某中医药大学低年级学生亚健康状况及其相关因素分析

目的 探讨医学高校低年级学生亚健康的发生情况及其相关因素，为在大学生中普及健康生活方式及科学干预亚健康提供参考数据。方法 问卷调查4 952名学生亚健康的发生情况及其成因，采用SPSS 21.0软件进行统计分析。结果 亚健康得分为14（7，27）分，检出率为38.1%，城镇学生的健康状况优于乡村（Z=-3.599，P<0.001）；感觉疲劳（36.6%）、专注力低（29.6%）、记忆力差（28.1%）等是大学生亚健康的主要表现，亚健康得分高者的上述表现更严重。健康者的膳食情况（Z=-11.264，P<0.001）、体育活动（Z=-7.172，P<0.001）和不良事件数（Z=-14.207，P<0.001）等因素的得分均优于亚健康者。多因素Logistic回归分析显示，学习成绩（OR=1.647，95%CI:1.149~2.363，P=0.007）、体质指数（OR=1.117，95%CI:1.006~1.240，P=0.038）、不良事件数（OR=1.470，95%CI:1.154~1.874，P=0.002）和体育活动（OR=0.882，95%CI:0.790~0.985，P=0.026）等4个因素可能影响大学生亚健康的发生。结论 高校应密切关注大学生的健康状态，积极开展有针对性的干预活动。

An analysis of lower grade students' state of sub-health and correlative factors in a university of Chinese medicine

Objective To explore the prevalence of lower grade students' sub-health and correlative factors in medical colleges with the purpose to formulate reference data for popularizing healthy lifestyle and scientific intervention of sub-health among college students. Methods A total of 4 952 students were surveyed by Questionnaire, SPSS 21.0 software was used for statistical analysis. Results The sub-health score was 14(7,27), with a detection rate of 38.1%, and the healthy status of students from towns was better than those from rural areas(Z=-3.599, P<0.001). The common symptoms of sub-health among college students were fatigue (36.6%), low concentration (29.6%) and poor memory (28.1%), which was even worse especially among those with higher sub-health score. The scores of diet(Z=-11.264, P<0.001), physical activities(Z=-7.172, P<0.001) and adverse events(Z=-14.207, P<0.001) of healthy people were better than those of sub-health. The results of multiple Logistic regression analysis showed that 4 factors influenced the sub-health status among the students, including academic achievement (OR=1.647, 95% CI:1.149-2.363, P=0.007), body mass index(OR=1.117, 95% CI:1.006-1.240, P=0.038), adverse events (OR=1.470, 95% CI:1.154-1.874, P=0.002) and physical activities (OR=0.882, 95% CI:0.790-0.985, P=0.026). Conclusion Universities should pay more attention to the health state of college students as well as actively conduct targeted intervention activities.