安徽省某市青少年学生对肥胖态度及其与心理健康关系
发布时间：2019-02-17 19:41
【摘要】：目的了解安徽省某市青少年学生对待肥胖者态度，及超重和肥胖学生对自身肥胖的内在化歧视态度的现状，探讨自尊、抑郁、应对方式、生活满意度等心理健康因素与歧视态度的关联性，为降低对肥胖的歧视，更好的控制肥胖增长趋势提供一定依据。 方法采用分层整群抽样方法，根据学历分层，整群抽取合肥市初中、高职及大学各1所，共调查2981名学生。在获得调查对象口头知情同意的情况下，由经过培训的调查员，组织以班级为单位独立匿名答卷。内容包括学生的一般人口学特征（性别、年龄、身高、体重等）、对待肥胖者态度测试、内在化歧视量表、自尊调查表、自评抑郁量表、简易应对方式问卷、多维学生生活满意度调查表等。在进行单因素分析的基础上，将对待肥胖者态度测试得分分别与自尊、抑郁、应对方式(分为积极应对方式和消极应对方式)、生活满意度等心理健康因素进行相关分析。并根据BMI值获取超重及肥胖青少年学生，将内在化歧视量表得分分别与自尊、抑郁、应对方式、生活满意度等心理健康因素进行相关分析。以自尊、抑郁、应对方式和生活满意度为外生变量，内在化歧视量表得分为内生变量，采用结构方程模型，依据歧视相关理论建立并绘制内在化歧视模型的路径分析图。 结果对待肥胖者态度得分在不同性别、学历、BMI及心理健康水平间的差异有统计学意义，男生得分为2.326±0.518，高于女生2.096±0.455；大学生得分2.069±0.466低于初中（2.273±0.480）和高职（2.270±0.533）学生；消瘦学生得分最高为2.378±0.579，而超重学生得分最低为2.070±0.465。多元线性回归结果提示，低自尊、高抑郁、低生活满意度、消极应对方式可能是导致青少年对待肥胖者态度得分较高的原因。根据BMI值获取超重及肥胖青少年学生共203名，他们的内在化歧视得分在不同性别、学历及心理健康水平间的差异也有统计学意义，男生得分为3.755±0.983，低于女生（4.075±0.936），，大学生得分为3.371±0.861，低于初中学生（4.004±1.013），而高职学生得分最高为4.142±0.807。经过多元线性回归分析和AMOS路径分析结果表明，生活满意度和自尊对内在化歧视存在直接影响作用；自尊通过影响积极应对方式，进而对生活满意度造成影响，间接影响内在化歧视；抑郁通过影响生活满意度间接影响内在化歧视。 结论本地区青少年对肥胖存在不同程度的歧视，不同性别、学历及心理健康状态与对待肥胖的态度有一定的相关性，提示可以通过培养学生建立良好的自尊，促进积极健康的心态的形成，以降低对肥胖的歧视，从而更好的达到控制肥胖增长趋势的目的。
[Abstract]:Objective to understand the attitude of adolescent students towards obesity and the status quo of the attitude of overweight and obese students towards their own obesity, and to explore their self-esteem, depression and coping styles. The relationship between psychological health factors such as life satisfaction and discriminatory attitudes provides a basis for reducing the discrimination against obesity and better controlling the increasing trend of obesity. Methods A stratified cluster sampling method was used to select 1 junior middle school, 1 higher vocational school and 1 university in Hefei according to the stratification of educational background. A total of 2981 students were investigated. With the oral informed consent of the subjects, the trained investigators organized independent anonymous responses in class. The contents include the general demographic characteristics of the students (sex, age, height, weight, etc.), attitude tests for obese people, internalization discrimination scale, self-esteem questionnaire, self-rating depression scale, simple coping style questionnaire, etc. Multi-dimensional student life satisfaction questionnaire and so on. On the basis of univariate analysis, the scores of attitude test were analyzed with mental health factors such as self-esteem, depression, coping style (including positive coping style and negative coping style), life satisfaction and so on. The scores of internalized discrimination scale were correlated with mental health factors such as self-esteem, depression, coping style, life satisfaction and so on. Self-esteem, depression, coping style and life satisfaction were taken as exogenous variables, and the scores of internalized discrimination scale were taken as endogenous variables. The structural equation model was used to establish and draw the path analysis map of the internalized discrimination model according to the theory of discrimination. Results the scores of attitude towards obesity were significantly different among different genders, educational background, BMI and mental health level. The scores of boys were 2.326 卤0.518, higher than that of girls 2.096 卤0.455; The scores of 2.069 卤0.466 students were lower than that of junior high school students (2.273 卤0.480) and higher vocational students (2.270 卤0.533), the highest scores of thin students were 2.378 卤0.579, and the lowest scores of overweight students were 2.070 卤0.465. The results of multiple linear regression suggested that low self-esteem, high depression, low life satisfaction and negative coping styles might be the reasons for the higher scores of adolescents' attitude towards obesity. According to the BMI value, a total of 203 overweight and obese adolescent students were obtained. Their scores of internal discrimination were statistically significant among different sexes, educational background and mental health level. The scores of male students were 3.755 卤0.983, respectively. Lower than female students (4.075 卤0.936), the score of college students is 3.371 卤0.861, lower than junior middle school students (4.004 卤1.013), while the highest score of higher vocational students is 4.142 卤0.807. The results of multiple linear regression analysis and AMOS path analysis showed that life satisfaction and self-esteem had direct effects on internalized discrimination. Self-esteem affects positive coping style, and then affects life satisfaction, indirectly affects internalization discrimination; depression indirectly affects internalized discrimination by influencing life satisfaction. Conclusion there are different degrees of discrimination against obesity among adolescents in this area. Different gender, educational background and mental health status are related to attitudes towards obesity, suggesting that good self-esteem can be established by cultivating students. To promote the formation of a positive and healthy attitude, to reduce the discrimination against obesity, so as to better control the growth trend of obesity.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R589.25
[Abstract]:Objective to understand the attitude of adolescent students towards obesity and the status quo of the attitude of overweight and obese students towards their own obesity, and to explore their self-esteem, depression and coping styles. The relationship between psychological health factors such as life satisfaction and discriminatory attitudes provides a basis for reducing the discrimination against obesity and better controlling the increasing trend of obesity. Methods A stratified cluster sampling method was used to select 1 junior middle school, 1 higher vocational school and 1 university in Hefei according to the stratification of educational background. A total of 2981 students were investigated. With the oral informed consent of the subjects, the trained investigators organized independent anonymous responses in class. The contents include the general demographic characteristics of the students (sex, age, height, weight, etc.), attitude tests for obese people, internalization discrimination scale, self-esteem questionnaire, self-rating depression scale, simple coping style questionnaire, etc. Multi-dimensional student life satisfaction questionnaire and so on. On the basis of univariate analysis, the scores of attitude test were analyzed with mental health factors such as self-esteem, depression, coping style (including positive coping style and negative coping style), life satisfaction and so on. The scores of internalized discrimination scale were correlated with mental health factors such as self-esteem, depression, coping style, life satisfaction and so on. Self-esteem, depression, coping style and life satisfaction were taken as exogenous variables, and the scores of internalized discrimination scale were taken as endogenous variables. The structural equation model was used to establish and draw the path analysis map of the internalized discrimination model according to the theory of discrimination. Results the scores of attitude towards obesity were significantly different among different genders, educational background, BMI and mental health level. The scores of boys were 2.326 卤0.518, higher than that of girls 2.096 卤0.455; The scores of 2.069 卤0.466 students were lower than that of junior high school students (2.273 卤0.480) and higher vocational students (2.270 卤0.533), the highest scores of thin students were 2.378 卤0.579, and the lowest scores of overweight students were 2.070 卤0.465. The results of multiple linear regression suggested that low self-esteem, high depression, low life satisfaction and negative coping styles might be the reasons for the higher scores of adolescents' attitude towards obesity. According to the BMI value, a total of 203 overweight and obese adolescent students were obtained. Their scores of internal discrimination were statistically significant among different sexes, educational background and mental health level. The scores of male students were 3.755 卤0.983, respectively. Lower than female students (4.075 卤0.936), the score of college students is 3.371 卤0.861, lower than junior middle school students (4.004 卤1.013), while the highest score of higher vocational students is 4.142 卤0.807. The results of multiple linear regression analysis and AMOS path analysis showed that life satisfaction and self-esteem had direct effects on internalized discrimination. Self-esteem affects positive coping style, and then affects life satisfaction, indirectly affects internalization discrimination; depression indirectly affects internalized discrimination by influencing life satisfaction. Conclusion there are different degrees of discrimination against obesity among adolescents in this area. Different gender, educational background and mental health status are related to attitudes towards obesity, suggesting that good self-esteem can be established by cultivating students. To promote the formation of a positive and healthy attitude, to reduce the discrimination against obesity, so as to better control the growth trend of obesity.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R589.25
【参考文献】
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1 李晓苗;张芳芳;孙昕
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