Objective  To explore the impact of subhealth status on aggressive behaviors among middle school students in a district of Chongqing.

Methods  The study subjects were middle school students participating in the follow-up survey of a youth adolescent development cohort conducted in Chongqing in 2021. The Multidimensional Sub-health Questionnaire of Adolescents (MSQA) was employed to evaluate subhealth status, while the Buss-Warren’s Aggression Questionnaire (BWAQ) was used to assess the occurrence of high aggressive behaviors six months later. Chi-square and t-tests were used for intergroup comparisons, and multivariate Logistic regression was employed to explore the influence of subhealth on high aggressive behavior among middle school students.

Results  A total of 473 middle school students were included, with detection rates of physical-mental subhealth, physical subhealth, and mental subhealth at 12.9%, 15.4%, and 12.5%. The detection rate of high aggressive behavior tendency is 29.2%, and the average BWAQ score is (79.81±21.99) points. The total score and scores of each dimension of the BWAQ scale for students in the detection group of physical, mental, physical, and psychological sub-health were significantly higher than those in the undetected group (P<0.05). Multivariate Logistic regression analysis showed that physical-mental subhealth [OR=5.046, 95%CI(2.739, 9.297)], physical subhealth [OR=4.087, 95%CI(2.341, 7.134)], mental subhealth [OR=4.757, 95%CI(2.549, 8.878)], and poor father-child relationship were risk factors for high aggressive behavior tendency among middle school students.

Conclusion  The subhealth status of middle school students and their father- child relationship are significant influencing factors of their aggressive behavior. It is necessary to regularly monitor and pay attention to the subhealth status of middle school students, focus on their daily health management, and build a harmonious parent-child relationship to promote the healthy physical and mental development of middle school students.

1.Hubbard JA, McAuliffe MD, Morrow MT, et al. Reactive and proactive aggression in childhood and adolescence: precursors, outcomes, processes, experiences, and measurement[J]. J Pers, 2010, 78(1): 95-118. DOI: 10.1111/j.1467-6494.2009.00610.x.

2.Tremblay RE. The development of agressive behaviour during childhood: what have we learned in the past century?[J]. Int J Behav Dev, 2000, 24(2): 129-141. DOI: 10.1080/016502500383232.

3.庞静, 李英华, 陶茂萱. 亚健康与慢性疲劳综合征定义研究进展[J]. 中国健康教育, 2010, 26(2): 129-132. [Pang J, Li YH, Tao MX. Research progress of sub-health and chronic fatigue syndrome definitions[J]. Chinese Journal of Health Education, 2010, 26(2): 129-132.] DOI: 10.16168/j.cnki.issn.1002-9982.2010.02.017.

4.冯瑞. 天津市中学生亚健康状况及其影响因素研究[D]. 天津: 天津医科大学, 2014. [Feng R. Study on sub-health state and associated factors among middle school students in Tianjin[D]. Tianjin: Tianjin Medical University, 2014.] DOI: 10.7666/d.Y3192367.

5.Kawabata Y, Tseng WL, Murray-Close D, et al. Developmental trajectories of Chinese children's relational and physical aggression: associations with social-psychological adjustment problems[J]. J Abnorm Child Psychol, 2012, 40(7): 1087-1097. DOI: 10.1007/s10802-012-9633-8.

6.Batanova MD, Loukas A. Social anxiety and aggression in early adolescents: examining the moderating roles of empathic concern and perspective taking [J]. J Youth Adolesc, 2011, 40(11): 1534-1543. DOI: 10.1007/s10964-011-9634-x.

7.Liu S, Liu Q, Ostbye T, et al. Levels and risk factors for urinary metabolites of polycyclic aromatic hydrocarbons in children living in Chongqing, China[J]. Sci Total Environ, 2017, 598: 553-561. DOI: 10.1016/j.scitotenv.2017.04.103.

8.齐秀玉, 陶芳标, 胡传来, 等. 中国青少年亚健康多维问卷编制[J]. 中国公共卫生, 2008, 24(9): 1025-1028. [Qi  XY, Tao FB, Hu CL, et al. Study on of multidimensional sub-health questionnaire of adolescents[J]. Chinese Journal of Public Health, 2008, 24(9): 1025-1028.] DOI: 10.11847/zgggws2008-24-09-001.

9.陶芳标,邢超,袁长江,等. 青少年亚健康多维评定问卷全国常模研制[J]. 中国学校卫生, 2009, 30(4): 292-295. [Tao  FB, Xing C, Yuan CJ, et al. Development of national norm for multidimensional sub-health questionnaire of adolescents (MSQA) [J]. Chinese Journal of School Health, 2009, 30(4): 292-295.] DOI: 10.3969/j.issn.1000-9817.2009.04.003.

10.张艳梅. 青少年攻击行为的遗传易感性、环境影响因素及其交互作用研究[D]. 武汉: 华中科技大学, 2018. [Zhang  YM. Study on genetic susceptibility, environmental factors and the interactions of adolescent aggression[D]. Wuhan: Huazhong University of Science and Technology, 2018.] DOI: 10.7666/d.D01545888.

11.Maxwell JP. Psychometric properties of a Chinese version of the buss-warren aggression questionnaire[J]. Pers Indiv Differ, 2008, 44(6): 943-953. DOI: 10.1016/j.paid.2007.10.037.

12.Peng C, Guo TY, Cheng JH, et al. Sex differences in association between Internet addiction and aggression among adolescents aged 12 to 18 in mainland of China[J/OL]. J Affect Disorders, 2022, 312: 198-207. DOI: 10.1016/j.jad.2022.06.026.

13.李永旗,周颖,刘晓晓,等. 2018年上海市青浦区中学生亚健康现状及其影响因素分析[J]. 健康教育与健康促进, 2019, 14(3): 220-223. [Li YQ, Zhou Y, Liu XX, et al. Analysis on the current situation of sub-health of middle school students and its influencing factors in Qingpu district of Shanghai in 2018[J].Health Education and Health Promotion, 2019, 14(3): 220-223.] DOI: 10.16117/j.cnki.31-1974/r.201903009.

14.邵际晓. 重庆市青少年学生亚健康现况及其危险行为因素研究[D]. 重庆: 重庆医科大学, 2012. [Shao JX. Study on statusand ralated risk behaviors of sub-health in chongqing  adolescents[D]. Chongqing: Chongqing Medical University, 2012.] DOI: 10.7666/d.Y2203091.

15.刘晓蕙, 全善爱, 马晓梅, 等. 郑州市中学生亚健康现状及其影响因素分析[J]. 实用预防医学, 2019, 26(11): 1326-1329. [Liu XH, Quan SA, Ma XM, et al. Current status of sub-health and its influencing factors among middle school students in Zhengzhou city[J]. Practical Preventive Medicine, 2019, 26(11): 1326-1329.] DOI: 10.3969/j.issn.1006-3110.2019.11.012.

16.刘丽萍, 王宏. 三峡库区中学生心理健康现状及教育对策[J].重庆医科大学学报, 2008, 33(7): 854-857. [Liu LP, Wang  H. Study on mental health status and educational strategies among middle school students in three-gorges area of Chongqing[J].Journal of Chongqing Medical University, 2008, 33(7): 854-857.] DOI: 10.3969/j.issn.1006-2785.2009.07.034.

17.史俊霞, 余毅震, 黄艳, 等. 初中生攻击行为相关影响因素分析[J]. 医学与社会, 2004, 17(4): 42-43, 45. [Shi JX, Yu YZ, Huang Y, et al. A study of related factors of aggressive behavior in  middle school students[J]. Medicine and Society, 2004, 17(4): 42-43, 45.] DOI: 10.3870/j.issn.1006-5563.2004.04.018.

18.陈虹, 姜喆, 苏林雁. 家庭环境与儿童少年行为问题的关系[J].中国学校卫生, 2003, 24(2): 155-156. [Chen H, Jiang  Z, Su LY. The relationship between family environment and behavioral problems in children and adolescents[J]. Chinese Journal of School Health, 2003, 24(2): 155-156.] DOI: 10.3969/j.issn.1000-9817.2003.02.030.

19.杨粤凝, 彭逍遥, 冯淑丹. 父亲在位与初中生攻击行为: 以心理健康为中介作用[J]. 心理月刊, 2022, 17(24): 27-30, 55. [Yang  YN, Peng XY, Feng SD. Father presence and aggression of junior high school students: mediated by mental health[J]. Psychologies Magazine, 2022, 17(24): 27-30, 55.] DOI: 10.19738/j.cnki.psy.2022.24.007.

20.Coccaro EF, Fanning JR, Phan KL, et al. Serotonin and impulsive aggression[J]. CNS Spectr, 2015, 20(3): 295-302. DOI: 10.1017/S1092852915000310.

21.Van Veen MM, Lancel M, Beijer E, et al. The association of sleep quality and aggression: a systematic review and Meta-analysis of observational studies[J]. Sleep Med Rev, 2021, 59: 101500. DOI: 10.1016/j.smrv.2021.101500.

22.Dagan O, Schuengel C, Verhage ML, et al. Configurations of mother-child and father-child attachment as predictors of internalizing and externalizing behavioral problems: an individual participant data (IPD) Meta-analysis[J]. New Dir Child Adolesc Dev, 2021, 2021(180): 67-94. DOI: 10.1002/cad.20450.