Associations between developmental assets and health risk behaviors among adolescents in Chongqing

Abstract

Objective To provide a reference for improving adolescents' health in Chongqing by understanding the association between developmental assets and health risk behaviors.

Methods A stratified random sampling method was used to select 12 middle schools in Chongqing, and then a questionnaire survey was conducted among the students of each class from grade 1 to grade 3 in each school. A total of 72 classes were surveyed and 3 513 questionnaires were distributed. The data were analyzed by SPSS 17.0 statistical analysis software.

Results The total score of developmental assets (37.34±9.81), internal assets (18.99±6.33) and external assets (18.44±7.21), and the distribution of eight assets were at a medium level; Middle school students' developmental assets were most affected by their family structure, followed by their mothers and fathers' educational level, but not by their gender, grade and family economic status. The developmental assets, external assets, internal assets and eight assets of middle school students in Chongqing were negatively correlated with various health risk behaviors, respectively ( r = −0.64—0.14, P<0.05); External assets and intrinsic assets had significant influence on their overall health-threatening behaviors and various dimensions ( OR = −0.39~ −0.19, P<0.05), and the influence of intrinsic assets was significantly higher than that of external assets; among the background factors of middle school students, family structure had the greatest influence on their health-risk behaviors ( OR = −0.16), followed by mother' s education level and father' s education water. Secondly, it had nothing to do with the gender, grade and family economic status of middle school students.

Conclusion In order to prevent adolescents' health risk behaviors, adolescents' external and internal assets as well as study investment assets should be strengthened, which would ultimately promote health growth and development.

Abstract

【摘要】 目的 通过了解重庆市青少年发展性资产与危害健康行为间的关系, 为青少年健康促进提供参考。 方法 采用分层随机抽样方法选择重庆市 12 所中学, 在每所学校随机选取初一至髙三各1个班的学生进行问卷调査, 共获得 72 个班级 3 513 名研究对象, 运用SPSS 17.0 统计软件对数据进行处理。 结果 重庆市中学生发展性资产总分为 (37.34± 9.81) 分, 外在资产为 (18.44±7.21) 分, 内在资产为 (18.99±6.33) 分, 皆为中等水平; 中学生发展性资产最受家庭结构的影 响, 其次为母亲、父亲教育水平的影响, 与性别、学段及家庭经济状况无关; 中学生发展性资产、外在资产、内在资产及 8 项 资产均与各项危害健康行为呈负相关 ( r = −0.64~−0.14, P 值均<0.05);外在资产与内在资产对整体危害健康行为及各维 度均有影响 ( OR = −0.39~−0.19, P 值均<0.05), 其中内在资产的影响广度与深度髙于外在资产; 中学生背景因素中, 家庭 结构对危害健康行为的影响力最大 ( OR = −0.16), 其次为母亲教育水平, 父亲教育水平次之, 与中学生性别、学段及家庭经 济状况无关。 结论 应强化青少年外在资产、内在资产及学习投人资产, 以促进其健康成长。