广东省肇庆市在校青少年手机成瘾与健康促进生活方式关系的Nomogram模型分析  

Mobile phone addiction and health-promoting lifestyles of adolescents at school:a nomogram model analysis in Zhaoqing City of Guangdong Province

作　　者：谢慧妍[1] 杨菲[2] 韩逸轩 徐娜 XIE Hui-yan;YANG Fei;HAN Yi-xuan;XU Na(Zhaoqing Medical College,Zhaoqing 526040,Guangdong Province,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]肇庆医学高等专科学校,广东肇庆526040 [2]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2022年第9期1230-1237,共8页Journal of Preventive Medicine Information

基　　金：广东省普通高校青年创新人才类项目(项目编号:2019GKQNCX130);肇庆市科技创新指导类项目(项目编号:202004031483)。

摘　　要：目的探讨广东省肇庆市在校青少年手机成瘾对健康促进生活方式的影响,为问题性移动网络使用行为的防治和干预提供依据。方法2019—2020学年采用手机成瘾倾向量表(MPATS)和健康促进生活方式量表-Ⅱ修订版(HPLP-ⅡR)调查广东省某市1所大专院校、1所中等职业学校和1所普通高中3124名14~24周岁学生,计算青少年手机成瘾对健康生活方式的校正OR值。采用列线图模型将多因素Logistic回归模型结果可视化。Nomogram模型的构建采用R软件(4.0.4),其余分析均采用SPSS 21.0软件进行。结果3124名青少年MPATS量表总分为(38.14±10.51),手机成瘾者567人(18.1%)。手机成瘾的青少年在健康生活促进生活方式总得分和营养行为、健康责任、压力管理、人际关系、精神成长五个维度的得分均低于正常组,两组得分差异有统计学意义。多因素Logistic回归分析结果表明手机成瘾对青少年健康促进生活方式的影响有统计学意义(OR=3.55,95%CI:1.37~2.34)。Nomogram模型显示手机成瘾是健康促进生活方式评分低的主要影响因素之一。结论手机成瘾对青少年健康促进生活方式有负面影响。家庭、学校以及社会应该引导青少年合理使用手机,这将有利于改善其健康促进生活方式,促进身心健康。Objective To explore the association between mobile phone addiction and health-promoting lifestyles of adolescents at school,so as to provide the basis for prevention and intervention of problematic mobile phone use.Methods In the 2019-2020 academic year,a questionnaire survey was conducted to investigate 3124 students from a junior college,a secondary vocational school and a high school in a city of Guangdong by using Mobile Phone Addiction Tendency Scale(MPATS)and health promoting lifestyle profile-Ⅱ,revised edition(HPLP-ⅡR).Adjusted OR values of mobile phone addiction for healthy lifestyle were calculated.Results of multiple Logistic regression model were visualized by using Nomogram.The Nomogram was constructed by R(4.0.4),and other analysis was performed by SPSS 21.0.Results For the 3124 students,the mean score of MPATS was 38.14±10.51,and 18.1%of the participants were classified as mobile phone addiction.The total score of HPLP-ⅡR and its five dimensions of nutrition,health responsibility,stress management,interpersonal relations and spiritual growth of the addicts were significantly lower than that of the non-addicts.Multivariate logistic regression showed that mobile phone addiction was positively rated to health-promoting lifestyle(OR=3.55,95%CI:1.37-2.34)among adolescents.The nomogram model showed that mobile phone addiction was one of the main risk factors of low health-promoting lifestyle.Conclusions Mobile phone addiction was associated with worse health-promoting lifestyle.A reasonable use of the mobile phone will effectively improve health-promoting lifestyles of adolescents.

关 键 词：手机成瘾 健康促进生活方式 Nomogram模型 

分 类 号：R193[医药卫生—卫生事业管理]