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目的了解桂西山区少数民族中学生伤害的发生与心理健康状况的关系,以便为预防和控制青少年伤害的发生提供科学依据。方法以随机整群抽样的方法,对桂西3所中学1 855名中学生采用SCL-90症状自评量表进行心理健康测评,并作伤害问卷调查。结果伤害总发生率为32.02%,发生2次及以上伤害的发生率为10.51%;初中生伤害发生率明显高于高中生,男女生伤害发生率差异无显著性。发生伤害学生的心理健康水平明显低于未发生伤害的学生,尤以强迫、精神病性、焦虑、躯体化、抑郁较为突出。多因素Logistic回归分析表明,年龄、父亲文化程度以及SCL-90因子中躯体化、强迫、人际敏感、抑郁、焦虑、精神病性为伤害发生的主要影响因素。结论心理健康状况可能是影响伤害发生的重要因素,加强心理健康维护可控制伤害的发生。
Objective To understand the relationship between the occurrence of harm and mental health among ethnic minority middle school students in Guixi Mountain in order to provide a scientific basis for the prevention and control of the harm of adolescent. Methods A total of 1 855 high school students from 3 middle schools in west Guangxi were assessed with SCL-90 Symptom Checklist 90 by questionnaire. Results The total incidence of injuries was 32.02%, and the incidence of secondary injuries was 10.51%. The incidence of injuries among junior high school students was significantly higher than that of high school students, and there was no significant difference between male and female students. The mental health of students who suffered injuries was significantly lower than that of students who did not hurt, especially for compulsion, psychosis, anxiety, somatization and depression. Multivariate Logistic regression analysis showed that age, father’s education level and SCL-90 factors such as somatization, coercion, interpersonal sensitivity, depression, anxiety and psychosis were the main influential factors. Conclusions Mental health status may be an important factor affecting the injury, strengthen mental health maintenance can control the occurrence of injuries.