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目的探讨广西柳州市青少年健康危险行为聚集模式及特点。方法采用分层整群抽样方法,于2009年抽取柳州市区3 720名大中学生进行问卷调查,采用样本聚类方法对12种健康危险行为进行聚类分析。结果男女生行为聚集模式分为5组:低危险组男生构成比为34.79%,女生构成比为38.59%;骑车违规高发的中度危险组男生构成比为19.37%,女生构成比为25.65%;饮酒高发的中度危险组男生构成比为27.38%,女生构成比为18.03%;较高危险组男生构成比为9.56%,女生构成比为10.60%;高危险组男生构成比为8.91%,女生构成比为7.13%;男、女生骑车违规高发的中度危险组行为聚集现象不明显,饮酒高发的中度危险组与赌博等行为聚集,较高危险组男生打架、女生焦虑发生率最高,为100%,高危险组男女生均呈现外显行为和内隐行为高度聚集现象;吸烟是女生高危险组的标志性行为,是男生较高危险组、高危险组的标志性行为。结论青少年健康危险行为聚集方式多样,应分别针对男、女生行为聚集特征,分级采取综合干预策略。
Objective To explore the pattern and characteristics of health risk behaviors in adolescents in Liuzhou City, Guangxi Province. Methods A stratified cluster sampling method was used to sample 3 720 middle and high school students in Liuzhou city in 2009 for questionnaire survey. Cluster analysis was performed on 12 health risk behaviors using sample clustering method. Results The behavior aggregation patterns of boys and girls were divided into five groups: the percentage of male students in low-risk group was 34.79%, the percentage of female students was 38.59%; the proportion of male students in moderate risk group with high risk of bicycle riding was 19.37% and that of female students was 25.65% . The proportion of boys in middle-risk group with high risk of alcohol consumption was 27.38%, and that of girls was 18.03%. The percentage of male students in higher-risk group was 9.56% and that of female students was 10.60%. The percentage of male students in high-risk group was 8.91% The proportion of girls in the group was 7.13%. There was no obvious aggregation of behavior among the medium-risk groups with high incidence of irregular cycling. The middle-risk group with high alcohol consumption gathered in gambling activities. The higher the risk group was, the higher the incidence of anxiety was. , 100%. Both male and female students in high-risk group showed a high degree of agglomeration of explicit behaviors and implicit behaviors. Smoking was a landmark behavior of high-risk girls in girls and was a landmark behavior in higher-risk boys and high-risk boys. Conclusion Adolescents’ health risk behaviors are aggregated in a variety of ways. The behavior characteristics of boys and girls should be aggregated separately and the comprehensive intervention strategies should be adopted at different levels.