發(fā)布時(shí)間：2018-06-27 22:49

  本文選題：青春期 + 性發(fā)育時(shí)相��； 參考：《蘇州大學(xué)》2013年碩士論文

【摘要】：目的了解蘇州市兒童青少年青春期性發(fā)育時(shí)相的基本情況，分析青春期性發(fā)育時(shí)相提前與家庭環(huán)境因素的關(guān)聯(lián)。為后續(xù)開展青春期健康效應(yīng)研究奠定基礎(chǔ)，同時(shí)也為開展有針對(duì)性的預(yù)防、干預(yù)措施提供科學(xué)依據(jù)。 方法本研究采用隨機(jī)分層整群抽樣的調(diào)查方法，運(yùn)用自制“兒童青少年健康與家庭環(huán)境調(diào)查表”，對(duì)蘇州市17所中小學(xué)9456名學(xué)生進(jìn)行調(diào)查，共獲得有效問卷9328份。通過計(jì)算Tanner分期的中位數(shù)年齡來描述男女童青春期性發(fā)育時(shí)相的年齡的分布情況。利用百分位數(shù)法對(duì)青春期性發(fā)育相關(guān)事件自評(píng)總分進(jìn)行分組。比較發(fā)育時(shí)相提前組與正常組間家庭環(huán)境相關(guān)因素的情況，用多因素非條件Logistic回歸模型篩選青春期性發(fā)育時(shí)相提前的影響因素。 結(jié)果研究對(duì)象年齡范圍為9~16歲，其中，男生占54.23%，女生占45.77%。 1、男生青春期性發(fā)育時(shí)相一般狀況：男生外生殖器發(fā)育TannerⅡ期、Ⅲ期、Ⅳ期、Ⅴ期的P50年齡分別為11.12歲、13.12歲、14.53歲、15.58歲；陰毛發(fā)育TannerⅡ期、Ⅲ期、Ⅳ期、Ⅴ期的P50年齡分別為12.66歲、13.89歲、14.69歲、15.72歲；首次遺精P50年齡為13.85歲。2、女生青春期性發(fā)育時(shí)相一般狀況：女生乳房發(fā)育TannerⅡ期、Ⅲ期、Ⅳ期、Ⅴ期的P50年齡分別為10.55歲、13.04歲、14.96歲、15.32歲；陰毛發(fā)育TannerⅡ期、Ⅲ期、Ⅳ期、Ⅴ期的P50年齡分別為12.86歲、13.90歲、14.79歲、15.53歲；月經(jīng)初潮P50年齡為12.36歲。3、家庭環(huán)境因素與青春期性發(fā)育時(shí)相之間的關(guān)系：多因素非條件logistic回歸分析結(jié)果顯示，男生方面，，感到父親過度干涉自己、感到父親經(jīng)常批評(píng)指責(zé)、感到母親經(jīng)常批評(píng)指責(zé)為男生青春期性發(fā)育時(shí)相提前的危險(xiǎn)因素（OR值分別為2.76、3.28、1.96, P0.05），親密度和情感表達(dá)為男生青春期性發(fā)育時(shí)相提前的保護(hù)因素（OR值分別為0.45、0.68, P0.05）。女生方面，家庭經(jīng)濟(jì)收入、感到母親過度干涉自己、感到父親經(jīng)常批評(píng)指責(zé)、感到母親經(jīng)常批評(píng)指責(zé)、矛盾性為女生青春期性發(fā)育時(shí)相提前的危險(xiǎn)因素（OR值分別為1.73、2.32、3.36、2.51、2.11P0.05,），情感表達(dá)為女生青春期性發(fā)育時(shí)相提前的保護(hù)因素（OR=0.82，P0.05）。 結(jié)論1、與國內(nèi)外相關(guān)研究數(shù)據(jù)對(duì)比，蘇州市兒童青少年青春期性發(fā)育呈提前趨勢(shì)。2、青春期性發(fā)育時(shí)相與家庭環(huán)境因素密切相關(guān)。男生方面，感到父親過度干涉自己、感到父親經(jīng)常批評(píng)指責(zé)、感到母親經(jīng)常批評(píng)指責(zé)、親密度和情感表達(dá)等因素和青春期性發(fā)育時(shí)相提前有統(tǒng)計(jì)學(xué)關(guān)聯(lián)；女生方面，家庭經(jīng)濟(jì)收入、感到母親過度干涉自己、感到父親經(jīng)常批評(píng)指責(zé)、感到母親經(jīng)常批評(píng)指責(zé)、矛盾性、情感表達(dá)等因素和青春期性發(fā)育時(shí)相提前有統(tǒng)計(jì)學(xué)關(guān)聯(lián)。
[Abstract]:Objective to understand the basic situation of puberty sexual development phase of children and adolescents in Suzhou, and to analyze the relationship between puberty sexual development phase and family environmental factors. It lays a foundation for the further study of adolescent health effects and provides scientific basis for carrying out targeted prevention and intervention measures. Methods A random stratified cluster sampling method was used to investigate 9456 students in 17 primary and secondary schools in Suzhou with self-made questionnaire on Children and adolescents' Health and Family Environment. A total of 9328 valid questionnaires were obtained. The median age of Tanner stage was calculated to describe the age distribution of boys and girls during puberty sexual development. The self-assessment scores of puberty sexual development-related events were grouped by percentile method. The factors related to the family environment were compared between the developmental phase group and the normal group, and the factors influencing the puberty development were screened by multivariate conditional logistic regression model. Results the age range of the subjects was 9 ~ 16 years, of which 54.23 were male and 45.77.1 male puberty: male external genitalia development Tanner 鈪

本文編號(hào)：2075560