67 (p < 0.001), 0.44 (p < 0.001), 0.60 (p < 0.001), 0.78 (p = 0.001), 0.83 (p = 0.001), 0.80 (p = 0.001), 0.83 (p = 0.022), 0.71 (p = 0.005), 0.75 (p = 0.001). Girls encountering a high level of cumulative ecological risk were more likely to engage in multiple forms of clustering risky behaviors than boys (RORs: 0.77, p = 0.001).
Research and effective inventions at the social-ecological environment, based on the view of cumulative risk, are needed to promote the healthy development of behaviors in adolescence, and pay more attention to decreasing the occurrence of risky behaviours in girls than boys.
探讨累积生态风险与青少年个体危险行为和多种聚集行为之间的关系，并检验其性别差异。
2021 年 10 月至 12 月，在中国 8 个省份的农村和城市地区进行了一项大规模的、全国代表性的、基于学生的调查。共有 22868 名平均年龄为 14.64 岁的青少年使用完全标准化问卷，其中包括社会人口统计学特征、社会生态风险因素和危险行为，对其进行分析。
在所纳入的学生中，48.4%的学生面临高社会生态风险。不吃早餐、饮酒（AU）、吸烟、身体活动不足、工作日和周末屏幕时间延长、自杀意念、自杀计划、自杀企图和非自杀性自伤（NSSI）的发生率分别为 41.0%、11.9%、3.4%、61.9%、15.1%、51.1%、27.7%、13.9%和 27.0%。22.2%的参与者从事高风险行为。累积生态风险对个体行为和低风险聚集行为均有显著影响。对于调整模型，低水平与高水平累积生态风险相比，不吃早餐、AU、吸烟、身体活动不足、工作日和周末延长 ST、自杀意念、自杀计划、自杀企图和 NSSI 的优势比（OR）在男童和女童中均有显著差异，比值比（ROR）分别为 0.95（p=0.228）、0.67（p<0.001）、0.44（p<0.001）、0.60（p<0.001）、0.78（p=0.001）、0.83（p=0.001）、0.80（p=0.001）、0.83（p=0.022）、0.71（p=0.005）、0.75（p=0.001）。与男孩相比，遭遇高水平累积生态风险的女孩更有可能从事多种形式的聚集危险行为（RORs：0.77，p=0.001）。
需要从社会生态环境的角度出发，开展研究和有效的发明，以促进青少年行为的健康发展，并更加关注减少女孩比男孩的危险行为发生。
