风险决策同伴影响抵抗对青少年问题网络使用预测效应的随访研究

发布时间：2018-05-08 22:01

本文选题：精神卫生 + 因特网　；参考：《中国学校卫生》2014年09期

【摘要】：目的探讨同伴影响抵抗和风险决策对青少年问题网络使用的预测效应,为早期发现青少年网络成瘾高危人群及制定有针对性干预措施提供参考依据。方法在广州和沈阳两市分别抽取5所和3所初中。每所初中选取初一年级全体学生为研究对象,对其随访调查12个月。采用同伴影响抵抗问卷(RPIS)和风险决策问卷(YDMQ)评价青少年同伴影响抵抗和风险决策水平及其对问题网络使用的影响。结果基线调查2 103名青少年,问题网络使用发生率为14.3%。1 a后随访1 853名,失访率为11.9%。新发PIU为307名(16.6%),持续PIU为150名(8.1%),116名(6.3%)青少年在基线时报告PIU,1 a随访后报告无PIU(终止组)。与对照组相比,PIU新发组和持续组风险决策得分高、同伴影响抵抗得分低(P值均0.01)。Logistic回归模型中控制基线PIU、性别、地区、父母文化程度和家庭经济后,风险决策高、同伴影响抵抗低均是随访PIU和新发PIU的危险性预测因素(B值分别为0.904,0.650,0.936,0.741,P值均0.01),同伴影响抵抗高是PIU中止的保护性预测因素(B=-0.625,P0.05)。结论同伴影响抵抗能力较差和风险决策较高的青少年可作为健康危害行为早期筛查和干预的重点人群。
[Abstract]:Objective to explore the predictive effect of peer impact resistance and risk decision on the use of Internet for adolescents, so as to provide a reference for early detection of high risk groups of adolescents with Internet addiction and the formulation of targeted intervention measures. Methods five middle schools and three junior high schools were selected in Guangzhou and Shenyang, respectively. All the junior middle school students were followed up for 12 months. Peer impact resistance questionnaire (RPIS) and risk decision questionnaire (YDMQ) were used to evaluate the level of peer impact resistance and risk decision making and their impact on the use of problem networks. Results in the baseline survey of 2 103 adolescents, the incidence of problem network use was 14. 3.1 a follow-up of 1 853, and the missing rate was 11. 9%. The number of newly developed PIU was 16. 6% and that of continuous PIU was 150. 116 young people reported that there was no PIU at baseline after 1 year follow up (termination group). Compared with the control group, the risk decision scores of the newly developed group and the continuous group were higher than those of the control group. The risk decision-making was higher in the 0.01).Logistic regression model with lower scores of peer impact resistance than that in the control group, including the baseline, sex, area, parents' education level and family economy. The risk predictive factors of PIU and PIU were 0.904 ~ 0.650 ~ 0.650 ~ 0.96 ~ 0.74 ~ (-1) P, respectively. Peer resistance was a protective predictor of PIU discontinuation (P = 0.904 ~ (-0.625) (P ~ (0.05). Conclusion adolescents with poor peer impact resistance and high risk decision can be used as the key population for early screening and intervention of health hazard behavior.
【作者单位】：安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/安徽人口健康与优生省级实验室;广州市中小学卫生保健所;沈阳市皇姑区中小学卫生保健所;沈阳市法库县中小学卫生保健所;
【基金】：国家自然科学基金青年项目(81102146)
【分类号】：B844.2

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