摘要
目的：调查武汉市4～16岁儿童少年行为问题的检出率及相关因素.方法：分层随机抽取武汉市16所学校（幼儿园、小学、初中和高中各4所）的2361名在校4～16岁儿童少年,完成Achenbach儿童行为量表（Achenbach＇s Child Behavior Checklist,CBCL）、儿童躯体虐待问卷和自编其他危险因素问卷,采用Logistic回归筛选行为问题的相关因素.结果：武汉市儿童少年行为问题的检出率为12.7%（95%CI：11.3～14.1）,行为问题儿童少年的求医率为3.0%（95%CI：2.31～3.69）.儿童少年行为问题发生的危险因素[OR（95%CI）]依次为：寄养家庭[5.80（1.38～24.50）],同学关系不好[5.58（1.73～18.0）],独生子女[4.02（3.07～4.96）],近一年躯体虐待[3.60（2.96～4.23）],父母有人经常饮酒[2.23（1.64～3.02）],同学关系一般[2.08（1.59～2.73）],居住在城乡结合部[1.80（1.33～2.43）],非重点学校[1.49（1.13～1.96）],大家庭[1.43（1.05～1.94）].结论：武汉市儿童少年行为问题检出率高;儿童少年行为问题的预防需要从家庭、父母、学校和减少对儿童少年的躯体虐待着手.
Objective： To investigate the detection rate and correlates of behavior problems among children aged 4 -16 years old in Wuhan. Methods： Using stratified randomization sampling method, 2361 children from 16 schools were administered with the Achenbach＇s Child Behavior Checklist （ CBCL ）, a child physical abuse inventory, and a self-made other risk factor questionnaire. Logistic regression was used to identify associated risk factors. Results： The detection rate of behavior problems was 12. 7% （95 % CI： 11.3 - 14. 1 ） . The treatment-seeking rate （95%CI） for behavior problems was 3.0% （95% CI： 2. 31 -3.69） . The risk factors and their corresponding odds ratios [ OR （ 95% CI ） ] for behavior problems were living in foster family [ 5.80 [ 1.38 - 24.50） ], being on bad terms with classmates [ 5.58 （ 1.73 - 18.01 ], being the only child [4.02 （ 3.07 - 4. 96 ） ], having maltreated physically in the last year [ 3.60 （ 2. 96 - 4. 23 ） ], parents＇ drinking [ 2. 23 （ 1.64 - 3.02 ） ], having common relationship with classmates [ 2. 08 （ 1.59 - 2.73 ） ], living in rural-urban fringe zone [ 1.80 （ 1.33 -2.43） ], studying in non-key school [ 1.49 （ 1.13 - 1.96） ], and living in extend family [ 1.43 （ 1.05 - 1.94 ） ] . Conclusion： The detection rate of behavior problems among children and youth in Wuhan is high. Some measures of reducing physical abuse in family and school need to be taken to prevent child behavior problems.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2010年第11期833-838,共6页
Chinese Mental Health Journal
基金
国家自然科学基金(30770754)
关键词
儿童少年
行为问题
检出率
求医率
躯体虐待
现况调查
children and adolescents
behavior problems
detection rate
treatment-seeking rate
physical abuse
cross-sectional studies
