摘要
目的 探讨中学生遭受校园欺凌的影响因素并建立风险预测的列线图模型,为防控中学生遭受校园欺凌提供理论依据。方法 于2021年9-11月,采用分层整群随机抽样方法在江苏省13个设区市范围内抽取22 034名中学生,使用学生健康行为调查表对其进行问卷调查。采用χ2检验和多因素Logistic回归分析得出遭受校园欺凌的影响因素,绘制列线图预测模型。结果 有540名中学生遭受校园欺凌,遭受校园欺凌报告率为2.45%。处于非常态家庭(OR=1.30,95%CI=1.02~1.65)、超重肥胖(OR=1.35,95%CI=1.09~1.67)、过去30 d内被家长打骂(OR=2.27,95%CI=1.82~2.84)、过去30 d内吸烟(OR=1.54,95%CI=1.11~2.15)、网络成瘾(OR=2.03,95%CI=1.34~3.08)、抑郁症状(OR=5.24,95%CI=4.16~6.61)均与中学生遭受校园欺凌呈正相关,女生(OR=0.58,95%CI=0.46~0.72)、高中生(OR=0.68,95%CI=0.54~0.83)、有时吃早餐(OR=0.37,95%CI=0.22~0.62)、每天吃早餐(OR=0.28,95%CI=0.17~0.49)与中学生遭受校园欺凌均呈负相关(P值均<0.05)。基于以上影响因素建立的列线图,曲线下面积为0.792(95%CI=0.769~0.815),校准曲线显示预测值与实测值基本一致。结论 处在非常态家庭、超重肥胖、男生、初中生、被家长打骂、吸烟、网络成瘾、有抑郁症状的中学生容易遭受校园欺凌。研究构建的列线图可为有效预测中学生遭受校园欺凌的风险并采取积极主动的干预措施提供依据。
Objective To explore the influencing factors of exposure to campus bullying among junior and senior school students,and to establish a column-line diagram model for risk prediction,while providing a theoretical basis for campus bullying prevention and control in secondary schools.Methods A total of 22034 junior and senior school students were selected via direct sampling technique from September to November 2021 in 13 cities in Jiangsu Province,China,and questionnaires were administered using the Student Health Behavior Questionnaire.The Chi-squared test and multifactor Logistic regression analysis were used to derive the influencing factors of exposure to campus bullying,and a column-line graph prediction model was drawn.Results A total of 540 students reported that they had experienced campus bullying,with a prevalence rate of 2.45%.Being in a non-conventional family(OR=1.30,95%CI=1.02-1.65),overweight/obesity(OR=1.35,95%CI=1.09-1.67),scolding by parents in the past 30 days(OR=2.27,95%CI=1.82-2.84),cigarette smoking in the past 30 days(OR=1.54,95%CI=1.11-2.15),Internet addiction(OR=2.03,95%CI=1.34-3.08),and depressive symptoms(OR=5.24,95%CI=4.16-6.61),all of which were positively correlated with exposure to campus bullying among junior and senior school students(P<0.05).Furthermore,the following factors were negatively associated with junior and senior school students'protection from campus bullying in female students(OR=0.58,95%CI=0.46-0.72),senior school students(OR=0.68,95%CI=0.54-0.83),eating breakfast sometimes(OR=0.37,95%CI=0.22-0.62),and eating breakfast everyday(OR=0.28,95%CI=0.17-0.49)(P<0.05).The column line graph established based on the above influencing factors had an area under the curve of 0.792(95%CI=0.769-0.815),and the calibration curve showed that the predicted value was basically the same as the measured value.Conclusions Non-conventional families,overweight/obesity,male students,junior school students,scolding by parents,cigarette smoking,Internet addiction,and depressive symptoms are corre
作者
杨文漪
王艳
张锡彦
项耀
王欣
杨婕
YANG Wenyi;WANG Yan;ZHANG Xiyan;XIANG Yao;WANG Xin;YANG Jie(Institute of Child and Adolescent Health Promotion,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing(210009),Jiangsu Province,China)
出处
《中国学校卫生》
CAS
北大核心
2023年第12期1788-1792,1798,共6页
Chinese Journal of School Health
基金
江苏省重点研发计划(社会发展)专项基金项目(BE2021617)。
关键词
暴力
回归分析
列线图
精神卫生
学生
Violence
Regression analysis
Nomograms
Mental health
Students
