| Objective To investigate the prevalence state of health related behaviors among the adolescents in Chong’an District of Wuxi. To analyze the prominent issues in diffent periodes and diffent types of schools, looking for significant intervention targets. To provide scientific basis for the government, education and health departments to formulate the comprehensive, effective policies and measures, so as to push the project of students’ health promotion better. To lay the foundation for the establishment of local youth health related behavior monitoring system.Methods Set two kinds of questionnaires for primary and junior high schools according to the "Chinese adolescent health risk behavior survey". Select 8 primary schools and 4 junior high schools for survey in stratified cluster sampling principle. A self-administered anonymous questionnaire is conducted among all the students from the fourth grade to junior three. Establish database and input data by Epidate 3.1, and do statistical analysis via SPSS 20.Result For dietary related behaviors,15.7% students in middle school have soft drinks every day,26.1% students eat dessert every day,7.1% students take western fast food frequently,34.8% students are picky eaters,78.9% students have breakfast every day,50.8% students often drink milk.24% students do physical exercises to control weight and 16.5% students limit food intake deliberately. For the proportions of unhealthy dietary and unhealthy weight control, girl’s are higher than boy’s. Key schools have more students with better behaviors of having breakfast and milk than ordinary schools. High education level of parents, two-parent families and extended families are the protective factors for healthy dietary behavior.For substance abuse behaviors,8.8% students have tried smoking,5.6% students have smoked,2.1% students smoked recently,32.2% students have drunk wine.14.4% students have alcohol recently and 5.9% students had drunken in the past year. The rate of smoking and alcohol drinking behaviors is more in boys than in girls, more in ordinary junior high school than in key school. As the result of multivariate analysis, smoking and drinking behavior is closely related. Single-parent and remarried families are the hazardousn factors for drinking behaviors.For unintentional injury behaviors,30.3% junior school students have risky behaviors in daily activities, such as dangerous cycling, walking and swimming in dangerous palce. The main performances are both hands off and carrying person when riding.35.4% students have been injured.9.1% students suffered from serious injuries. Falling and hurting by objects are the main reasons for injury. Bone and joint injury as well as cut wound are the most common results from serious injuries. Multivariate analysis shows that, for the occurrence of serious injuries, key school, girls, feel better in study are protective factors, while parents with low degree, boarding family, heavier and lighter students are risk factors.For intentional injury behaviors,8.2% junior school students are bullied frequently,5.9% students often feel insecure,23.0% students had a fight,2.5% students fighted more than 6 times in past year.9.5% junior school students and 5.0% pupils often feel loneliness,20.5% junior school students and 11.0% pupils often experience bad emotions caused by study pressure,7.0% junior school students and 3.8% pupils have insomnia regularly,11.7% junior school students and 6.9% pupils feel depression regularly,14.3% junior school students and 7.7% pupils have idea of suicide,20.6% junior school students and 10.8% pupils want to leave family.For regular campus violence, there is no obvious difference between common and key junior high schools. For students’ bad emotion, the migrant primary school, single-parent family, remarried family, alternate-generation family, poor or unstable academic performance are risk factors. Close relationship between away-from-home idea and suicide idea, between bad mood and bullying behavious; more junior high school girls want to run away from home than boys; the primary school children of migrant workers is a risk factor for leaving home idea.For lifestyle related behaviors,13.7% junior school students are unable to attend physical activities over 1 hour per day. The rates of long-time watching TV, doing homework, attending extra-class, palying video game, using Internet for primary and secondary school students are 4.7%,8.4%,15.7%,5.7% and 4.9% respectively.26.8% junior school students and 18.6% pupils has long time static behaviors (≥6h/day). Multiple factors analysis shows that key schools, parents with higher degree are protective factors for long time static behaviors, while primary school of migrant, unconventional structure family are risk factors.For psychic dependence behaviors,3.8% primary and secondary school students attend activities kind of gambling.1% students have Internet addiction. More boys have Internet addiction than girls, more junior students than primary students. The host family and poor performance in study are the risky factors of Internet addiction.Conclusion Health risk behaviors are popular in adolescents of Chong’an District, the epidemic situation has its own characteristics. The migrant and ordinary schools with high prevalence of health risk behaviors should be the interventional focus in the future. More attention shall be paied to floating children’s behaviors, moreover, the bad mood and long time static behavior due to study pressure among key middle school students could not be ignored either. The Second and the Third grades of junior high school are the high-speed growth stage for risk behaviors which requires the enhancement of the intervention. Sutdents either with poor achievement of study or from special structure families (such as:single-parent family, remarried family, alternate-generation family and host family) are high-risk population of health risk behaviors, who should be got more attention, more emotion communication and behavior guidance. In the future, health education, behavior intervention and the psychological guidance should be actively carried out to the adolescents, and the family-school-community interaction should be enhanced to create a better atmosphere of health promotion to ensure the healthy growth of teenagers. |
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