Low health literacy and psychological symptoms potentially increase the risks of non-suicidal self-injury in Chinese middle school students

BMC Psychiatry

Research Article

Shu-man Tao¹  Xiao-yan Wu²  Shi-chen Zhang²  Fang-biao Tao²  Jun Fang³ 

[1] Department of Maternal and Child Health, School of Public Health, Anhui Medical University, 81th Meishan Road, 230032, Hefei, Anhui Province, People’s Republic of China;Department of Maternal and Child Health, School of Public Health, Anhui Medical University, 81th Meishan Road, 230032, Hefei, Anhui Province, People’s Republic of China;Anhui Provincial Key Laboratory of Population Health & Aristogenics, 81th Meishan Road, 230032, Hefei, Anhui Province, People’s Republic of China;Department of Toxicology, School of Public Health, Anhui Medical University, 81th Meishan Road, 230032, Hefei, Anhui Province, People’s Republic of China;Anhui Provincial Key Laboratory of Population Health & Aristogenics, 81th Meishan Road, 230032, Hefei, Anhui Province, People’s Republic of China;Faculty of Pharmaceutical Science, Sojo University, Ikeda 4-22-1, 860-0082, Kumamoto, Japan;

关键词: Health literacy;    Non-suicidal self-injury;    Psychological symptoms;    Student;   

DOI  :  10.1186/s12888-016-1035-y

 received in 2016-06-01, accepted in 2016-09-09,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundLow health literacy (HL) has been known to be involved in various risk behaviors and mental disorder among adolescent. The purpose of this study was to examine the independent and interactive association between HL and self-reported mental health with non-suicidal self-injury (NSSI) in Chinese middle school students.MethodsTwenty five thousand three hundred seventy-eight junior and high school students in China were enrolled in this study. The outcomes were self-reported HL, psychological symptoms and NSSI. Logistic regression models were conducted to examine relations between them.ResultsThe prevalence of NSSI was 27.5 %. Low HL was significantly associated with NSSI (OR = 2.538, 95 % CI: 2.335–2.758). Psychological symptoms were significantly positively correlated with NSSI (OR = 3.872, 95 % CI: 3.637–4.123). Low HL and psychological symptoms were independently and interactively associated with increased risks of NSSI.ConclusionsThese results suggest that Chinese middle school students with low HL and psychological symptoms are intending to exhibit NSSI. The intervention programs of mental health and behavior problems should enhance HL levels and attenuate the severity of psychological symptoms.

【 授权许可】

CC BY   
© The Author(s). 2016