Chinese Journal of School Health最新文献

{"title":"Interaction effects between the dietary behaviors and the type of caregivers on their overweight or obesity among left-behind children","authors":"Sha Mian, Xu Jiali, Song Yongjing, Lu Jinkui, wu xiaoyan, XU Honglyu","doi":"10.16835/J.CNKI.1000-9817.2020.11.019","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.019","url":null,"abstract":"Objective To explore the association between interaction effects of dietary behaviors and caregivers’s type on overweight or obesity among left-behind children, and to provide a reference for overweight or obesity prevention among the left-behind children. Methods From October to December 2018, 877 left-behind children aged 7-18 years were randomly selected from a stratified cluster in county, Shangrao City, Jiangxi Province.Type of caregives, dietary behavior, health status were collected from questionnaires, height, weight were examined. Results The detection rate of overweight and obesity in left-behind children was 21.7% (190/877), and the rate of overweight and obese left-behind children with other foster parents was 29.8% (158/530), higher than the rate of 16.2%(32/198). The detection rate of overweight and obesity of left-behind children who consumed high level of western fast food was 59.0%(59/100). There were significant differences in rate of overweight and obesity by type of caregiver and western food consumption. Regression analysis showed that the detection rate of overweight and obesity of left-behind children who often ate western fast food was 5.70 times (95% CI = 3.62-8.99) high than that of those who seldom ate western fast food. Interaction analysis showed that the interaction (synergistic effect) of the type of adopter × whether the adopter often ate western fast food (father or mother × yes) presents a positive multiplying interaction (synergistic effect) . Left-behind children under paternal or maternal care together with high western fast food consumption greatly increased the risk of overweight and obesity ( OR = 6.94, 95%CI = 2.7617.44). Conclusion Frequent consumption of western fast food together with one parent stay at home is associated with overweight and obesity of left-behind children. These two factors have a synergistic effect, which greatly increases the risk of overweight and obesity of left-behind children. In other words, their interaction is a major risk factor. 【摘要】 目的 研究留守儿童带养人类型与饮食行为交互作用与留守儿童超重肥胖的关联，为减少留守儿童超重肥胖的 发生提供干预依据和参考。 方法 于2018年10—12月，分层整群随机抽取江西省上饶市玉山县区7~ 18岁877名留守儿 童，对其带养人类型、饮食行为、健康状况进行问卷调査和身髙、体重等项目测试。 结果 留守儿童超重肥胖的检出率为 21.7% (190/877)，带养人类型为其他人的留守儿童超重肥胖率为29.8% (158/530)，髙于带养人为父/母亲者（16.2%，32/ 198);经常吃西式快餐的留守儿童超重肥胖检出率为59.0%(59/100)，髙于不经常吃西式快餐者（20.9%，131/628);带养 人类型、是否经常吃西式快餐留守儿童超重肥胖检出率差异均有统计学意义认 2 值分别为15.39,65.06，P值均<0.05)。Lottie 回归分析结果显示，留守儿童经常吃西式快餐超重肥胖检出率是不经常吃西式快餐者的5.70倍（95% CI =3.62~ 8.99)。交互作用分析显示，带养人类型X是否经常吃西式快餐中（父/母X是）呈现正向相乘的交互作用（协同作用），带养 人为父/母且经常吃西式快餐留守儿童增加了超重肥胖发生的风险（ OR = 6.94,95% CI = 2.76~ 17.44)。其交互对比度 ( ICR )为1.26,归因比(4P)为1.81，交互作用指数（ SI )为1.27。 结论 父/母带养留守儿童经常吃西式快餐与留守儿童超 重肥胖关联，二者具有协同作用，极大增加了留守儿童超重肥胖发生的风险。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122470692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between breastfeeding and types of obesity in children and adolescents","authors":"Huo Jiakang, Yang Zhaogeng, D. Bin, Wen Bo, Dong Yanhui, M. Jun","doi":"10.16835/J.CNKI.1000-9817.2020.11.030","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.030","url":null,"abstract":"Objective To explore the association between breastfeeding and the type of obesity in children and adolescents, and to provide a theoretical basis for the identification and intervention of influential factors of different types of childhood obesity. Methods Using stratified cluster sampling method, 93 primary and secondary schools in 7 provinces and cities in China were selected for physical examination and questionnaire surveys. Totally, 30 437 primary and middle school students aged 7-17, with completed information, were selected. A multivariable Logistic regression model was used to analyze the association between breastfeeding and different types of obesity. Results The breastfeeding rate of students was 69.8%. The rates of general obesity, simple abdominal obesity, and combined obesity in the breastfeeding group were 7.1%, 3.9%, and 18.7%, the non-breastfeeding group were 7.0%, 4.7%, and 19.5%. The differences were statistically significant (χ 2 = 14.04, P <0.01). Univariate analysis found that breastfeeding significantly reduced the risk of simple abdominal obesity in children and adolescents ( OR = 0.81, 95% CI = 0.72-0.92, P <0.01) with normal (BMI non-overweight and obesity and waist <P 90 ) as control group. After adjustment, breastfeeding could still significantly reduce the risk of simple abdominal obesity ( OR = 0.76, 95% CI = 0.67-0.86, P <0.01), and combined obesity ( OR = 0.93, 95% CI = 0.87-0.99, P <0.05). Conclusion Breastfeeding is a protective factor for children with simple abdominal obesity and combined obesity, and the rate of breastfeeding in China should be further improved. 【摘要】 目的 探讨母乳喂养与儿童青少年肥胖类型的关联, 为儿童期不同类型肥胖影响因素的识别和干预提供理论基 础。 方法 采用分层整群抽样方法, 在中国 7 个省市抽取 93 所中小学校学生进行体格检査和问卷调査, 选择母乳喂养等 资料完整的 30 437 名 7〜17 岁中小学生作为研究对象。采用无序多分类Logistic回归模型分析母乳喂养与儿童青少年肥 胖类型的关联。 结果 研究对象母乳喂养率为69.8%。母乳喂养组一般性肥胖、单纯腹型肥胖和复合型肥胖发生率依次 为 7.1%, 3.9% 和 18.7%, 非母乳喂养组为 7.0%, 4.7%和19.5%, 差异有统计学意义 (χ 2 = 14.04, P <0.01)。单因素分析发现, 以正常组 (体质量指数非超重肥胖且腰围< P 90 )为对照, 母乳喂养可降低单纯腹型肥胖的风险 ( OR = 0.81, 95% CI =0.72〜 0.92, P <0.01)。在多因素调整后, 母乳喂养仍可降低单纯腹型肥胖的风险 ( OR = 0.76,95% CI = 0.67~0.86, P <0.01), 并可降 低复合型肥胖的风险 ( OR = 0.93,95% CI =0.87~0.99, P <0.05)。 结论 母乳喂养是儿童青少年单纯腹型肥胖和复合型肥胖 的保护因素, 应进一步提髙中国母乳喂养率。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116516850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional status of children with autism spectrum disorders in Zhengzhou","authors":"Fang Shuanfeng, Wang Shaowen, Z. Yun, Chen Jingjing, Ren Lingmin","doi":"10.16835/J.CNKI.1000-9817.2020.11.012","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.012","url":null,"abstract":"Objective To investigate the nutritional status of children with autism spectrum disorders, and to provide a reference for improving their nutritional status. Methods 120 children with autism spectrum disorder who were treated in the rehabilitation center of Affiliated Children’s Hospital of Zhengzhou University from September 2016 to September 2018 were selected as case group, and 120 normal children in the physical examination center of the same hospital were selected as the healthy group. The children’s status was assessed by using the Clancy Autism Behavior Scale (CABS), and the serum nutrients levels were compared between these two groups. Results Compared with the healthy group, the Vitamin A[(83.44±9.20, 59.45±4.42) mg/L], Vitamin B6[(64.15±11.22, 32.02±5.75) m/L], Vitamin C[(60.62±10.26, 47.63±13.12) m/L], protein[(120.45±30.51, 104.46±9.38) g/L], iron[(134.25±18.16, 112.17±6.02) mg/L], calcium[(72.96±10.62, 66.57±4.11) m/L], zinc[(70.85±5.76, 62.52± 10.66) mg/L] and folic acid [(31.38±6.77, 20.29±6.26) mg/L], eicosapentaenoic acid (EPA) [(0.72±0.22, 0.55±0.14) μmol/L], decosahexaenoic acid (DHA) [(1.54±0.35, 1.22±0.26) μmol/L] and arachidonic acid (AA) [(5.51±0.76, 5.03±0.16) μmol/L] were lower ( t = 25.75, 27.92, 8.54, 5.49, 12.64, 6.30, 7.53, 13.18, 7.14, 8.04, 6.77, P <0.05), the low body weight(49.17%, 63.33%) and wasting (38.33%, 46.67%) in autism spectrum disorder group were higher significantly (χ 2 =4.89, 6.71, P <0.05). Conclusion The nutritional status of children with autism spectrum disorder is different from that of normal children. The lack of serum nutrients will lead to a high incidence of malnutrition. 【摘要】 目的 研究孤独症谱系障碍儿童营养状况，为改善孤独症谱系障碍儿童营养提供参考。 方法 选取2016年9 月一2018年9月在郑州大学附属儿童医院收治的孤独症谱系障碍儿童120例（孤独症谱系障碍组），选择同期健康儿童 120例（健康组）。采用克氏孤独症行为量表（Clancy Autism Behavior Scale，CABS)评估儿童状况，调查血清营养素及营养 状况。 结果 与健康组比，孤独症谱系障碍组儿童维生素A[(83.44±9.20,59.45±4.42) mg/L]、维生素B6 [(64.15±11.22, 32.02±5.75) m/L]、维生素 C [(60.62 ± 10.26, 47.63 ± 13.12 ) mg/L]、蛋白质[(120.45 ± 30.51，104.46 ± 9. 38 ) g/L ]、铁 [(134.25±18.16，112.17±6.02)m/L]、钙[(72.96± 10.62,66.57±4.11 ) m/L]、锌[(70.85±5.76,62.52± 10.66) mg/L]、叶酸 [(31.38±6.77,20.29±6.26)mg/L]、二十二碳五烯酸[(0.72±0.22,0.55±0.14) μmol/L]、二十二碳六烯酸[(1.54±0.35，1.22± 0.26) μmol/L]、花生四烯酸[(5.51±0.76,5.03±0.16) μmol/L]均明显降低（ t 值分别为 25.75,27.92,8.54,5.49，12.64,6.30, 7.53，13.18,7.14,8.04,6.77， P 值均<0.05)，低体质量（49.17%，63.33%)、消瘦（38.33%，46.67%)检出率明显增高（χ 2 值分 别为4.89,6.71，P值均<0.05)。 结论 孤独症谱系障碍儿童营养状况与正常儿童存在差别，血清营养素缺乏。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131411416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation analysis of lipid metabolism and heart rate deflection point in 7-12-year old students residing at high altitude","authors":"Kong Haijun, Zhou-Lan Xia, Wang Fenghua, Zhu Yuanbao, Liu Xinlong","doi":"10.16835/J.CNKI.1000-9817.2020.11.027","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.027","url":null,"abstract":"Objective To explore the suitable load of endurance training for primary school students with different BMI levels living in 3 200 m plateau, and to provide guidance for exercise and weight control for children residing in high altitudes. Methods The heart rate deflection point (HRDP) and HRDPspeed of 7-12-year-old students residing at high altitude were evaluated by using the site Conconi test. The serum lipid metabolism level was detected by ELISA. The correlation between HRDP and lipid metabolism was analyzed by Pearson correlation analysis. Results The level of leptin, adiponectin, total cholesterol (TC) and triglycerides (TG) in obesity group was highest, follow by the overweight group, normal weight and under-weight group ( F = 3.75-24.12, P 0.05) . Conclusion It is suggested that HRDP and lipid metabolism may be signcficantly correlated with BMI in students aged 7-12 years at different BMI levels in plateav and the above indicators can be used as an effective means to evaluate aerobic exercise endurance capacity of healthy adults at plateau. 【摘要】 目的 探究世居 3 200 m 髙原不同体质量指数 (BMI) 水平小学生耐力训练的适宜负荷, 为世居髙原人群体育健 身及运动减肥提供指导性建议。 方法 采用场地 Conconi 测试评估塔什库尔干县 273 名不同BMI水平的 7〜12 岁世居髙 原学生心率偏离点 (heart rate deflection point, HRDP) 及 HRDPspeed, 通过ELISA法检测受试者血清脂代谢水平, 采用 Pearson 相关分析法讨论HRDP与脂代谢水平的关联性。 结果 不同年级肥胖组瘦素 (LEP)、脂联素 (ADPN)、总胆固醇 (TC) 及三酰甘油 (TG) 水平均髙于其他组, 超重组亦均髙于正常组及消瘦组 ( F =3.75~24.12, P 值均 0.05)。 结论 世居髙原不同 BMI 水平的 7〜12 岁学生 HRDP 与脂代谢可能存在显著关联, 可作为评估世居髙原健康成人有氧运动 耐力能力的有效手段。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128321822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of the physical growth indicators of primary and middle school students on hemoglobin in different economic zones of Ningxia","authors":"M. Ling, Zhang Wenxia, Z. Hui, Z. Haiping","doi":"10.16835/J.CNKI.1000-9817.2020.11.025","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.025","url":null,"abstract":"Objective To estimate the detection rate of low hemoglobin among primary and middle school students in Ningxia, and to explore association between physical growth indicators with level of hemoglobin in different economic zones from both the student and school levels, and to provide an effective basis for anemia prevention of primary and secondary school students. Methods The stratified random cluster sampling method was used to measure 5 447 primary and middle school students physical growth indicators and hemoglobin values. Prevalence of low hemoglobin was described and its association with physical growth indicators were analyzed through HLM models. Results The detection rate of low hemoglobin among primary and middle school students was 12.7%, of which 13.0% were boys and 12.4% were girls, without significant gender differences (χ 2 = 0.43, P >0.05). Low hemoglobin in rural areas was higher than urban areas, as well as in the low-age group which was 18.5%, 12.6%, 8.3%, 11.5% in the 7, 9, 12, and 14-year-old groups, respectively, and the differences between the groups were statistically significant (χ 2 = 43.49, 68.13, P 0.05)。农村髙于城市;低年 龄组的检出率较髙, 7,9, 12, 14岁组分别为 18.5%, 12.6%, 8.3%, 11.5%, 差异均有统计学意义 (χ 2 值分别为 43.49,68.13, P 值均<0.05); 消瘦组学生低血红蛋白检出率最髙, 肥胖、超重组检出率低于正常组, 差异有统计学意义 ( Z = 2.08, P <0.05)。 身髙、体重对学生血红蛋白呈正向影响 (γ 30 = 0.13, γ 40 = 0.06), 臀围对学生血红蛋白呈负向影响 (γ 50 = -0.02)。体重在不同 经济片区间对血红蛋白的影响有统计学意义 ( P <0.05)。 结论 宁夏地区农村、低年龄组、消瘦组中小学生的低血红蛋白 检出率偏髙。学校群组之间存在差异, 需要对学校层面的变量进行挖掘。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"28 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116681673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis on the age of menarche and associated factors of Han, Zhuang and Yao nationality female students in Guangxi","authors":"L. Yue, Cai Qiuling, Zhao Yanqiong, Li Chunling","doi":"10.16835/J.CNKI.1000-9817.2020.11.024","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.024","url":null,"abstract":"Objective To explore age of menarche and associated factors of Han nationality, Zhuang nationality and Yao nation ality girl in Guangxi, and to provide reference for the development of adolescent health education in schools. Methods The 7-, 10- and 13-year-old girls of Han, Zhuang, Yao nationality were chosed from three counties of Guangxi, and height, weight and other physical indicators were measured for three consecutive years, and age of menarche was inquired. 448 cases of with compete data in the three consecutive years of monitoring. The influencing factors were investigated through questionnaire. Results Age of menarche of the whole sample was 11.83 (95% CI = 11.69—11.96) years old, and that of the Han, Zhuang, Yao nationality was 11.87 (95% CI =11.64-12.09), 11.44(95% CI = 11.25-11.64) and 12.42(95% CI = 12.14-12.70)years old respectively, the difference was statistically significant ( P <0.05). Height, sitting height, weight of menarche group in 12 and 13 years old were significantly higher those of the group without menarche ( P <0.05) . Logistic regression analysis primary sitting height, the chest circumference, intake of seafood, duration of sleep in the night and school exercise time were the primary factors for age at menarche ( P <0.01). Conclusion There are ethnic differences in age of menarche among girls in Guangxi, and it is related to sleep, physical activity and dietary structure. Puberty recated health education for girls might start at the fourth grade of primary school, focusing on the education of health life patten, balanced dietary habits, regularly routine, with the goal of growth and development promotion. 【摘要】 目的 探索广西汉族、壮族、瑶族女生月经初潮年龄的影响因素, 为开展学校青春期健康教育工作提供参考依 据。 方法 运用序列研究法, 在广西 3 县分别抽取汉族、壮族、瑶族 7, 10, 13 岁女生, 连续 3 年进行身髙、体重等体格指标 的测量, 并询问月经来潮情况, 最终选取 3 年连续监测的相同有效样本 448 例。使用生长发育影响因素调査表进行调査。 结果 女生的月经初潮半数年龄为 11.83(95% CI = 11.69~11.96) 岁, 汉族、壮族、瑶族依次为11.87(95% CI = 11.64~12.09)、11.44 (95% CI =11.25~11.64) 和 12.42 岁 (95% CI = 12.14~12.70), 差异有统计学意义 ( P <0.05)。12, 13 岁组月经已 来潮女生的身髙、坐髙、体重等均髙于未来潮组, 差异均有统计学意义 ( P 值均<0.05) 。二分类 Logistic 回归分析显示, 月经 初潮年龄的影响因素主要为坐髙、胸围、海产品的摄人、夜间睡眠时长和在校运动时间 ( P 值均<0.01)。 结论 广西女生月 经初潮半数年龄有民族差异, 与运动情况和膳食结构有关。应在小学四年级开始进行女生青春期健康教育, 可侧重于健康 生活模式的教育, 培养学生均衡的膳食习惯和作息的规律, 促进学生的健康生长。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115618923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internet addiction and college students’ depression : an analysis of moderating mediating effects","authors":"Wang Tianli, Wei Hongyuan, L. Xiaoyan, Zhang Kexin, Zhang Xueqing, Zhang Jianghui, Zhu Yunjiao, Zhang Zhi-hua","doi":"10.16835/J.CNKI.1000-9817.2020.11.003","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.003","url":null,"abstract":"Objective To explore the mediating role played by college students’ social anxiety and social support in the relationship between internet addiction and depression. Methods A cluster random sampling method was used to conduct a questionnaire survey among 3 536 college students in three higher vocational colleges in Anhui Province. The content included general demographic characteristics, depression, Internet addiction, social support, and social anxiety. The Process program was used to mediate and analysis of regulation. Results Among the survey subjects, 1 552(43.90%) had depressive symptoms, including 561(45.65%) boys and 991(42.96%) girls.The total score of Internet addiction was significantly positively correlated with depression score ( r = 0.30, P <0.01) ; social anxiety (social fear, social avoidance) was positively correlated with depression ( r = 0.24, 0.27, P <0.01); social support (subjective support, objective support, support utilization) was significantly negatively correlated with depression ( r = 0.25, -0.23, -0.17, P <0.01). Conditional process analysis shows that social anxiety had a mediating role between internet addiction and depression (c′=0.06, P <0.01), and that Internet addiction and social anxiety were regulated by social support ( β = -0.00 P =0.02). Conclusion By increasing the social support of college students to improve social anxiety, it might help to reduce the depression of college students caused by Internet addiction. 【摘要】 目的 探讨大学生社交焦虑、社会支持在网络成瘾与抑郁关系中的作用, 为寻找抑郁诱因以及对学生网络成瘾 行为的矫正等实践工作提供理论资料。 方法 采用整群随机抽样法, 对安徽省 3 所髙职院校 3 536 名大学生进行问卷调 査, 内容包括一般人口学特征、抑郁状况、网络成瘾、社会支持和社交焦虑情况, 采用Process程序进行中介与调节作用分 析。 结果 大学生中有抑郁症状的有 1 552 名 (43.90%), 其中男生 561 名 (45.65%), 女生991名 (42.96%)。网络成瘾总 分与抑郁得分呈正相关 ( r = 0.30, P <0.01);社交焦虑各维度 (社交恐惧、社会回避) 与抑郁呈正相关 ( r 值分别为 0.24,0.27, P 值均<0.01), 社会支持各维度 (主观支持、客观支持、支持利用度) 与抑郁呈负相关 ( r 值分别为-0.25,-0.23, -0.17, P 值 均<0.01)。调节作用分析显示社交焦虑在网络成瘾与抑郁之间具有部分中介作用 ( c ′=0.06, P <0.01), 网络成瘾和社交焦 虑之间受到社会支持的调节( β =-0.00, P =0.02)。 结论 通过增加大学生的社会支持, 可以改善由网络成瘾引起的社交 焦虑, 从而能进一步减少大学生的抑郁情绪。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116568751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current status and demand of health services in primary and middle school clinic in 16 provinces of China","authors":"Yao Haizhou, Zhu Guang-rong, Wang Haixue, Hao Xin, Z. Bing, M. Jun, Wen Mengmeng, Gao Ai-yu, Shi Xiao-yan, Zhang Yao, Q. Aiming, Zhang Xin","doi":"10.16835/J.CNKI.1000-9817.2020.11.031","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.031","url":null,"abstract":"Objective To analyze the current situation and needs of primary and secondary school health clinic services, and to provide a reference for strengthening school health service in China. Methods Investigation provinces were selected according to China’s three major economic zones, 1 or 2 survey centers were selected from each province, 16 provinces and 26 survey centers were selected. In each survey centers, six schools from primary and secondary schools, junior high schools and high schools in urban and rural areas were randomly selected as research sites. Each research site randomly selected 10 students in each grade (grade three, four, five from primary schools) to fill in the questionnaire anonymously. A total of 4 661 valid questionnaires were collected. Results Among the services provided by the school clinics to students, “trauma treatment” “consulting health problems” \"physical examination” accounted for 49.4%, 40.5% and 39.0% respectively. Within the past one year, 45.1% students went to the school clinic for consultation or consultation 1一3 times, 6.4% for 4-5 times, and 3.7% for 6 times or more. When students were sick in school, 65.8% (primary school), 64.0% (junior high school), and 54.4% (high school) of them selected to go to the school clinic. When suddenly suffered trauma in school, 78.2% (primary school) , 73. 2% (junior high school) and 69. 6% (high school) of the students went to the school clinic. Conclusion Primary and middle school students have a great demand for school health services, and it is necessary to continue to strengthen the construction of primary and secondary school health clinics. 【摘要】 目的 了解中国中小学校卫生室服务现状与需求, 为加强学校卫生服务提供参考。 方法 采用分层随机抽样的 方法, 按照中国三大经济地带划分, 分层选择调研省份, 每个调研省份选择 1〜2 个调研点, 共抽取 16 个省 26 个调研点。每 个调研点内随机选择城乡小学、初中、高中各1所共6所学校作为调研点校, 每个调研点校每个年级 (小学选择三〜五年 级) 随机选择 10 名学生匿名填写“全国中小学校卫生人员队伍建设调研学生问卷”。共回收有效问卷 4 661 份。 结果 学 校卫生室提供的服务中, “外伤处理”占 49.4%、“咨询身体健康问题”占 40.5%、“体检”占 39.0%;调查对象过去 1 年时间 内, 去学校卫生室看病或咨询次数 1〜3 次的占 45.1%, 4〜5 次的占6.4%, ≥6次的占 3.7%。在学校生病时, 选择去学校卫 生室看病的分别占65.8% (小学) 、64.0%(初中) 、54.4%(高中) ；在学校突然发生外伤时, 选择去学校卫生室的分别占 78.2%(小学) 、73.2%(初中) 、69.6%(高中)。 结论 中小学生对学校卫生室服务需求大, 需要继续加强中小学学校卫生室 建设。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122276855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case-control study of association between e-cigarettes with smoking tendency in adolescents","authors":"Chen Beibei, Gao Jingrong, Chen De, Jia Xiaoxian, Xu Kun, Wang Jian, Xie Chenchen, Y. Jinming","doi":"10.16835/J.CNKI.1000-9817.2020.11.016","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.016","url":null,"abstract":"Objective To investigate the influencing factors of smoking tendency of adolescents and to analyze the influence of e-cigarette on smoking tendency of teenagers and the possible interaction, to provide evidence for tobacco control measures. Methods Stratified multistage cluster probability sampling method was used to select 6 178 students from junior middle school, high school and vocational high school students in Shanghai for questionnaire survey from September to October 2019. Students with smoking tendency were taken as case group, adolescents with same sex and similar age (within 1 year) were mathed in 1 : 3 ratio. A total of 631 adolescents with smoking tendency and 1 870 non-smoking tendency were included in the study. Conditional Logistic regression was used to analyze the influencing factors and possible interactions. Results After adjusting gender, age and other cova- riates, conditional Logistic analysis results showed that the smoking tendency of middle school students was associated with factors such as their friends smoking, trying cigarettes and trying e-cigarettes. The OR value and 95% CI were 3.26(2.47–4.29), 5.90 (3.76–9.24), and 3.28(2.11–5.10), respectively. The interaction analysis results showed that the OR value and 95% CI of the multiplying interaction between friends smoking and trying e-cigarettes, trying smoking and trying e-cigarettes were 8.62(4.90–15.17) and 12.01(6.02–23.95), respectively. There was no additive interaction. Conclusion Tobacco control interventions, such as e-cigarette harm publicity and peer education, can help to change teenagers’ smoking tendency and further reduce their tobacco use rate. 【摘要】 目的 分析尝试电子烟对青少年吸烟倾向的影响以及可能存在的交互作用，为制定青少年控烟措施提供参考依 据。 方法 采用分层多阶段整群概率抽样法，于2019年9一10月抽取上海市初中、普髙、职髙的6 178名学生进行问卷调 査，将其中有吸烟倾向者作为病例组，以性别相同、年龄相差1岁以内作为配对因素，采用1 : 3个体匹配设计病例对照研 究，将病例组631名和对照组1 870名纳人研究。使用条件Logistic回归进行影响因素和交互作用分析。 结果 调整性别、 年龄等因素后，Logistic分析结果显示，中学生的吸烟倾向与好友吸烟、尝试吸烟、尝试电子烟等因素存在关联[ OR 值（ OR 值95%C/)分别为3.26(2.47~4.29)、5.90(3.76~9.24)、3.28(2.11~5.10)];交互作用分析结果显示，好友吸烟与尝试电子 烟、尝试吸烟与尝试电子烟均有相乘交互作用[ OR 值（ OR 值95%C/)分别为8.62(4.90~ 15.17)、12.01(6.02~23.95)]，无相 加交互作用。 结论 电子烟危害宣传、同伴教育等控烟干预措施有助于改变青少年的吸烟倾向，降低青少年的烟草使 用率。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126800198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of mental health status between freshmen upgrading from junior college and ordinary freshmen in Nanjing City","authors":"Shi Qiong, Ma Xiaolu","doi":"10.16835/J.CNKI.1000-9817.2020.11.021","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2020.11.021","url":null,"abstract":"Objective To explore possible the mental health difference between freshmen upgrading from junior college and ordinary freshmen, to provide valuable reference for the targeted mental health educaiton and service. Methods A comparative analysis of the results of University Personality Inventory (UPI) 2016-2019 among freshmen upgrading from junior college and ordinary freshmen in one university in Nanjing was carried out . Results Among 11 955 freshmen, the detection rate of severe mental health problems (class I ) was 22.58%, scores of four indicators (physical symptoms, neurosis, depression, schizophrenia) and prevalence of class I problems among freshmen upgrading from junior college were significantly lower than those of ordinary freshmen ( P <0.05). Longitudinal comparison showed that there were significant differences in the proportion of class I and the scores of the four indicators in each freshmen group in four years ( P <0.05) . After group interview with class I, the proportion of type A and type B among freshmen upgrading from junior college were significantly higher than that of ordinary freshmen(χ 2 =4.12, 9.23, P <0.05). Conclusion Mental health level of freshmen upgrading from junior college is higher than that of ordinary freshmen. Mental health of ordinary freshmen shows improving trend, while freshmen upgrading from junior college shows a non-linear decreasing trend, with high proportion of mental problems, which worth further attention. 【摘要】 目的 探讨专转本新生和普通本科新生心理健康的差异，为有针对性地开展心理健康教育与服务工作提供参 考。 方法 对南京某独立学院2016—2019年专转本新生和普本新生共11 955名大学生进行大学生人格问卷（UPI)测量， 并对结果进行对比分析。 结果 可能存在严重心理问题者（I类人群）检出率为22.58%，专转本新生I类人群的检出率、4 个指标（躯体症状、神经症、抑郁、精神分裂)得分均低于普本新生( P 值均<0.05);纵向比较两类新生4年I类人群比例及 4个指标得分差异均有统计学意义（ P 值均<0.05) ; I类人群面谈后，专转本新生A和B类人群的构成比髙于普本新生(妒 值分别为4.12, 9.23，P值均<0.05)。 结论 专转本新生心理健康水平髙于独立学院普本新生;但普本新生心理健康有向 好趋势，而专转本新生心理健康状态呈现波浪式下降，有心理问题学生比例也相对较髙，需引起关注。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125397978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}