- 期刊
原住民與漢族青少年之身心症狀和不利健康生活型態的差異
The Differences in Psychiatric Symptoms and Unhealthy Lifestyle Between Aboriginal and Chinese Adolescents
摘要
目的：評估原住民與漢族青少年身心症狀和不利健康生活型態之差異。材料與方法：以花蓮市9所高中(職)學生為母群體，於各校各年級經隨機集束方法抽取一班，共27班學生為研究對象，由學生自填結構式問卷一份，內容包括背景、性格特質、不利健康行為、家庭功能、日常生活壓力和自述身心症狀評估，並以複迴歸分析探討其相關因素。結果：從980位年齡在15-17歲間青少年(漢族786位，原住民194位)之回答分析，發現漢族組較多有身心症狀，其中以憂慮症狀最為顯著，日常生活壓力是重要影響因素，而原住民組織則較多是有不利健康之行為，現時有吸菸、嚼檳榔和飲酒行為的比例分別31.8%、22.3%和35.8%，曾酒後駕駛機車或超速駕駛的比例亦分別21.1%和71.9%。結論：家庭是身心症狀和不利健康生活型態的重要預測因素，建議辦理不同的介入活動，提升漢族青少年壓力調適能力，和預防原住民青少年的不利健康行為，是當前的重點工作。
並列摘要
Objective: To assess the difference of psychiatric symptoms and unhealthy life styles between aboriginal and Chinese adolescents. Subjects and Methods: We surveyed 27 classes of high school students from 9 high schools in Hualien City via a stratified cluster sampling method. Students filled out a structured questionnaire, including individual characteristics, lifestyle, family function, daily life stress and psychiatric symptoms. Results: Analysis was from 980 questionnarie, from adolescents aged 15-17 (Han Chinese n=786, aborigines n=194). Psychiatric symptoms were more common among Han Chinese, and depressive-anxiety was the most prominent symptom. Daily life stress was the major correlate. Unhealthy behaviors were more common in aborigines. The proportions of current smoking, betel nut chewing and wine drinking were 31.8%, 22.3% and 35.8%, respectively. Driving after drinking (21.1%) and driving too fast (71.9%) were also more common in aborigines. Conclusions: Family was the most important predictor for psychiatric symptoms and unhealthy lifestyle. We recommend different interventions be launched for adolescents of different ethnic groups. Helping Han Chinese adolescents cope with stress and preventing an unhealthy lifestyle among aboriginal adolescents are the current tasks for adolescent health care.