青少年二次网络成瘾相关因素的巢式病例对照研究  

Influencing factors of secondary Internet addiction among adolescents:a nested case-control study

作　　者：李多聪[1] 陈海峰[1] 刘芬[1] LI Duo-cong;CHEN Hai-feng;LIU Fen(Department of Mental Heath,Ji’an Third People’s Hospital,Ji’an,Jiangxi 343000,China)

机构地区：[1]江西省吉安市第三人民医院精神卫生科,江西吉安343000

出　　处：《现代预防医学》2021年第22期4099-4103,4116,共6页Modern Preventive Medicine

摘　　要：目的探究青少年二次网络成瘾的相关因素,为预防青少年二次网络成瘾提供科学依据。方法采用巢式病例对照的方法,纳入2014年1月1日—2019年12月31日期间吉安市第三人民医院心理门诊因网络成瘾而就诊的青少年患者作为研究队列,二次网络成瘾的青少年作为二次网络成瘾组,年龄±1岁、性别相同进行1∶1匹配队列中的其他研究对象作为非二次网络成瘾组,分析青少年二次网络成瘾的相关因素。结果青少年人群队列共计观察对象1 587人,其中二次网络成瘾组有194人,二次网络成瘾发生率为12.2%,多因素条件logistic回归分析发现,首次诊断年龄>15岁(OR=0.09,95%CI:0.03~0.23)、监护人受教育程度为中学(OR=0.23,95%CI:0.08~0.65)和大专及以上(OR=0.25,95%CI:0.08~0.77)、每周中等强度锻炼时间>3 h(OR=0.37,95%CI:0.14~0.95)、治疗干预措施为综合干预(OR=0.29,95%CI:0.09~0.91)是二次网络成瘾的保护因素;BMI≥24 kg/m2(OR=2.43,95%CI:1.09~5.41)、年级综合成绩排名20%~50%(OR=39.73,95%CI:8.26~191.06)和>50%(OR=10.92,95%CI:3.15~37.89)、所在地区为城镇(OR=4.01,95%CI:1.50~10.69)是二次网络成瘾的危险因素。结论青少年二次网络成瘾的影响因素是综合性的,尽早识别高危因素,采取预防措施来减少青少年二次网络成瘾的发生。Objective To investigate the factors associated with secondary Internet addiction disorder(IAD) in adolescents and provide scientific basis for the prevention of secondary IAD.Methods A nested case-control approach was used to include adolescent patients who visited the psychological clinic of the Third People ’s Hospital of Ji’an for Internet addiction between January 1,2014 and December 31,2019 as the study cohort,adolescents with secondary Internet addiction as the secondary Internet addiction group,and other study subjects in the age ± 1 year and gender identical for 1:1 matching cohort as the non-secondary Internet addiction.Factors associated with secondary IAD in adolescents were investigated.Results A total of1 587 subjects were investigated in the adolescent population cohort,of which 194 were in the secondary Internet addiction group,and the incidence of secondary IAD was 12.2%.Multi-factor conditional logistic regression analysis revealed that age at first diagnosis >15 years old(OR=0.09,95%CI:0.03-0.23),guardian’s education level was secondary school(OR=0.23,95%CI:0.08-0.65),college and above(OR=0.25,95%CI:0.08-0.77),moderate intensity exercise >3 hours per week(OR=0.37,95%CI:0.14-0.95),and with combined treatment interventions(OR=0.29,95%CI:0.09-0.91) were protective factors for secondary IAD;BMI ≥24 kg/m2(OR=2.43,95%CI:1.09-5.41),ranking of 20%-50% among the same-grade students(OR=39.73,95%CI:8.26-191.06) and ranking >50%(OR=10.92,95%CI:3.15-37.89),and urban residence(OR=4.01,95%CI:1.50-10.69) were risk factors for secondary IAD.Conclusion The influencing factors of secondary Internet addiction among adolescents were comprehensive,and early identification of high-risk factors and preventive measures should be taken to reduce the incidence of secondary IAD among adolescents.

关 键 词：青少年 二次网络成瘾 巢式病例对照研究 

分 类 号：R749.99[医药卫生—神经病学与精神病学]