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某醫(yī)衛(wèi)高職院校大學(xué)生健康危險行為及其影響因素研究

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【摘要】:目的了解醫(yī)衛(wèi)高職院校大學(xué)生健康危險行為的現(xiàn)狀和流行病學(xué)特征,探討青少年健康危險行為發(fā)生的影響因素,為制定干預(yù)措施提供科學(xué)依據(jù)。 對象與方法采用整群抽樣方法自填問卷集體調(diào)查方法,對長沙衛(wèi)生職業(yè)學(xué)院一、二年級學(xué)生進(jìn)行現(xiàn)場調(diào)查。問卷內(nèi)容包括個人社會人口學(xué)特征和青少年健康危險行為的情況。數(shù)據(jù)經(jīng)EpiData3.2軟件錄入,使用SPSS17.0進(jìn)行統(tǒng)計分析。主要統(tǒng)計方法包括χ2檢驗和logistic回歸。 結(jié)果1、調(diào)查600名大學(xué)生,有效問卷584份,有效應(yīng)答率97.33%。其中男生49人(8.9%),女生503人(91.1%)。 2、在飲食相關(guān)危險行為的調(diào)查中,發(fā)生率最高的是很少喝牛奶的達(dá)73.2%,發(fā)生率最低的是經(jīng)常喝汽水的占4.34%;在缺乏體力活動行為的調(diào)查中,發(fā)生率最高的是缺乏體育鍛煉的達(dá)87.97%,發(fā)生率最低的是經(jīng)常參加課外補(bǔ)習(xí)的占6.82%;在對非故意傷害行為的調(diào)查中,發(fā)生率最高的是不安全騎車行為達(dá)42.94%,發(fā)生率最低的是不安全游泳行為占2.75%;在對故意傷害行為的調(diào)查中,發(fā)生率最高的是有過情感低落狀態(tài)的達(dá)99.64%,發(fā)生率最低的是自殺未遂占3%;在對物質(zhì)濫用相關(guān)行為的調(diào)查中,發(fā)生率最高的是飲酒成癮行為的達(dá)9.46%,發(fā)生率最低的是有吸毒行為的占1.23%;在對精神成癮行為的調(diào)查中,發(fā)生率最高的是有賭博行為的達(dá)18.82%,發(fā)生率最低的是有網(wǎng)絡(luò)成癮的占9.58%;在對不良性行為的調(diào)查中,發(fā)生率最高的是不使用安全套行為的達(dá)5.59%,發(fā)生率最低的是被迫發(fā)生性行為的占1.20%。 3、單因素分析顯示,經(jīng)常吃甜食行為、很少喝牛奶行為、不良減肥行為、缺乏體育鍛煉行為、長時間做功課行為、交通違規(guī)行為和安眠藥濫用行為的報告率在不同年級差異有統(tǒng)計學(xué)意義(P0.05);缺乏體育鍛煉行為、經(jīng)常玩電子游戲行為、不安全游泳行為、吸煙和飲酒上癮行為、是否有過性行為和多性伴侶行為的報告率在性別間差異有統(tǒng)計學(xué)意義(P0.05);經(jīng)常吃西式快餐行為、很少喝牛奶行為、交通違規(guī)行為、不安全騎車行為、打架行為和吸煙上癮行為的報告率在不同學(xué)歷母親組間差異有統(tǒng)計學(xué)意義(P0.05);經(jīng)常不吃早餐行為、偏食行為、不良減肥行為、缺乏體育鍛煉行為、經(jīng)常玩電子游戲行為和飲酒上癮行為的報告率在BMI不同組間差異有統(tǒng)計學(xué)意義(P0.05);經(jīng)常不吃早餐行為、交通違規(guī)行為和吸煙上癮行為的報告率在不同學(xué)歷父親組間差異有統(tǒng)計學(xué)意義(P0.05);不良減肥行為、交通違規(guī)行為、吸煙行為、吸毒行為和多性伴侶行為的報告率在不同學(xué)習(xí)成績組間差異有統(tǒng)計學(xué)意義(P0.05)。但是經(jīng)常喝汽水、經(jīng)常看電視、經(jīng)常上網(wǎng)、經(jīng)常進(jìn)行課外補(bǔ)習(xí)、軀體或言語暴力、情緒低落、自殺、離家出走、賭博、被迫性行為等行為未發(fā)現(xiàn)與人口學(xué)因素有關(guān)。多因素分析結(jié)果表明:女生(OR=4.408)缺乏體育鍛煉行為報告率高,物質(zhì)濫用行為(OR=0.168)和不良行為(OR=0.153)的報告率低。而離異家庭(OR=5.968)和高年級(OR=1.448)精神成癮行為的報告率高。 結(jié)論1、某醫(yī)衛(wèi)高職院校大學(xué)生健康危險行為的發(fā)生率較高,其中經(jīng)常吃甜食的有60.79%,很少喝牛奶的占73.2%,偏食的37.76%,不健康減肥行為的有65.01%,有缺乏體育鍛煉的有87.97%,經(jīng)?措娨暤挠34.09%,經(jīng)常玩電子游戲的有35.65%,經(jīng)常性上網(wǎng)的有40.20%,不安全騎車行為有42.94%,交通違規(guī)行為有14.09%,曾經(jīng)遭受過軀體或者言語暴力的有38.81%,有過情感低落狀態(tài)的有99.64%。離家出走想法的有17.91%,自殺意念的有10.70%,有賭博行為的有18.82%,有網(wǎng)絡(luò)成癮的有9.58%,有接觸過色情讀物的有9.95%。 2、除缺乏體育鍛煉行為以外,男生部分健康危險行為發(fā)生率高于女生;成績差的學(xué)生部分健康危險行為發(fā)生率高于成績好的學(xué)生;BMI高的學(xué)生部分健康危險行為高于BMI低的學(xué)生;二年級學(xué)生健康危險行為發(fā)生率高于一年級學(xué)生;父、母親低學(xué)歷的學(xué)生部分健康危險行為明顯高于父、母親學(xué)歷高者。提示性別為男性、成績差、BMI值高、高年級、父母親學(xué)歷低很可能是青少年健康危險行為的危險因素。
[Abstract]:Objective To study the current situation and epidemiological characteristics of the health risk behaviors of the college students in the medical and medical colleges and universities, and to explore the influencing factors of the health risk behaviors of the adolescents and to provide the scientific basis for the development of the intervention measures. The object and method adopt the cluster sampling method to self-fill the questionnaire collective investigation method, to carry out on-the-spot adjustment to the students of the second year and the second grade of the Changsha Health Vocational College The contents of the questionnaire include the demographic characteristics of the individual and the situation of adolescent health risk Status. Data is entered via Epidata 3.2 software. Use SPSS17.0 to make statistics. Analysis. The main statistical methods include the "2" and the logistic regression. As a result,600 college students,584 effective questionnaires and effective response rate were investigated. 33 per cent, of which 49 were male (8.9 per cent) and 503 (91 per cent). 1%). In the study of food-related risk behavior, the highest incidence was 73.2% of the milk, with the lowest incidence of 4.34% of the regular drink; in the absence of physical activity, the highest incidence was the lack of physical exercise for up to 8. 7.97%, the lowest occurrence rate is 6.82% of the regular participation; in the investigation of the non-intentional injury behavior, the highest incidence rate is 42.94% of the unsafe cycling behavior, and the lowest occurrence rate is that the unsafe swimming behavior is 2.75%; in the case of the intentional injury In the survey, the highest incidence was up to 99.64% of the depressed state, with the lowest incidence of 3% of the attempted suicide; in the investigation of the related behavior of substance abuse, the highest incidence was 9.46% of the behavior of alcohol addiction, and the lowest rate was the proportion of drug-taking behavior. 1.23%; in the study of the behavior of mental addiction, the highest incidence was 18.82% of the gambling behavior, with the lowest incidence of 9.58% of the Internet addiction; in the investigation of the bad behavior, the highest incidence was the fact that the condom was not used. 5.59 per cent, with the lowest incidence of forced sexual activity 1.20%.3. The single-factor analysis shows that there is a statistical significance in the different grades of the reporting rate of the behavior of the sweets, the behavior of bad weight loss, the lack of physical exercise, the long-time study behavior, the traffic violation and the abuse behavior of the sleeping pills. (P0.05); lack of physical exercise, often play video game behavior, unsafe swimming behavior, smoking and alcohol consumption addictive behavior, whether there is a statistical difference between sex and sex (P0.05), and often eat western fast food behavior, There was no significant difference in the reporting rate of milk behavior, traffic violation, unsafe cycling behavior, fighting behavior and smoking addiction (P0.05). The report rate of the behavior of the spent physical exercise, the behavior of the video game and the behavior of alcohol consumption was statistically significant among the different groups (P0.05); the rate of reporting on the behavior of the breakfast, the traffic violation and the smoking addiction was statistically significant among the different academic groups. (P0.05). The reporting rate of bad weight-losing behavior, traffic violation, smoking behavior, drug-taking behavior and multi-partner behavior is of statistical significance in different academic achievement groups. (P0.05). But I often drink soda, often watch TV, often use the Internet, often carry out extra-curricular remedial, physical or speech violence, depression, suicide, run away, gamble, forced sexual behavior, etc. The results of multi-factor analysis showed that female (OR = 4.408) had a high rate of physical exercise, substance abuse behavior (OR = 0.168) and bad behavior (OR = 0.15). 3) Low reporting rate, and divorced family (OR = 5.968) and senior (OR = 1.448) mental addiction Conclusion 1. The incidence of health risk behavior of college students in a medical and medical college is high. Among them, there are 60.79% of the desserts, 73.2% of the milk, 37.76% of partial food, 65.01% of unhealthy weight loss behaviors, and 87.97% of the lack of physical exercise. According to 34.09%, there are 35.65% of the video games, 40.20% of the regular internet, 42.94% of the unsafe cycling behavior, 14.09% of the traffic violation, 38.81% of the physical or verbal violence, and the feeling of depression. There are 99.64% of the state, 17.91% of the idea of running away from home, 10.70% of the suicidal ideation, 18.82% of the gambling behavior, 9.58% of the internet addiction, and the contact with the pornography. There are 9.95% of the reading materials. In addition to the lack of physical exercise, the incidence of the health risk behavior of the male part is higher than that of the female students; the students with poor performance are higher than those of the students with good results; and the high BMI is part of the health risk. A student with a higher behavior than a BMI; a second-year student whose health-risk behavior is higher than that of a first-year student; and a part of the health-risk behavior of a parent and a mother with a low degree of education. higher than the parent and mother's degree. The prompt sex is male, the score is poor, the BMI is high, the senior and the parents have a low degree of education and are likely to be teenagers
【學(xué)位授予單位】:中南大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2013
【分類號】:G715.5;R194.3

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