受虐待小学生危害健康行为及其影响因素研究

发布时间：2018-05-01 15:06

本文选题：小学生 + 儿童虐待　；参考：《重庆医科大学》2010年硕士论文

【摘要】： 目的研究受虐待小学生危害健康行为的可能危险因素;探讨对受虐与危害健康行为二者关系可能有影响的中介变量或调节变量的作用。 1、探讨排除性别、年龄、社会经济因素的影响后,受虐组与非受虐组小学生危害健康行为有无差异;探讨受虐待小学生伤害和暴力(包括自杀)行为、酒精和烟草使用行为、不良饮食和体重控制行为的可能危险因素。 2、探讨排除性别、年龄、社会经济因素的影响后,受虐组与非受虐组小学生社交焦虑、抑郁、自尊、自我意识、复原力有无差异;探讨社交焦虑、抑郁、自尊、自我意识、复原力在受虐与危害健康行为的关系中是否存在中介或调节作用。方法 1、采用病例匹配对照研究,受虐组为儿童受虐筛查表筛查出的受虐待小学生169例,非受虐组为其同班同学169例,二者在性别、年龄、家庭婚姻状况、家庭月均收入方面匹配。采用Pearsonχ2检验比较受虐组与非受虐组危害健康行为构成比有无差异;在受虐组内将各受虐维度、性别、年龄、家庭婚姻状况、家庭月均收入与危害健康行为做Spearman秩相关分析,将Spearman秩相关分析显著的变量作为自变量,各危害健康行为作为因变量做多分类Logistic回归分析。 2、采用t检验比较受虐组(169例)与非受虐组(169例)社交焦虑、抑郁、自尊、自我意识、复原力得分有无差异;在受虐组内将社交焦虑、抑郁、自尊、自我意识、复原力与危害健康行为做Spearman秩相关分析;采用检验回归系数是否显著的方法,对社交焦虑、抑郁、自尊、自我意识、复原力在受虐与危害健康行为中可能存在的中介或调节作用进行检验。结果 1、除因打架就诊、开始吸烟的年龄、每天吸多少支烟、曾通过运动减肥、曾无医生指导服用减肥药、曾通过呕吐或服用泻药减肥6个条目外,受虐组与非受虐组其余危害健康行为构成比差异有显著性; Spearman秩相关分析显示,除每天吸多少支烟、开始吸烟的年龄、少吃或吃低热低脂食物减肥3个条目外,其余危害健康行为均与特定受虐维度显著正相关;打架、曾喝过一整杯酒、开始吸烟的年龄3个条目与性别(男孩=1,女孩=2)显著负相关;乱穿马路条目与年龄显著正相关;曾喝过一整杯酒与家庭月均收入(1500元/月=1、1500-3000元=2、3000元/月=3)显著负相关;未发现任何危害健康行为与家庭婚姻状况相关。多分类Logistic回归显示,年龄是“偶尔”乱穿马路、“经常”乱穿马路的可能危险因素;躯体忽视是“经常”打架的可能危险因素;性别是“偶尔”打架、“经常”打架、“偶尔”曾喝过一整杯酒的可能危险因素;躯体虐待是“经常”因打架就诊、“偶尔”禁食24小时或更长时间减肥的可能危险因素;情感忽视是“偶尔”曾认真考虑结束生命、“经常”认真考虑结束生命、“偶尔”尝试过结束生命的可能危险因素;性虐待是“偶尔”曾喝过一整杯酒、“经常”曾喝过一整杯酒、“偶尔”曾无医生指导服用减肥药、“经常”曾通过呕吐或服用泻药减肥的可能危险因素;安全忽视是“偶尔”曾尝试过吸烟的可能危险因素。 2、受虐组与非受虐组社交焦虑、抑郁、自尊、自我意识、复原力得分差异均有显著性; Spearman秩相关分析显示,乱穿马路、受同伴恐吓辱骂或殴打、曾尝试过吸烟3个条目均与自尊显著正相关;打架、因打架就诊、受同伴恐吓辱骂或殴打、认真考虑结束生命、做出结束生命的计划、尝试过结束生命、曾尝试过吸烟、禁食24小时或更长时间减肥8个条目均与自我意识显著负相关;认真考虑结束生命、做出结束生命的计划、尝试过结束生命、曾通过运动减肥、禁食24小时或更长时间减肥5个条目均与社交焦虑显著正相关;受同伴恐吓辱骂或殴打、认真考虑结束生命、做出结束生命的计划、尝试过结束生命、曾通过运动减肥、禁食24小时或更长时间减肥6个条目均与抑郁显著正相关;打架、尝试过结束生命、曾喝过一整杯酒、曾尝试过吸烟、禁食24小时或更长时间减肥5个条目均与复原力显著负相关。自尊对受虐与“经常”因打架就诊行为之间的关系具有调节作用。自我意识对受虐与“经常”打架行为之间的关系具有完全中介作用;自我意识对受虐与“偶尔”受同伴恐吓辱骂或殴打之间的关系具有完全中介作用;自我意识对受虐与“经常”认真考虑结束生命之间的关系具有部分中介作用。社交焦虑对受虐与“偶尔”认真考虑结束生命之间的关系具有部分中介作用;社交焦虑对受虐与“经常”认真考虑结束生命之间的关系具有部分中介作用;社交焦虑对受虐与“偶尔”做出结束生命的计划之间的关系具有部分中介作用;社交焦虑对受虐与“偶尔”尝试过结束生命之间的关系具有部分中介作用。抑郁对受虐与“偶尔”受同伴恐吓辱骂或殴打之间的关系具有完全中介作用;抑郁对受虐与“偶尔”认真考虑结束生命之间的关系具有部分中介作用;抑郁对受虐与“经常”认真考虑结束生命之间的关系具有部分中介作用;抑郁对受虐与“偶尔”做出结束生命的计划之间的关系具有完全中介作用;抑郁对受虐与“偶尔”尝试过结束生命之间的关系具有完全中介作用。复原力对受虐与“经常”打架之间的关系具有完全中介作用;复原力对受虐与“偶尔”尝试过结束生命之间的关系具有部分中介作用。结论 1、多种类型虐待是受虐待小学生危害健康行为的可能危险因素。主要发现有:情感忽视是受虐待小学生自杀行为的可能危险因素;性虐待是受虐待小学生物质滥用的可能危险因素;躯体虐待可能存在代际传递性。 2、社交焦虑、抑郁、自尊、自我意识、复原力对受虐与危害健康行为的关系均具有中介或(和)调节作用。 3、社交焦虑、抑郁对受虐与自杀行为的关系具有重要中介作用。
[Abstract]:objective
Study the possible risk factors of ill treated pupils' harm to health behavior, and explore the role of intermediary variables or regulatory variables that may have an impact on the relationship between two persons who suffer from abuse and harm to healthy behavior.
1, after discussing the effects of eliminating sex, age, and socioeconomic factors, there was no difference in the harm to health behavior among the primary school pupils and the non masochism group, and the possible risk factors for the injury and violence (including suicide) behavior, alcohol and tobacco use behavior, the bad diet and the weight control behavior of the abused pupils.
2, after eliminating the influence of gender, age, and socioeconomic factors, there is no difference in social anxiety, depression, self-esteem, self consciousness and resilience of primary school pupils in abused and non masochistic groups, and whether there is a mediator or regulatory role in the relationship between social anxiety, depression, self-esteem, self consciousness, and resilience in the relationship between masochism and harm to healthy behavior.
Method
1, using case matched control study, 169 cases of abused pupils who were abused by masochism screening screening list, 169 cases of non masochism group as their classmates, two in sex, age, family marital status, and family monthly income. Pearson chi 2 test was used to compare the ratio of health behavior of abused group and non masochistic group. Different dimensions, gender, age, family marital status, family monthly income and harmful health behavior were analyzed by Spearman rank correlation in masochism group, and the significant variables of Spearman rank correlation analysis were taken as independent variables, and the harmful health behavior was used as the dependent variable to make multiple classification Logistic regression analysis.
2, t test was used to compare the scores of social anxiety, depression, self-esteem, self consciousness and resilience in the abused group (169 cases) and the non masochistic group (169 cases). In the masochism group, the social anxiety, depression, self-respect, self consciousness, the re force and the harmful health behavior were analyzed by the Spearman rank correlation analysis, and the method of testing whether the regression coefficient was significant or not, was used to socialize. Anxiety, depression, self-esteem, self-awareness and resilience may be used to examine the mediating or moderating effects of masochism and risky health behaviors.
Result
1, in addition to the age of smoking, the age of smoking, how many cigarettes were taken every day, had lost weight by exercise, had no doctor guidance to take the weight loss medicine, had 6 items by vomiting or taking laxatives, and the proportion of the other health behaviors of the abused group and the non masochistic group was significantly different.
Spearman rank correlation analysis showed that, except for a number of cigarettes per day, the age of starting smoking, 3 items of eating less or eating low fat and low fat food, the rest of the harmful health behaviors were significantly correlated with the specific masochism dimension; fighting, drinking a whole cup of wine, and smoking age 3 items were significantly negatively correlated with sex (boy =1, girl =2); There was a significant positive correlation between street entry and age; once a whole cup of wine had a significant negative correlation with family monthly income (1500 yuan / =11500-3000 yuan =23000 yuan / month =3), and no harmful health behavior was found to be related to family marital status.
Multiple Logistic regression shows that age is a possible risk factor for "occasionally" crossing the road, "often" crossing the road; physical neglect is a possible risk factor for "frequent" fighting; sex is a "occasional" fight, "often", "occasionally" a whole cup of wine possible risk factors; physical abuse is "frequent" because of A fight, "occasionally" a possible risk factor for losing weight for 24 hours or more; emotional neglect is "occasionally" seriously considering ending life, "often" seriously considering ending life, "occasionally" trying to end life's possible risk factors; sexual abuse is "occasionally" once a cup of wine, "often" once drank a drink. A whole cup of wine, "occasionally" without a doctor's guidance to take a diet pill, "often" a possible risk factor for losing weight through vomiting or taking a laxative; safety neglect is a possible risk factor for "occasional" attempts to smoke.
2, there were significant differences in the scores of social anxiety, depression, self-esteem, self-consciousness and resilience between the battered group and the non abused group.
Spearman rank correlation analysis showed that 3 items of smoking, who were used to cross the road, were intimidated or beaten by companions, had a significant positive correlation with self-esteem, fighting, fighting for fighting, being intimidated or beaten by a fellows, thinking about ending life, making a plan for ending life, trying to end life, trying to smoke, fasting 24 hours or more. 8 items for long term weight loss were significantly negatively related to self awareness; careful consideration of ending life, making a plan for ending life, trying to end life, losing weight by exercise, and losing weight for 24 hours or longer, 5 items were positively related to social anxiety; being intimidated with abuse or beating, seriously considering ending life, making life, making An end to life, an attempt to end life, 6 items of weight loss through exercise, 24 hours of fasting or longer weight loss were significantly correlated with depression; fighting, trying to end life, drinking a whole cup of wine, having tried smoking, and losing weight for 24 hours or longer, all 5 items were negatively correlated with resilience.
Self esteem has a moderating effect on the relationship between masochism and "frequent" fighting behavior.
Self awareness has a complete intermediary role in the relationship between masochism and "frequent" fighting; self consciousness has a complete intermediary role in the relationship between masochism and "occasional" intimidation or assault, and self consciousness has a partial intermediary role in the relationship between abuse and "frequent" serious consideration of the end of life.
Social anxiety has a partial mediating effect on the relationship between abuse and "occasional" serious consideration of the end of life; social anxiety has a partial mediating effect on the relationship between abuse and "frequent" serious consideration of the end of life; the relationship between social anxiety and a plan to make a "occasional" end to life is partly mediated by social anxiety. Social anxiety plays a mediating role in the relationship between masochism and the "occasional" attempt to end life.
Depression has a mediating role in the relationship between masochism and "occasional" peer abuse or assault; depression has a partial mediating effect on the relationship between abuse and "occasional" serious consideration of the end of life; depression has a partial mediating effect on the relationship between abuse and "frequent" serious consideration of the end of life. Depression is a mediator. The relationship between masochism and "occasional" plans to end life has a complete intermediary role, and depression has a full intermediary role in the relationship between abuse and the "occasional" attempt to end life.
Resilience has a complete intermediary role in the relationship between masochism and "frequent" fighting, and resilience has a partial mediating effect on the relationship between abuse and the "occasional" attempt to end life.
conclusion
1, multiple types of abuse are possible risk factors for ill treated pupils. The main findings are as follows: emotional neglect is a possible risk factor for abused pupils' suicide; sexual abuse is a possible risk factor for abused pupils' substance abuse; physical abuse may exist in intergenerational transmissibility.
2, social anxiety, depression, self-esteem, self-awareness and resilience play an intermediary or (or) moderating role in the relationship between abuse and risky health behaviors.
3, social anxiety and depression play an important mediating role in the relationship between masochism and suicidal behavior.

【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R395

【引证文献】