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四川省农村留守儿童健康危险行为潜类别分析

发布时间:2019-06-28 13:32
【摘要】:目的探讨四川省农村留守儿童健康危险行为模式的潜类别,为制定有针对性的干预计划提供科学依据。方法采用《青少年健康相关行为调查问卷》对四川省资中县2所乡镇中学2805名学生进行自填式问卷调查,以其中1596名留守儿童为研究对象,采用MPLUS7.4软件运行潜在类别分析。结果根据潜在类别模型将八类留守儿童健康危险行为分4个潜类:高危险行为组,即所有的健康危险行为条件概率相对均高,有69人,占总体4%;高自我伤害和自杀行为组有321人,占总体20%;中等危险行为组有479人,占总体30%;低危险行为组,即所有的健康危险行为条件概率均低,有727人,占总体46%。多类别logistic回归结果显示,相对于低危险行为组,父母关系越不好(OR=4.491,95%CI=2.480~9.727)的留守男生(OR=2.221,95%CI=1.319~3.740)更易进入高危险行为组;月生活费高(≥700元)(OR=2.032,95%CI=1.175~3.514)、父母关系不好(OR=2.983,95%CI=1.927~4.616)的留守儿童更易进入高自我伤害和自杀行为组;月生活费高(OR=2.448,95%CI=1.497~4.004)、父母关系一般(OR=1.774,95%CI=1.305~2.411)的高一(OR=2.016,95%CI=1.409~2.883)留守男生(OR=2.109,95%CI=1.654~2.689)更易进入中等危险行为组。结论留守儿童的健康危险行为存在明显潜类别,行为成簇出现且比例不同,生活费越高且父母关系越差的男性留守儿童健康危险行为比例高。提示这类留守儿童是健康危险行为干预重点,并且应该制定成组干预方案。
[Abstract]:Objective to explore the hidden categories of health risk behavior patterns of left-behind children in rural areas of Sichuan Province, and to provide scientific basis for making targeted intervention plans. Methods 2805 students from 2 township middle schools in Zizhong County of Sichuan Province were investigated with the questionnaire of Adolescent Health related behaviors. 1596 left-behind children were selected as the subjects and the potential categories were analyzed by MPLUS7.4 software. Results according to the potential category model, the health risk behaviors of eight types of left-behind children were divided into four latent categories: high risk behavior group, 69 health risk behavior conditional probability, 321 high self-harm and suicidal behavior group, 479 middle risk behavior group, 30% of the total health risk behavior group, 69 health risk behavior group, 321 high self-harm and suicidal behavior group, 479 high risk behavior group, 69 health risk behavior group, 321 children's health risk behavior group, 479 children's health risk behavior group. In the low risk behavior group, the probability of all health risk behavior conditions was low, with 727 people, accounting for 46% of the total. Compared with the low risk behavior group, the left-behind boys (OR=2.221,95%CI=1.319~3.740) with poor parental relationship (OR=4.491,95%CI=2.480~9.727) were more likely to enter the high risk behavior group, the monthly living expenses were higher (鈮,

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