| Objective:To investigate the sub-health status and risk behaviors of adolescents in Chongqing,to explore the influenceing factors of sub-health for adolescence in Chongqing.Method:Quantitative and qualitative study methods are both used in this study.1、qualitative study:used purposive sampling method, selected one university, one middle school in Chongqing,and some teachers and students in these schoos were interviewed in different forms;2、Quantitative study:two middle school was sampled and three universities was selected in Chongqing using the stratified cluster sampling method. The investigation included MSQA, sub-health related behavioral risk factor questionnaire. SPSS19.0was used to analysis the students’sub-health status and the risk behavior factors by gender, urban and rural, academic with the chi-square test, also factor analysis with the Logistic regression.Results:1、The results of qualitative study:Chongqing adolescents knew little about sub-health, and limited access to those knowledges; Common problems as follows:fatigue,tiredness,stress,sleep problems, emotional problems,adaptive problems,interpersonal problems;Risk behaviors related factors are summarized into4aspects:①family factors;②social factors;③school factors;④individual behavioral charac-teristics.Suggestions from students and teachers interviewed as follows:strengthen the publicity of sub-health intervention, enhance physical exercise, regular work and rest, regulation of alcoholic drinks and tobacco sales.2、Results of quantitative study:The rate of physical,psychhological andpsychosomatic sub-health symptoms were48.7%,54%,64.5%; The rate of physical,psychhological andpsychosomatic sub-health status were23.9%,20%,20.6%, compared with the national level, Chongqing were significantly higher than the national (P<0.05). Gender differences between sub health indicators were no significant difference (P>0.05); urban students’physical,psychhological and psychosomatic sub-health sym ptoms and psychological sub-health status detection rate was significantly higher than that of rural students (P<0.05);high school> junior school>University (P<0.05), Junior school sub-health detection rate with the grade of each index increased (P<0.05),high school students body sub-health status detection rate with the grade increased (P<0.05),the university students’ physical,psychhological and psychoso-matic symptoms of Sub-health with grade reduce (P<0.05). The study on health risk behaviors divided into7aspects:1、Eating related behaviors:55.2%respondents had an irregular breakfast behavior.The boys detection rate was higher than the girls, university> high school> junior middle school (P<0.05);45.8%respondents had a partial eclipses behavior urban areas> rural areas (P<0.05); the detection rates of the respondents through the diet,drugs,emetic weight loss were7.5%,2.5%,1.6%.Through dieting, weight loss drug detection rate of girls was more than boys, urban> rural, university> high school> junior school (P<0.05).2、life habits related behavior:gender, academic stages of high intensity exercise and small intensity exercise time distribution of the differences were statistically significant (P<0.05);the different of weekly online time between the urban and rural was statistically significant (P<0.05);3、the situation of accidental injury:the detection rate of adolescent students’accidental injury was67.7%, boy> girl (P<0.05), rural> urban (P<0.05), high school is the highest(P<0.05);4、self-injurious behavior:self-injurious behavior detection rate was20.6%, urban> rural (P<0.05), high school>junior middle school>University (P<0.05);5、 substance abuse:Adolescent smoking,drinking wine, drinking and drug abuse detection rates were5.4%,18.1%,3.3%and3.1%,different study stages of the detection rate of the differences were statistically significant.Smoking and substance abuse detection rate, rural> urban (P<0.05), smoking,drinking, drunkenness detection rate,boy> girl (P<0.05), smoking and drug abuse detection rate,rural>urban (P<0.05);6、Internet addiction:5.2%adolescent students were detected with Internet ad dictio n,boys> girls (P<0.05),high school> junior middle school> University (P<0.05);7、sexual behavior:9.4%undergraduate subjects indicated that sexual behaviour happened,which recently disposable behavior without using condoms accounted for41.6%,every groups no significant differences (P>0.05). Logistic regression:Weekly samll intensity exercise is a protective factors of junior school students’physical sub-health status,irregular breakfast, unhealthy weight loss, self-injurious,Suicide plan,drugs,internet addiction is a risk factor of high school students’psychhological sub-health status,A partial eclipse, un-healthy weight loss,self-injurious,Suicide ideation, Suicide plan,Internet addiction are risk factors of junior school student psychological sub-health status(P<0.05);A partial eclipse,unhealthy weight loss, weekly high exercise intensity,self-injurious behavior,Suicide ideation,drug were the risk factor of high school students’physical sub-health status (P<0.05);Weekly high exercise intensity was a protective factor of high school students’psychological sub-health status, self-injurious, Suicide ideation,drug,Internet addictio were the risk factors of high school students’psychological sub-health status;Suicide ideation,internet addiction, unsafe sex were the risk factor of university students’physical sub-health status (P<0.05),unhealthy weight loss,self-injurious,Suicide ideation,Suicide attempted, internet addiction were the risk factors of high school students’psychological sub-health status (P<0.05). Conclusion:The occurrence rates of Chongqing adolescent students’ sub-health and risk behaviors were high, and we suggest the social, school, family three parties to help students to develop healthy living habits, to early detection and intervention for adolescent health, to promote the healthy growth of adolescent students. |
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