Comparative study on the quality of life and mental health of teenagers in Zhengzhou and HongKong and Taiwan

Objective To explore the quality of life and mental health status of adolescents in Zhengzhou, and to compare with HongKong and Taiwan. Methods A total of 6 401 students from 12 primary and secondary schools in Zhengzhou City. A total of 3 642 students from HongKong and 1 547 students from Taiwan were selected by cluster sampling. And Padiatric Quality of Life Inventory Version 4.0, Self-Esteem Scale, General Self-efficacy Scale, Depression Anxiety Stress Scale and self-made general situation questionnaire were used to conduct questionnaire survey. Results The total score of quality of life and the scores of each dimension in Zhengzhou were significantly higher than those in HongKong, while self-esteem and anxiety were lower than those of Taiwan adolescents ( P<0.05). In addition to self-esteem, anxiety and stress, the scores of quality of life and mental health of adolescents of different grades and genders in Zhengzhou were statistically different ( t = 13.53, 20.71, 10.92, 20.26, 14.68, −16.03, 21.26; 6.16, 3.81, −2.22, −0.33, 8.76, 4.16, 2.71, P<0.01). The quality of life of adolescents in HongKong and Taiwan in different grades and genders were basically the same as those in Zhengzhou, and the differences of depression and stress scores in grades were the same as those in Zhengzhou. Conclusion The overall quality of life and mental health of adolescents in Zhengzhou is better than that in Hong Kong and Taiwan. It is necessary to explore the relationship between the quality of life and mental health of adolescents in order to improve their quality of life. 【摘要】 目的 探讨郑州市青少年的生存质量和心理健康现状并与中国香港、台湾地区进行比较,为今后相应教育方案 的制定提供依据。 方法 分层整群抽取郑州市 12 所中小学四至九年级 6 401 名学生,分别整群抽取香港和台湾地区四至 九年级 3 642 和 1 547 名学生,使用儿童生活质量普适性核心量表、自尊量表、一般自我效能感量表、抑郁-焦虑-压力量表 中文精简版及自制一般情况调査表进行问卷调査。 结果 郑州、香港和台湾三地区青少年在生存质量总分及各维度、自 尊、自我效能、焦虑、抑郁、压力得分差异均有统计学意义 ( F 值分别为 398.17, 257.90, 193.53, 321.34, 258.89, 191.30, 171.28, 51.13, 119.00, 67.40, P 值均<0.05)。郑州市青少年生存质量总分及各维度得分髙于香港地区,而自尊和焦虑得 分低于台湾青少年 ( P 值均<0.05)。除自尊、焦虑和压力方面,不同年级和性别郑州市青少年的生理功能、情感功能、社会 功能、学校功能、自我效能、抑郁及生活质量总分差异均有统计学意义 ( t 值分别为 13.53, 20.71, 10.92, 20.26, 14.68, −16.03, 21.26; 6.16, 3.81, −2.22, −0.33, 8.76, 4.16, 2.71, P 值<0.01)。港台地区青少年生存质量在不同年级和性别上表 现出的特征与郑州市青少年基本一致,抑郁、压力得分在年级变化上的差异与郑州市青少年相同。 结论 郑州市青少年生 存质量和心理健康整体良好,且优于港台地区。需探讨青少年生存质量和心理健康状况之间的关系,以期提髙青少年的生 存质量水平。