Abstract:
Objective To examine the status and influence factors of addictive behaviors among Tujia and Miao adolescents in Wuling mountainous area and to provide a basis for making intervention program.
Methods With stratified cluster random sampling,2094 Tujia and Miao adolescents were selected and surveyed with a questionnaire about smoking,alcohol drinking,video game and internet addiction.Logistic regression analysis was used to analyze the risk factors of addictive behaviors.
Results The reported rate of smoking attempt,initial smoking before the age of 13 years,alcohol drinking attempt,initial alcohol drinking before the age of 13 years,video game addiction,and internet addiction were 44.94%,29.04%,66.62%,27.41%,14.23%,and 5.25%,respectively.The addictive behavior rates of the boys were higher than those of the girls(
P<0.01); Miao students reported higher rates of smoking and alcohol drinking behavior,while the Tujia students had a higher rate of alcohol drinking at early age.Logistic regression analysis results showed that the risk factors of current smoking were male gender(odds ratio
OR=7.007,
P=0.000),current drinking(
OR=4.053,
P=0.000),insomnia(
OR=2.383,
P=0.000),fighting with others(
OR=2.411,
P=0.000),and video games addiction(
OR=2.296,
P=0.000)and the protective factor was academic record(
OR=0.441,
P=0.000).The risk factors of current drinking were male gender(
OR=1.929,
P=0.000),current smoking(
OR=3.857,
P=0.000),aloneness(
OR=1.993,
P=0.000),insomnia(
OR=1.825,
P=0.001),fighting with others(
OR=1.726,
P=0.000),and video games addiction(
OR=1.620,
P=0.001).The risk factors of video game addiction were male gender(
OR=1.378,
P=0.030),higher education level of the father(
OR=2.143,
P=0.002),depression(
OR=2.184,
P=0.000),internet addiction(
OR=26.538,
P=0.000),and fighting with others(
OR=1.598,
P=0.002);the protective factor was being a resident student(
OR=0.564,
P=0.000).The risk factors of internet addiction were male gender(
OR=2.626,
P=0.000),depression(
OR=1.895,
P=0.014),using internet mainly for playing game(
OR=2.507,
P=0.002),and video game addiction(
OR=20.871,
P=0.000).
Conclusion The prevalence of addictive behaviors among Tujia and Miao adolescents in Wuling mountainous area needs to be concerned,especially among the boys.Mutual influence and interaction existed among various addictive behaviors and insomnia and negative emotions such as loneness and depression are risk factors of the addictive behaviors.
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