摘要
目的了解童年期不良经历对大学生非自杀性自伤(non-suicidal self-injury,NSSI)行为的影响,为防控大学生NSSI行为提供参考。方法2020年10—12月,采用整群抽样方法,选取苏州某高职院校在校大学生6366名,通过童年期不良经历国际问卷与非自杀性自我伤害问卷,调查童年期不良经历及NSSI发生情况,分析不同类型的童年期不良经历与NSSI行为间的关联性。结果受访在校大学生NSSI行为检出率为19.0%,男性、大一、家庭经济状况较差、亲密伙伴个数≤2的大学生NSSI检出率较高(χ^(2)值为28.62~100.78,P值均<0.01)。童年期不良经历检出率为76.8%,其中情感忽视检出率高达75.1%,其他依次为躯体忽视(15.7%)、躯体虐待(15.1%)、情感虐待(14.8%)、性虐待(4.8%)。多因素logistic回归分析显示,有童年不良经历者是大学生发生NSSI行为的危险因素(OR=5.15,95%CI:4.04~6.56),且不同类型童年期不良经历均是发生NSSI行为的危险因素(OR值3.04~5.50,P值均<0.01)。结论应重视童年期不良经历的影响,及时干预,减少NSSI行为的发生。
Objective To investigate the effect of adverse childhood experiences on non-suicidal self-injury(NSSI)behaviors among college students,so as to provide insights into management of NSSI behaviors among college students.Methods A total of 6366 college students were sampled using a cluster sampling method from a higher vocational college in Suzhou City from Oct to Dec in 2020.The adverse childhood experiences and incidence of NSSI were investigated using Adverse Childhood Experiences International Questionnaire and the Non-Suicidal Self-Injury Assessment Tool,and association between adverse childhood experiences and NSSI behaviors was examined.Results The detection of NSSI behaviors was 19.0%among the study college students,and a high detection rate of NSSI was found among males,freshmen,college students with poor family economic status and with two and less close friends(χ^(2)values were 28.62-100.78,all P values<0.01).The detection of adverse childhood experiences was 76.8%among the study college students,with the highest prevalence of emotional neglect(75.1%),followed physical neglect(15.7%),physical abuse(15.1%),emotional abuse(14.8%)and sexual abuse(4.8%).Multivariate logistic regression analysis showed that adverse childhood experiences were a risk factor for NSSI behaviors among college students[odds ratio(OR)=5.15,95%confidential interval(CI):(4.04,6.56)],and different types of adverse childhood experiences were all risk factors of NSSI behaviors among college students(OR values were 3.04-5.50,all P values<0.01).Conclusions The impact of adverse childhood experiences should be paid much attention to,and timely interventions are required to reduce the development of NSSI behaviors.
作者
赵婧宇
赵思宇
孙妍珺
吕逸丽
王伟
ZHAO Jing-Yu;ZHAO Si-Yu;SUN Yan-Jun;LVU Yi-Li;WANG Wei(Suzhou Vocational Health College,Suzhou Jiangsu 215000,China;不详)
出处
《江苏预防医学》
CAS
2023年第6期683-686,共4页
Jiangsu Journal of Preventive Medicine
基金
苏州市科技计划项目(SKJYD2021051)
苏州卫生职业技术学院青年科技项目(szwzy202013)
关键词
童年期虐待
大学生
非自杀性自伤
Childhood abuse
College student
Non-suicidal self-injury
