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青少年饮酒与自伤行为关系
引用本文:归冰,何影,卢葳,董玲玲,杨宏,朱兴采,王仁利.青少年饮酒与自伤行为关系[J].中国学校卫生,2021,42(7):1052-1055.
作者姓名:归冰  何影  卢葳  董玲玲  杨宏  朱兴采  王仁利
作者单位:1.凉山州第一人民医院皮肤科, 四川 西昌 615000
基金项目:四川省医学会项目S17038
摘    要:  目的  探讨青少年饮酒行为与自伤行为的关系, 为相关部门预防青少年饮酒与自伤行为提供参考依据。  方法  使用饮酒行为问卷及自伤行为问卷收集饮酒与自伤信息, 对四川省凉山州整群抽取的4所中学9 247名中学生进行调查。采用单因素和多因素Logistic回归分析, 对饮酒行为和自伤行为关系进行分析。  结果  在9 247名初高中学生中, 尝试饮酒者占52.8%(4 885/9 247), 现在饮酒者占24.9%(2 304/9 247), 近1年有醉酒行为者占14.6%(1 350/9 247)。初次饮酒平均年龄为(12.47±3.05)岁。有自伤行为者占47.2%(4 400/9 247)。男生开始饮酒年龄越小(OR=1.52)、有醉酒行为(OR=1.35)及近期饮酒更频繁(OR=1.54)增加自伤发生率。女生开始饮酒年龄越小(OR=1.69)、有醉酒行为(OR=1.82)及家居城镇者(OR=1.20), 自伤风险更高。  结论  开始饮酒年龄越小、醉酒行为及频繁饮酒会增加青少年自伤风险, 且风险存在性别差异。

关 键 词:饮酒    自我伤害行为    精神卫生    回归分析    青少年
收稿时间:2021-02-23

Association of drinking behavior and self-injury behavior in adolescents
Affiliation:1.Dermatological Depart, First People's Hospital of Liangshan, Xichang (615000), Sichuan Province, China
Abstract:  Objective  To explore the association between drinking behavior and self-injury behavior in adolescents.  Methods  A total of 9 247 students from 4 middle schools were investigated. Drinking behavior and self-injury behavior were collected from questionnaire survey. Univariate and multivariate Logistic regression analysis were used to analyze the relationship between drinking behavior and self-injury behavior.  Results  Among the 9 247 middle school students, 52.8% reported ever drinking, 24.9% reported drinking behavior in the past 30 days, and 14.6% reported been drunk in the past year. The average age of drinking for the first time was 12.47±3.05. About 47.2% of the participants had self-injury behavior. Male with younger drinking age (OR=1.52), had been drunken (OR=1.35) and frequent drinking (OR=1.54) increased the incidence of self-injury. Female reported drinking at younger age (OR=1.69), had been drunk (OR=1.82) and lived in cities and towns (OR=1.20) had a higher risk of self-injury.  Conclusion  Drinking at younger age, heavy and frequent drinking are associated with higher risk of self-injury in adolescents in sex-specific fashion.
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