Internet addiction among primary and middle school students in Jiaxing City
LING Jie1,2, ZHANG Jingmin1,2, ZHAO Linghui1,2
1. Department of Health Education (Mental Health), Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang 314050, China; 2. Jiaxing Mental Health Guidance Center, Jiaxing, Zhejiang 314050, China
Abstract：Objective To investigate the prevalence of Internet addiction among primary and middle school students in Jiaxing City, so as to provide insights into the development of interventions for Internet addiction among primary and middle school students. Methods A total of 1 701 students were sampled from two primary schools, two junior high schools, two senior high schools and two vocational high schools in Jiaxing City during the period between September and October, 2021, using the stratified cluster sampling method. The Internet addiction status was evaluated using the Internet Addiction Test, and the depression status was tested using the Patient Health Questionnaire-9 (PHQ-9), while the anxiety was assessed with the Generalized Anxiety Disorder Scale (GAD-7). Results The participants included 783 men (46.03%) and 918 women (53.97%), and 873 rural students (51.32%) and 828 urban students (48.68%). The overall detection of Internet addiction was 6.53% among the participants, and the prevalence of moderate and severe Internet addiction was 5.88% and 0.65%, respectively. A higher prevalence of Internet addiction was detected in rural students (χ2=4.695, P<0.05), junior high school students (χ2=65.337, P<0.05), students with a poor relationship with family members (χ2=39.231, P<0.05), teachers (χ2=28.799, P<0.05) and classmates (χ2=36.341, P<0.05). The prevalence of depressive and anxiety symptoms was 23.81% and 21.52%, respectively, and the prevalence rates of depressive and anxiety symptoms were both higher among primary and middle school students with Internet addiction (68.47% and 56.76%) than among those without Internet addiction (χ2=130.556 and 87.327, both P<0.05). Conclusion The prevalence of Internet addiction is high among primary and middle school students living in rural areas and with poor interpersonal relationships in Jiaxing City. Students with Internet addiction are more likely to develop depressive and anxiety symptoms.
凌洁, 张敬敏, 赵玲慧. 嘉兴市中小学生网络成瘾现况调查[J]. 预防医学, 2022, 34(12): 1207-1211.
LING Jie, ZHANG Jingmin, ZHAO Linghui. Internet addiction among primary and middle school students in Jiaxing City. Preventive Medicine, 2022, 34(12): 1207-1211.
[1] 中华人民共和国国家卫生健康委员会.中国青少年健康教育核心信息及释义(2018版)[EB/OL].(2018-09-25)[2022-10-24].http://www.gov.cn/xinwen/2018-09/25/content_5325294.htm. [2] 何思源,刘彦丽,陈春梅,等.焦虑和认知情绪调节在青少年网络成瘾与抑郁之间的中介作用[J].神经疾病与精神卫生,2022,22(2):94-99. HE S Y,LIU Y L,CHEN C M,et al.Mediating effects of anxiety and cognitive emotion regulation on Internet addiction and depression in adolescents[J].J Neurosci Ment Health,2022,22(2):94-99. [3] HASSAN T,ALAM MM,WAHAB A,et al. Prevalence and associated factors of internet addiction among young adults in Bangladesh[J/OL]. J Egypt Public Health Asso,2020,95(1)[2022-10-24].http://doi.org/10.1186/s42506-019-0032-7. [4] ABDEL-SALAM D M,ALROWAILI H I,ALBEDAIWI H K,et al. Prevalence of Internet addiction and its associated factors among female students at Jouf University,Saudi Arabia[J/OL]. J Egypt Public Health Assoc,2019,94(1)[2022-10-24].http://doi.org/10.1186/s42506-019-0009-6. [5] DE ÁVILA G B,DOS SANTOS É N,JANSEN K,et al. Internet addiction in students from an educational institution in Southern Brazil:prevalence and associated factors[J]. Trends Psychiatry Psychother,2020,42:302-310. [6] 付伟男,郝加虎.青少年网络成瘾与精神障碍研究现状[J].中国学校卫生,2019,40(4):634-637. FU W N,HAO J H.Research status of Internet addiction disorders and mental disorders in adolescents[J].Chin J Sch Health,2019,40(4):634-637. [7] CERNIGLIA L,ZORATTO F,CIMINO S,et al.Internet addiction in adolescence:neurobiological,psychosocial and clinical issues[J]. Neurosci Biobehav Rev,2017,76(Part A):174-184. [8] YOUNG K,PISTNER M,O'MARA J,et al.Cyber disorders:the mental health concern for the new millennium[J].Cyber Psychol Behav,1999,2(5):475-479. [9] KROENKE K,SPITZER R L,WILLIAMS J B.The PHQ-9:validity of a brief depression severity measure[J]. J Gen Intern Med,2001,16(9):606-613. [10] SPITZER R L,KROENKE K,WILLIAMS J B W,et al. A brief measure for assessing generalized anxiety disorder:the GAD-7[J]. Arch Intern Med,2006,166(10):1092-1097. [11] 燕春婷,李瑞,王智勇,等.大连市青少年网络成瘾现状及影响因素的调查研究[J].中国预防医学杂志,2021,22(8):634-639. YAN C T,LI R,WANG Z Y,et al.Prevalence and influencing factors of adolescent internet addiction in Dalian[J]. China Prev Med,2021,22(8):634-639. [12] 黄雪华,赵朔虹,莫丽恩. 东莞市在校青少年网络成瘾现状及其影响因素分析[J].中国校医,2017,31(10):724-726. HUANG X H,ZHAO S H,MO L E.Analysis on the current situation and influencing factors of internet addiction among adolescents in Dongguan City[J].Chin J Sch Doct,2017,31(10):724-726. [13] 刘斌志,何冰冰.我国青少年网络成瘾研究的新动态与新趋势[J].重庆邮电大学学报(社会科学版),2019,31(3):80-89. LIU B Z,HE B B.New dynamic and trends in the research on internet addiction among Chinese adolescents[J]. J Chongqing Univ Posts Telecomm(Soc Sci Ed),2019,31(3):80-89. [14] 杨连建,刁华,李婷,等. 沙坪坝区初中学生网络成瘾及影响因素分析[J]. 预防医学,2020,32(2):144-146. YANG L J,DIAO H,LI T,et al.Internet addiction and its influencing factors among junior high school students in Shapingba District[J]. Prev Med,2020,32(2):144-146. [15] 刘影,肖雅岚,伍珍琼,等.成都市一至九年级学生网络成瘾与焦虑调查分析[J].预防医学情报杂志,2020,36(12):1589-1593,1605. LIU Y,XIAO Y L,WU Z Q,et al.Investigation and analysis of internet addiction and anxiety among students from grade 1 to 9 in Chengdu[J]. J Prev Med Inf,2020,36(12):1589-1593,1605. [16] 刘彦丽,何思源,薛莉莉,等.上海市青少年网络成瘾与家庭功能、生活事件的关系[J].现代预防医学,2021,48(13):2383-2387. LIU Y L,HE S Y,XUE L L,et al.Relation of family function and life events to adolescent internet addiction in Shanghai[J]. Mod Prev Med,2021,48(13):2383-2387. [17] 朱琰泓,张琴,彭慧,等. 民工子弟小学高年级学生网络成瘾的家庭因素研究[J]. 预防医学,2019,31(9):924-926. ZHU T H,ZHANG Q,PENG H,et al.Family factors for internet addiction of senior students in primary schools for children of migrant workers[J].Prev Med,2019,31(9):924-926. [18] 李娟娟,章荣华,邹艳,等. 浙江省青少年抑郁症状的影响因素分析[J]. 预防医学,2021,33(2):139-142. LI J J,ZHANG R H,ZOU Y,et al.Influencing factors of depressive symptoms in Zhejiang adolescents[J]. Prev Med,2021,33(2):139-142. [19] CHEUNG J C S,CHAN K H W,LIU Y W,et al. Psychological well-being and adolescents' internet addiction:a school-based cross-sectional study in Hong Kong[J]. Child Adolesc Soc Work J ,2018,35:477-487. [20] MCCRAE N,GETTINGS S,PURSSELL E.Social media and depressive symptoms in childhood and adolescence:a systematic review[J]. Adolesc Res Rev,2017,2:315-330.
