南京城区学龄儿童攻击性行为相关因素的调查

摘要

目的:研究南京城区学龄儿童攻击性行为的分布情况及相关因素.方法:采用分层整群随机抽样方法江苏省南京市抽取4678名小学生,使用一般情况问卷及儿童行为量表(家长用表)对学龄儿童的一般情况及攻击性行为的现状进行调查.结果:攻击性行为的检出率为3.6％ (167/4678).多因素logistic回归分析显示民主型养育方式[(其他型OR=1.94,95％ CI=1.10 ～3.42),混合型(OR=1.96,95％ CI=1.35-2.85)]和进行过遗传学筛查(OR =0.71,95％CI =0.52～0.99)是学龄儿童攻击性行为的保护因素.Pearson相关分析提示攻击性行为因子分与其他问题行为的因子分存在正相关(r=0.52～0.80,均P＜0.01).结论:南京地区学龄儿童中约有3.6％存在攻击性行为,非民主型的家庭教养方式、未进行新生儿遗传学筛查的学龄儿童更易出现攻击性行为.%Objective:To study the distribution and related factors of aggressive behavior among school aged children in Nanjing.Methods:Totally 4678 primary school students in Nanjing were sampled by cluster random sampling in this study.The General questionnaire and Achenbach's child Behavior Checklist were used to investi gate the general situation and aggressive behavior.Results:The rate of aggressive behavior of school-age children in Nanjing was 3.6 ％ (167/4678).Multivariate logistic regression analysis indicated that democratic parenting style [other parenting styles (OR =1.94,95％ CI =1.10-3.42),mixed parenting style(OR =1.96,95％ CI =1.35-2.85)],and genetic screening before birth (OR =0.71,95％ CI =0.52-0.99) were protective factors for children's aggressive behavior.The factor figures of aggressive behavior were positively correlated with that of oth er behavior problems in Pearson correlation analysis (r =0.52-0.80,Ps ＜0.01).Conclusion:About 3.6％ of the school aged children in Nanjing have aggressive behavior.It is more likely to have aggressive behaviors for children who is in other parenting styles except the democratic style and never have the genetic screening before birth.And children who with aggressive behavior may co-occur with other behavior problems.