摘要
目的分析校园欺凌与女生月经初潮年龄(age at menarche,AAM)提前的相关性,为促进女生青春期健康成长提供参考。方法2022年4月采用分层随机整群抽样的方法,在重庆市荣昌区全区范围内选择987名月经来潮中学女生为调查对象,开展问卷调查和体格检查。使用t检验,方差分析,Dunnett-t检验分析经历校园欺凌与AAM的组间差异,采用多因素Logistic回归分析经历校园欺凌与AAM提前的相关性。结果987名月经来潮女生的平均AAM为(12.13±1.03)岁,AAM提前检出率为22.90%。未经历欺凌事件与经历欺凌事件女生的AAM分别为(12.18±0.96)(11.86±1.44)岁,差异有统计学意义(t=3.71,P<0.01);经历1,2,3种及以上校园欺凌事件的平均AAM分别为(12.08±1.38)(11.74±1.07)(11.61±1.63)岁;未经历校园欺凌事件与经历1,2,3种及以上女生的AAM差异有统计学意义(F=6.99,P<0.01)。多因素Logistic回归分析发现,调整混杂因素后,经历校园欺凌事件(OR=2.71,95%CI=2.04~4.27)、被有意排斥在集体活动之外或被孤立(OR=2.58,95%CI=1.69~4.67)、被打、踢、推、挤或关在屋里(OR=2.85,95%CI=1.39~4.92)、因为身体缺陷或长相而被取笑(OR=2.74,95%CI=1.77~5.02)、经历1种校园欺凌事件(OR=2.33,95%CI=1.52~4.23)、经历2种校园欺凌事件(OR=3.36,95%CI=1.82~7.36)、经历3种及以上校园欺凌事件(OR=2.89,95%CI=1.74~5.71)均与女生AAM提前相关(P值均<0.05)。结论校园欺凌与女生AAM提前相关,加强学校防欺凌教育对于促进女生青春期健康生长发育具有重要意义。
Objective To analyze the corelation between school bullying and the age at menarche(AAM)in girls,so as to pro-vide references for promoting the healthy growth of girls in puberty.Methods In April 2022,a total of 987 middle school girls with onset of menarche in Rongchang District of Chongqing were selected by using a stratified random cluster sampling method to carry out a questionnaire survey and physical examination.The t-tests,variance analysis and Dunnett-t tests were conducted to analyze the differences between individuals who experienced different types of school bullying and AAM.Multivariate Logistic regression analy-sis was conducted to analyze the association between school bullying and the early age at menarche.Results The average AAM of 987 girls was(12.13+1.03)years,and 22.90%of them had early AAM.The AAM of those who did not experience bullying events(12.18±0.96)varied significantly with those who experienced bullying events(11.86±1.44)(t=3.71,P<0.01).The average AAM of individuals who experienced 1,2,3 or more school bullying events was(12.08±1.38,11.74±1.07,11.61±1.63)years old,re-spectively.There was a statistically significant difference in AAM between girls who did not experience school bullying and those who experienced 1,2,3 or more types of school bullying(F=6.99,P<0.01).Multivariate Logistic regression analysis found that after adjusting confounding factors,experiencing school bullying(0R=2.71,95%CI=2.04-4.27),being deliberately excluded from collective activities or being isolated(OR=2.58,95%CI=1.69-4.67),being kicked,pushed or locked in the house(OR=2.85,95%CI=1.39-4.92),being teased due to physical defects or appearance(OR=2.74,95%CI=1.77-5.02),experiencing one school bullying event(OR=2.33,95%CI=1.52-4.23),and experiencing two school bullying events(OR=3.36,95%CI=1.82-7.36),and experiencing three or more school bullying events(OR=2.89,95%CI=1.74-5.71)were associated with the early age at menarche(P<0.05).Conclusion School bullying is related to the earlier AAM among girls.Strengthening school anti-bull-ying education might be helpful for promoting girls'healthy growth and development in adolescence.
作者
周可静
熊华利
唐大乂
ZHOU Kejing;XIONG Huali;TANG Dayi(Department of Food Hygiene and Environmental Hygiene,Chongqing Rongchang District Center for Disease Control and Pre-vention,Chongqing(402460),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2023年第9期1355-1359,共5页
Chinese Journal of School Health
基金
重庆市荣昌区卫生健康委卫生计划项目(荣卫发[2022]第43号)。
