Aggression and related stressful life events among Chinese adolescents living in rural areas: A cross-sectional study
Aggression and related stressful life events among Chinese adolescents living in rural areas: A cross-sectional study
复制标题
中国农村地区青少年的攻击行为及相关压力生活事件：一项横断面研究
DOI：
10.1016/j.jad.2016.12.044
复制
发表时间：
2017-03-01
影响因子：
6.6
通讯作者：
Yu, Yizhen
中科院分区：
文献类型：
--
作者：
Huang, Juan;Tang, Jie;Yu, Yizhen
背景：攻击性对于个人和社会来说都是一个严重的问题。尽管攻击行为研究取得了进展，但生活在农村地区的青少年中攻击行为的持续存在仍有待调查。我们在全国范围内以学校为基础的中国农村地区青少年样本中评估了攻击行为的发生率以及压力生活事件与攻击行为之间的关联。方法：采用分层随机整群抽样方法，从中国 5 个省的 15 个代表性农村地区选取了 13,495 名中国农村学生（7065 名男孩和 6430 名女孩；11-20 岁）作为样本。通过自我报告问卷评估攻击性、压力生活事件、忽视、情绪管理、社会支持和人口特征。在控制混杂因素后，采用多变量逻辑回归来估计压力生活事件与攻击行为的关联。结果：中国农村地区青少年攻击行为的发生率为24.3%。回归分析表明，与人际问题（OR=2.03，95% CI [1.75-2.36]）、健康适应困难（OR=1.21，95% CI [1.09-1.34]）和其他问题（OR=1.93，95% CI [1.74-2.14]）相关的慢性长期压力源对攻击行为的发生率产生负面影响，甚至在调整了父母忽视、情绪管理、社会支持和其他相关因素后。因此，有必要通过后续研究来验证压力生活事件与攻击行为之间的因果关系。结论：攻击行为在中国农村青少年中普遍存在，人际问题、健康适应困难等问题被认为是攻击行为的潜在独立危险因素。
Background: Aggression is a serious problem for both individuals and society. Despite progress in aggression research, its persistence among adolescents living in rural areas remains to be investigated. We evaluate the prevalence of aggression and the association between stressful life events and aggression in a nationwide, school-based sample of adolescents living in rural areas of China.Methods: A sample of 13,495 Chinese rural students (7065 boys and 6430 girls; 11-20 years old) was selected from 15 representative rural areas from 5 provinces in China using stratified randomized cluster sampling. Aggression, stressful life events, neglect, emotional management, social support, and demographic characteristics were assessed via self-report questionnaires. Multivariate logistic regressions were used to estimate the association of stressful life events and aggression after controlling for confounds.Results: The prevalence of aggressive behavior among Chinese adolescents living in rural areas was 24.3%. Regression analyses indicated that the odds of aggression were negatively influenced by chronic long-term stressors related to interpersonal problems (OR=2.03, 95% CI [1.75-2.36]), health adaptation difficulties (OR=1.21, 95% CI [1.09-1.34]), and other troubles (OR=1.93, 95% CI [1.74-2.14]), even after adjustment for parental neglect, emotional management, social support, and other relevant factors.Limitations: This study was cross-sectional; thus, it is necessary to validate the causal relationship between stressful life events and aggression via follow-up studies.Conclusions: Aggression was prevalent among Chinese adolescents living in rural areas, and interpersonal problems, health adaption difficulties, and other troubles were considered potential independent risk factors for aggression.