溫州高校大學(xué)生亞健康流行特征及其與自殺的關(guān)聯(lián)研究
發(fā)布時(shí)間：2019-03-09 13:37
【摘要】：目的本研究通過(guò)使用《青少年亞健康多維評(píng)定問(wèn)卷》(MSQA)量表和一般問(wèn)卷對(duì)溫州2所高校大一、大二學(xué)生亞健康狀況和自殺心理行為的研究,評(píng)價(jià)MSQA的適用性和亞健康狀態(tài)篩選標(biāo)準(zhǔn)的科學(xué)性,了解溫州地區(qū)高校學(xué)生亞健康和自殺心理行為情況,分析亞健康的影響因素,探索亞健康和自殺心理行為之間的關(guān)聯(lián),以期為今后實(shí)施有效干預(yù)措施提供循證依據(jù)。 方法本研究是一項(xiàng)針對(duì)大一、大二學(xué)生亞健康狀況和自殺心理行為情況的現(xiàn)況調(diào)查,現(xiàn)場(chǎng)為溫州地區(qū)的2所高校。通過(guò)整群抽樣選擇研究對(duì)象,應(yīng)用自填式問(wèn)卷進(jìn)行現(xiàn)場(chǎng)調(diào)查。調(diào)查問(wèn)卷內(nèi)容包括:①人口統(tǒng)計(jì)學(xué)變量:性別、年級(jí)、家庭居住地、家庭經(jīng)濟(jì)條件、獨(dú)生子女、家庭類型、與父母關(guān)系、父母文化程度、父母管教程度、父母期望、性格、自我要求、學(xué)習(xí)成績(jī)、學(xué)習(xí)負(fù)擔(dān)、學(xué)習(xí)負(fù)擔(dān)、自評(píng)相貌、兼職情況等;②MSQA;③自殺心理行為:自殺意念、自殺計(jì)劃、自殺準(zhǔn)備、自殺未遂。統(tǒng)計(jì)方法包括χ2檢驗(yàn)和非條件Logistic回歸分析。 結(jié)果本研究共調(diào)查大一、大二學(xué)生894名,其中男生281名(31.43%),女生613名(68.57%)。軀體亞健康檢出率15.1%(男生14.6%,女生15.3%),心理亞健康檢出率7.8%(男生5.7%,女生8.8%),身心亞健康檢出率9.4%(男生,5.7%,女生11.1%)。自殺意念報(bào)告率9.06%(男生8.54%,女生9.30%),自殺計(jì)劃報(bào)告率1.90%(男生1.78%,女生1.96%),自殺準(zhǔn)備報(bào)告率1.01%(男生2.49%,女生0.33%),自殺未遂報(bào)告率0.45%(男生1.07%,女生0.16%)。 非獨(dú)生子女發(fā)生軀體亞健康的危險(xiǎn)性是獨(dú)生子女的0.640(95% CI : 0.413-0.901),父母管教少發(fā)生軀體亞健康的危險(xiǎn)性是管較多的1.758倍(95%CI :1.038-2.979),學(xué)習(xí)成績(jī)差發(fā)生心理亞健康的危險(xiǎn)性是學(xué)習(xí)成績(jī)好的2.531倍(95% CI : 1.088-5.885),男性發(fā)生身心亞健康狀況的危險(xiǎn)性是女性的0.461(95%CI : 0.258-0.821)。 亞健康和自殺心理行為之間存在關(guān)聯(lián):軀體亞健康自殺意念的危險(xiǎn)性是軀體健康的2.17倍(95%CI : 1.10-4.30),心理亞健康自殺計(jì)劃的危險(xiǎn)性是心理健康的10.62倍(95%CI : 1.28-88.46),心理亞健康自殺準(zhǔn)備的危險(xiǎn)性是心理健康的20.36倍(95%CI : 2.12-195.96)。 MSQA的Pearson相關(guān)系數(shù)、Cronbach’sα系數(shù)和分半系數(shù)分別為0.846、0.914、0.922。因子分析共提取的14個(gè)公因子累計(jì)貢獻(xiàn)率為61.57%。以2、6、8項(xiàng)癥狀數(shù)作為亞健康狀態(tài)篩選標(biāo)準(zhǔn),大學(xué)生身心亞健康檢出率為9.4%,與全國(guó)平均水平相當(dāng)。 結(jié)論MSQA在本研究中信度、結(jié)構(gòu)效度較高,適用于我國(guó)大學(xué)生亞健康狀況的判定。溫州地區(qū)高校學(xué)生總體健康狀況和自殺心理行為狀況處于全國(guó)平均水平。獨(dú)生子女、父母管教少、學(xué)習(xí)成績(jī)差和女性是亞健康的危害因素。亞健康狀態(tài)與自殺心理行為存在顯著相關(guān)關(guān)系,并且前者可能是后者重要的危險(xiǎn)因素。高校學(xué)生亞健康和自殺心理行為需高度關(guān)注,為更好地促進(jìn)青少年的身心健康,制定有效的干預(yù)措施將是下一步研究的重點(diǎn)。
[Abstract]:Objective to study the sub-health status and suicidal psychological behavior of freshmen and sophomores in Wenzhou by using (MSQA) and general questionnaire. To evaluate the applicability of MSQA and the scientific screening criteria of sub-health status, to understand the sub-health and suicidal psychological behavior of college students in Wenzhou area, to analyze the influencing factors of sub-health, and to explore the relationship between sub-health and suicide psychological behavior. In order to provide evidence-based evidence for the implementation of effective interventions in the future. Methods A survey of sub-health status and suicide psychological behavior of freshmen and sophomores was conducted in two colleges and universities in Wenzhou. The research objects were selected by cluster sampling and self-filling questionnaire was used for field investigation. The questionnaire contents were as follows: 1 demographic variables: gender, grade, residence of family, family economic condition, only child, family type, relationship with parents, parental education, parental discipline, parental expectation, personality, etc. Self-request, academic achievement, study burden, self-evaluation appearance, part-time situation, etc. 2 MSQA 3 suicide psychological behavior: suicide ideation, suicide plan, suicide preparation, suicide attempt. Statistical methods include 蠂 2 test and non-conditional Logistic regression analysis. Results A total of 894 freshmen and sophomores were investigated, including 281 boys (31.43%) and 613 girls (68.57%). The detection rate of physical sub-health was 15.1% (14.6% for boys and 15.3% for girls), 7.8% for mental subhealth (5.7% for boys and 8.8% for girls) and 9.4% for physical and mental sub-health (boys, 5.7% for boys and 8.8% for girls). 11.1% of girls). Suicide ideation reporting rate 9.06% (male 8.54%, female 9.30%), suicide plan reporting rate 1.90% (boys 1.78%, female 1.96%), suicide preparation reporting rate 1.01% (boys 2.49%), Girls 0.33%), attempted suicide reporting rate 0.45% (boys 1.07%, girls 0.16%). The risk of physical sub-health for non-only children was 0.640 of the only child (95% CI: 0.413 to 0.901). The risk of less physical sub-health in parental discipline was 1.758 times higher than that in higher control (95%CI: 1.038 / 2.979). The risk of mental sub-health in poor academic achievement was 2.531 times higher than that in good academic achievement (95%CI: 1.088 / 5.885). The risk of developing physical and mental sub-health in male was 0.461 higher than that in female (95%CI: 0.258 / 0.821). There was a correlation between sub-health and suicide psychological behavior: the risk of sub-health suicidal ideation was 2.17 times higher than that of physical health (95%CI: 1.10 / 4.30). The risk of mental sub-health suicide planning was 10.62 times higher than that of mental health (95%CI: 1.28 脳 88.46), and the risk of mental sub-health suicide preparation was 20.36 times higher than that of mental health (95%CI: 2.12 / 195.96). The Pearson correlation coefficient, Cronbach's 偽 coefficient and split-half coefficient of MSQA were 0.846, 0.914 and 0.922, respectively. The cumulative contribution rate of 14 common factors extracted by factor analysis was 61.57%. Taking 2.6, 8 symptoms as the screening criteria for sub-health status, the detection rate of physical and mental sub-health of college students was 9.4%, which was similar to the average level of the whole country. Conclusion MSQA has a high reliability and structural validity in this study, which is suitable for the sub-health status of college students in China. The general health status and suicide psychological behavior of college students in Wenzhou area are in the national average level. Only children, parents with little discipline, poor academic achievement and women are harmful factors to sub-health. There is a significant correlation between sub-health status and suicide psychological behavior, and the former may be an important risk factor for the latter. The sub-health and suicidal psychological behavior of college students should be paid close attention to. In order to better promote the physical and mental health of adolescents, effective intervention measures will be the focus of the next research.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2011
【分類號(hào)】：R181.3
[Abstract]:Objective to study the sub-health status and suicidal psychological behavior of freshmen and sophomores in Wenzhou by using (MSQA) and general questionnaire. To evaluate the applicability of MSQA and the scientific screening criteria of sub-health status, to understand the sub-health and suicidal psychological behavior of college students in Wenzhou area, to analyze the influencing factors of sub-health, and to explore the relationship between sub-health and suicide psychological behavior. In order to provide evidence-based evidence for the implementation of effective interventions in the future. Methods A survey of sub-health status and suicide psychological behavior of freshmen and sophomores was conducted in two colleges and universities in Wenzhou. The research objects were selected by cluster sampling and self-filling questionnaire was used for field investigation. The questionnaire contents were as follows: 1 demographic variables: gender, grade, residence of family, family economic condition, only child, family type, relationship with parents, parental education, parental discipline, parental expectation, personality, etc. Self-request, academic achievement, study burden, self-evaluation appearance, part-time situation, etc. 2 MSQA 3 suicide psychological behavior: suicide ideation, suicide plan, suicide preparation, suicide attempt. Statistical methods include 蠂 2 test and non-conditional Logistic regression analysis. Results A total of 894 freshmen and sophomores were investigated, including 281 boys (31.43%) and 613 girls (68.57%). The detection rate of physical sub-health was 15.1% (14.6% for boys and 15.3% for girls), 7.8% for mental subhealth (5.7% for boys and 8.8% for girls) and 9.4% for physical and mental sub-health (boys, 5.7% for boys and 8.8% for girls). 11.1% of girls). Suicide ideation reporting rate 9.06% (male 8.54%, female 9.30%), suicide plan reporting rate 1.90% (boys 1.78%, female 1.96%), suicide preparation reporting rate 1.01% (boys 2.49%), Girls 0.33%), attempted suicide reporting rate 0.45% (boys 1.07%, girls 0.16%). The risk of physical sub-health for non-only children was 0.640 of the only child (95% CI: 0.413 to 0.901). The risk of less physical sub-health in parental discipline was 1.758 times higher than that in higher control (95%CI: 1.038 / 2.979). The risk of mental sub-health in poor academic achievement was 2.531 times higher than that in good academic achievement (95%CI: 1.088 / 5.885). The risk of developing physical and mental sub-health in male was 0.461 higher than that in female (95%CI: 0.258 / 0.821). There was a correlation between sub-health and suicide psychological behavior: the risk of sub-health suicidal ideation was 2.17 times higher than that of physical health (95%CI: 1.10 / 4.30). The risk of mental sub-health suicide planning was 10.62 times higher than that of mental health (95%CI: 1.28 脳 88.46), and the risk of mental sub-health suicide preparation was 20.36 times higher than that of mental health (95%CI: 2.12 / 195.96). The Pearson correlation coefficient, Cronbach's 偽 coefficient and split-half coefficient of MSQA were 0.846, 0.914 and 0.922, respectively. The cumulative contribution rate of 14 common factors extracted by factor analysis was 61.57%. Taking 2.6, 8 symptoms as the screening criteria for sub-health status, the detection rate of physical and mental sub-health of college students was 9.4%, which was similar to the average level of the whole country. Conclusion MSQA has a high reliability and structural validity in this study, which is suitable for the sub-health status of college students in China. The general health status and suicide psychological behavior of college students in Wenzhou area are in the national average level. Only children, parents with little discipline, poor academic achievement and women are harmful factors to sub-health. There is a significant correlation between sub-health status and suicide psychological behavior, and the former may be an important risk factor for the latter. The sub-health and suicidal psychological behavior of college students should be paid close attention to. In order to better promote the physical and mental health of adolescents, effective intervention measures will be the focus of the next research.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2011
【分類號(hào)】：R181.3
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