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Status quo and influencing factors of internalizing and externalizing problem behaviors among rural middle school students
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Zhenzhen ZHANG1, Yinhe XUAN2, Yan LI1, Yuhan XU1, Ying LI3, Xiangdan SHEN1
Chinese Nursing Research | 2026, 40(12) : 2101 - 2108
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Chinese Nursing Research | 2026, 40(12): 2101-2108
• Comprehensive Study •
Status quo and influencing factors of internalizing and externalizing problem behaviors among rural middle school students
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Zhenzhen ZHANG1, Yinhe XUAN2, Yan LI1, Yuhan XU1, Ying LI3, Xiangdan SHEN1
Affiliations
  • 1School of Nursing, Yanbian University, Jilin 136002 China
  • 2Yanbian Chao Yi Hospital
  • 3Yanbian Brain Hospital
Published: 2026-06-25 doi: 10.12102/j.issn.1009-6493.2026.12.013
Outline
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Objective

To understand the status quo of internalizing and externalizing problem behaviors among rural middle school students,and to explore the mediating role of digital health literacy and active health behaviors between family function and internalizing and externalizing problem behaviors.

Methods

In December 2024,a survey was conducted on 1 093 middle school students from 2 rural schools in Fuyang city,Anhui province,using the General Family Functioning Scale,Strengths and Difficulties Questionnaire,the eHealth Literacy Scale,and Adolescent Proactive Health Behavior Scale.

Results

The total detection rates of internalizing and externalizing problem behaviors among 1 093 rural middle school students were 25.1% and 25.8% respectively.The correlation analysis results showed that family function,digital health literacy,and active health behaviors were all negatively correlated with internalizing and externalizing problem behaviors(P<0.05).Path analysis revealed that digital health literacy and active health behaviors played a partial mediating role between family function and internalizing and externalizing problem behaviors,with the mediating effect values being 0.033 and -0.104 respectively.

Conclusions

The detection rate of internalizing and externalizing problems among rural middle school students is relatively higher.In future practice,it is possible to reduce the incidence of internalizing and externalizing problems by strengthening family functions,enhancing digital health literacy,and formulating healthy living plans.

adolescents  /  problem behavior  /  family function  /  digital health literacy  /  active health behaviors  /  influencing factors
张真真, 玄银河, 李妍, 续玉含, 李颖, 申香丹. 乡村中学生内外化问题行为现状及其影响因素. 护理研究, 2026 , 40 (12) : 2101 -2108 . DOI: 10.12102/j.issn.1009-6493.2026.12.013
Zhenzhen ZHANG, Yinhe XUAN, Yan LI, Yuhan XU, Ying LI, Xiangdan SHEN. Status quo and influencing factors of internalizing and externalizing problem behaviors among rural middle school students[J]. Chinese Nursing Research, 2026 , 40 (12) : 2101 -2108 . DOI: 10.12102/j.issn.1009-6493.2026.12.013
Year 2026 volume 40 Issue 12
27
11
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.12.013
  • Receive Date:2025-10-13
  • Online Date:2026-10-30
  • Published:2026-06-25
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History
  • Received:2025-10-13
  • Revised:2026-05-27
Affiliations
    1School of Nursing, Yanbian University, Jilin 136002 China
    2Yanbian Chao Yi Hospital
    3Yanbian Brain Hospital
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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