风险决策同伴影响抵抗对青少年问题网络使用预测效应的随访研究  

Longitudinal analysis of adolescent problematic Internet use: The role of risky decision-making and resistance to peer influence

作　　者：孙莹[1] 刘阳[1] 安静[1] 麦锦城 梁健平 许志勇[3] 满学军 毛艳 陶芳标[1] 

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/安徽人口健康与优生省级实验室,合肥230032 [2]广州市中小学卫生保健所 [3]沈阳市皇姑区中小学卫生保健所 [4]沈阳市法库县中小学卫生保健所

出　　处：《中国学校卫生》2014年第9期1334-1337,1341,共5页Chinese Journal of School Health

基　　金：国家自然科学基金青年项目(81102146)

摘　　要：目的探讨同伴影响抵抗和风险决策对青少年问题网络使用的预测效应,为早期发现青少年网络成瘾高危人群及制定有针对性干预措施提供参考依据。方法在广州和沈阳两市分别抽取5所和3所初中。每所初中选取初一年级全体学生为研究对象,对其随访调查12个月。采用同伴影响抵抗问卷(RPIS)和风险决策问卷(YDMQ)评价青少年同伴影响抵抗和风险决策水平及其对问题网络使用的影响。结果基线调查2 103名青少年,问题网络使用发生率为14.3%。1 a后随访1 853名,失访率为11.9%。新发PIU为307名(16.6%),持续PIU为150名(8.1%),116名(6.3%)青少年在基线时报告PIU,1 a随访后报告无PIU(终止组)。与对照组相比,PIU新发组和持续组风险决策得分高、同伴影响抵抗得分低(P值均<0.01)。Logistic回归模型中控制基线PIU、性别、地区、父母文化程度和家庭经济后,风险决策高、同伴影响抵抗低均是随访PIU和新发PIU的危险性预测因素(B值分别为0.904,0.650,0.936,0.741,P值均<0.01),同伴影响抵抗高是PIU中止的保护性预测因素(B=-0.625,P<0.05)。结论同伴影响抵抗能力较差和风险决策较高的青少年可作为健康危害行为早期筛查和干预的重点人群。Objective To explore predictive effects of risky decision-making and resistance to peer influence on problematic Internet use（PIU）. Methods Participants were junior grade one students recruited from 8 junior middle schools in Guangzhou and Shenyang. Questionnaire surveys were conducted at two time-points in 12-month interval. Resistance to peer influence and risky decision-making were assessed by Resistance to Peer. 27. 1% Influence Scale（RPIS） and Youth Decision-Making Questionnaire（YDMQ）. All the participants were categorized into 2 groups according to their intensity of Internet use： problematic Internet users（PIU; ≥3 hours/day）,non-problematic Internet users（NPIU; 〈3 hours/day）. Results At baseline,2 103 were recruited.After 12-month interval,about 1 853 adolescents（938 male and 915female） were followed. The withdrawal rate was 11. 9%. Incidence rate of PIU was 16. 6%（onset group）. A total of 150（8. 1%） adolescents continued reporting PIU（ maintenance group）and 116（6. 3%） who had PIU at baseline reported no PIU at follow-up（cessation group）. Compared with controls,score of YDMQ was higher and score of RPIS was lower in onset and maintenance group. When PIU at baseline,gender,region,parental education and family economic status was controlled,high risky decision-making and lower RPI were risk factors for PIU onset,while higher RPI was protective factor for PIU cessation. Conclusion Adolescents with high risk decision-making and low resistance to peer influence might be targeted population for early screening and intervention of PIU.

关 键 词：精神卫生 因特网 预测 随访研究 青少年 

分 类 号：B844.2[哲学宗教—发展与教育心理学] R395.6[哲学宗教—心理学]