青少年网络成瘾与饮酒的关联:焦虑、家庭支持的中介调节作用  

Association between adolescent Internet addiction and alcohol consumption:the mediating and moderating roles of anxiety and family support

作　　者：张磊[1] 刘艳红[1] 姚梦 王熙 刘成锋[1] 郭艳芳[1] ZHANG Lei;LIU Yanhong;YAO Meng;WANG Xi;LIU Chengfeng;GUO Yanfang(Bao’an District Hospital for Chronic Disease Prevention and Cure,Shenzhen,Guangdong 518000,China;Bao’an District Public Health Service Center,Shenzhen,Guangdong 518000,China)

机构地区：[1]深圳市宝安区慢性病防治院,广东深圳518000 [2]深圳市宝安区公共卫生服务中心,广东深圳518000

出　　处：《实用预防医学》2025年第3期267-272,共6页Practical Preventive Medicine

基　　金：中国教育发展基金会课题(XS24B081);宝安区科技创新局以生态系统理论为基础的青少年网络成瘾的个人-家庭-社会关联性研究(2023JD162);宝安区医学重点学科(慢性非传染性疾病防控)。

摘　　要：目的探讨青少年网络成瘾对饮酒的影响,以及焦虑与家庭支持的中介调节作用。方法2022年11—12月对深圳市宝安区青少年开展横断面调查,采用分层随机抽样,利用一般资料调查表、Young’s诊断问卷、广泛性焦虑量表、家庭功能评估表进行问卷调查。数据采用SPSS 25.0软件及插件Process处理。结果本研究调查对象共3121名,其中男生和女生分别占54.98%和45.02%。过去一年未饮酒、过去一年每月不到1次饮酒和过去一年每月1次及以上饮酒分别占调查人数的75.26%、18.81%和5.93%。研究发现饮酒情况与年龄、性别、学校类型、家庭支持、焦虑、网络成瘾均有相关关系(r范围:-0.143~0.187)。在考虑了年龄、性别和学校类型等因素情况下,中介分析模型显示网络成瘾显著正向影响饮酒(β=0.132,P<0.001),并可以通过焦虑影响饮酒,焦虑在青少年网络成瘾与饮酒之间起部分中介作用,中介效应占比46.21%。家庭支持在青少年网络成瘾与焦虑的路径起负向调节作用(β=-0.321,P<0.001),但是在焦虑与饮酒的路径上,家庭支持没有起到调节作用。结论网络成瘾会通过焦虑影响青少年饮酒,家庭支持可以降低网络成瘾对焦虑的影响,从而减少青少年饮酒。Objective To explore the impact of adolescent Internet addiction on alcohol consumption as well as the mediating and moderating roles of anxiety and family support.Methods A cross-sectional survey was conducted among adolescents in Bao’an District,Shenzhen City from November to December 2022.A stratified random sampling method was used in this study,and questionnaire surveys were conducted by using the General Information Questionnaire(GIQ),Young’s Diagnostic Questionnaire(YDQ),the 7-item Generalized Anxiety Disorder Scale(GAD-7)and Family APGAR Index(APGAR).Entire data processing was done using SPSS 25.0 software and the Process plugin.Results A total of 3,121 subjects were enrolled in this study,with boys and girls accounting for 54.98%and 45.02%respectively.Subjects who did not consume alcohol in the past year,those who consumed alcohol less than once a month in the past year and those who consumed alcohol once a month or more in the past year accounted for 75.26%,18.81%and 5.93%of the surveyed subjects respectively.The study results displayed that alcohol consumption was correlated with age,gender,school type,family support,anxiety and Internet addiction(rrange:-0.143-0.187).After considering factors such as age,gender and school type,the mediating analysis model showed that Internet addiction had a significant positive impact on alcohol consumption(β=0.132,P<0.001),and could affect alcohol consumption through anxiety.Anxiety played a partial mediating role between adolescent Internet addiction and alcohol consumption,with the proportion of the mediating effect being 46.21%.Family support played a negative moderating role in the path between adolescent Internet addiction and anxiety(β=-0.321,P<0.001),but did not play a moderating role in the path between anxiety and alcohol consumption.Conclusion Internet addiction can affect adolescent alcohol consumption through anxiety.Family support can reduce the impact of Internet addiction on anxiety,thereby reducing adolescent alcohol consumption.

关 键 词：青少年 网络成瘾 饮酒 焦虑 家庭支持 中介模型 调节作用 

分 类 号：R179[医药卫生—妇幼卫生保健] R395.6[医药卫生—公共卫生与预防医学]