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四川省農村留守兒童健康危險行為潛類別分析

發(fā)布時間:2019-06-28 13:32
【摘要】:目的探討四川省農村留守兒童健康危險行為模式的潛類別,為制定有針對性的干預計劃提供科學依據。方法采用《青少年健康相關行為調查問卷》對四川省資中縣2所鄉(xiāng)鎮(zhèn)中學2805名學生進行自填式問卷調查,以其中1596名留守兒童為研究對象,采用MPLUS7.4軟件運行潛在類別分析。結果根據潛在類別模型將八類留守兒童健康危險行為分4個潛類:高危險行為組,即所有的健康危險行為條件概率相對均高,有69人,占總體4%;高自我傷害和自殺行為組有321人,占總體20%;中等危險行為組有479人,占總體30%;低危險行為組,即所有的健康危險行為條件概率均低,有727人,占總體46%。多類別logistic回歸結果顯示,相對于低危險行為組,父母關系越不好(OR=4.491,95%CI=2.480~9.727)的留守男生(OR=2.221,95%CI=1.319~3.740)更易進入高危險行為組;月生活費高(≥700元)(OR=2.032,95%CI=1.175~3.514)、父母關系不好(OR=2.983,95%CI=1.927~4.616)的留守兒童更易進入高自我傷害和自殺行為組;月生活費高(OR=2.448,95%CI=1.497~4.004)、父母關系一般(OR=1.774,95%CI=1.305~2.411)的高一(OR=2.016,95%CI=1.409~2.883)留守男生(OR=2.109,95%CI=1.654~2.689)更易進入中等危險行為組。結論留守兒童的健康危險行為存在明顯潛類別,行為成簇出現且比例不同,生活費越高且父母關系越差的男性留守兒童健康危險行為比例高。提示這類留守兒童是健康危險行為干預重點,并且應該制定成組干預方案。
[Abstract]:Objective to explore the hidden categories of health risk behavior patterns of left-behind children in rural areas of Sichuan Province, and to provide scientific basis for making targeted intervention plans. Methods 2805 students from 2 township middle schools in Zizhong County of Sichuan Province were investigated with the questionnaire of Adolescent Health related behaviors. 1596 left-behind children were selected as the subjects and the potential categories were analyzed by MPLUS7.4 software. Results according to the potential category model, the health risk behaviors of eight types of left-behind children were divided into four latent categories: high risk behavior group, 69 health risk behavior conditional probability, 321 high self-harm and suicidal behavior group, 479 middle risk behavior group, 30% of the total health risk behavior group, 69 health risk behavior group, 321 high self-harm and suicidal behavior group, 479 high risk behavior group, 69 health risk behavior group, 321 children's health risk behavior group, 479 children's health risk behavior group. In the low risk behavior group, the probability of all health risk behavior conditions was low, with 727 people, accounting for 46% of the total. Compared with the low risk behavior group, the left-behind boys (OR=2.221,95%CI=1.319~3.740) with poor parental relationship (OR=4.491,95%CI=2.480~9.727) were more likely to enter the high risk behavior group, the monthly living expenses were higher (鈮,

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