The effect of subhealth on aggressive behavior among middle school students in a district of Chongqing

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.