重庆主城区小学生行为问题的流行病调查研究-第三军医大学学报.DOCVIP

PAGE 7 重庆市主城区高年级小学生行为问题的流行病学调查研究 邱 田1 杜 莲2 胡 华* 蒙华庆2 傅一笑2 罗庆华2 邱海棠2 （重庆医科大学附属第一医院心理卫生中心，重庆400016） 【摘要】 目的 了解重庆市主城区高年级（四～六年级）小学生行为问题发生率和特点，探究其相关影响因素。方法 采用横断面研究，应用儿童行为量表（CBCL）（家长版）和自制一般情况调查问卷，对重庆主城区中3137名小学生进行行为问题的初步筛查和相关因素信息采集分析。结果 本次调查的小学生中行为问题检出率为27.26%。单因素分析显示，学生行为问题发生在学校类型和年级、家庭情况、父母管教态度及居住环境等因素水平上检出率差异有统计学意义（P0.05）。逐步回归分析发现学生所在年级、父亲文化程度、父母健康状态、家庭结构、儿童学习情况、父母管教方式等因素是影响儿童行为的独立而主要的因素（P0.05）。结论 重庆市主城区高年级小学生行为问题检出率较高，与其家庭情况、父母管教态度、社会环境、学校环境等因素有关。提示我市主城区小学生心理健康状况不容乐观，需采取学校、家庭和心理工作者等“三位一体”的综合干预措施，以减少儿童行为问题的发生。 【关键词】 小学生；行为问题；流行学调查； 中图分类号：R179 R 395．6 图文识别码：A A Epidemiology STUDY ON child behavior PROBLEMs Of High-grade pupils in Chongqing Urban area QIU Tian1, DU lian2 HU Hua*, MENG Hua-qing2,FU yi-xiao2,LUO qing-hua2,QIU hai-tang2 Mental Health Center, The First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China 【Abstract】Objective To explore the prevalence and the related factors of behavior problems among the Primary students of high-grade pupils in Chongqing Urban area. Methods 3137 high-grade pupils in Chongqing Urban area were assigned by cluster sampling method and were assessed with CBCL and self-designed questionnaire. Factor analysis was performed with SAS software. Results The prevalence of behavior problems in pupils was 27.26% ；Single-factor analysis revealed that the type of school, the grade, the residential and family environment, and parental attitude toward the children etc can have affect on the Children’ behavior problems. Stepwise regression revealed that variable factors: the grade, the educational level of father, the health status of parents, the status of childrens study and parental attitude toward the children. Conclusions The status of children’s mental heath is not optimistic in Chongqing urban area. The social environment, the quality of school education, family-related factors played important roles in the occurrence of childhood behavior problems. Comprehen