医学生手机使用与童年期虐待经历及睡眠质量关联

李若瑜; 李书琴; 蒋志成; 金正格; 汪瑞; 宋先兵; 张诗晨; 万宇辉

doi:10.16835/j.cnki.1000-9817.2022.01.018

医学生手机使用与童年期虐待经历及睡眠质量关联

doi: 10.16835/j.cnki.1000-9817.2022.01.018

1.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室, 合肥 230032
2.
安庆医药高等专科学校
3.
安徽医学高等专科学校

基金项目:

国家自然科学基金项目 81773453

安徽高校自然科学研究项目 KJ2020ZD70

安徽医专自然科学研究项目 YZ2020ZR001

详细信息

作者简介:
李若瑜(1996-), 女, 安徽淮南人, 在读硕士, 主要研究方向为青少年心理行为问题

通讯作者:
万宇辉, E-mail: wyhayd@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G647.8 B844.2
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- 文章访问数: 675
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- 被引次数: 0
出版历程
- 收稿日期: 2021-04-28
- 修回日期: 2021-05-20
- 刊出日期: 2022-01-25

Association of mobile phone use with childhood abuse experiences and sleep quality in medical students

1.
Departmetn of Maternal, Child & Adolescent Health, School of Public Health/MOE Key Laboratory of Population Health across Life Cycle/Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei(230032), China

摘要

摘要: 目的探讨手机使用在不同类型童年期虐待经历与医学生睡眠质量关联中的中介效应及性别差异, 为促进医学生睡眠质量提供参考。方法采用纵向研究设计, 于2019年11—12月选取安徽省2所医学院校大一至大二年级在校生作为基线研究对象, 并于2020年5—6月收集随访资料, 共6 879名学生纳入研究。通过Mann-Whitney U检验医学生基线童年期虐待经历、基线手机使用及随访睡眠质量得分情况的性别间差异, 使用Spearman相关分析基线童年期虐待经历、基线手机使用和随访睡眠质量的关联; 通过自举(Bootstrap)程序和Process软件检验手机使用的中介效应。结果童年期虐待经历与手机使用和睡眠质量得分均呈正相关(r值分别为0.27, 0.24, P值均 < 0.01), 手机使用与睡眠质量得分呈正相关(r=0.31, P < 0.01)。总样本中, 调整混杂因素后, 手机使用在童年期虐待经历(包括情感虐待、躯体虐待、性虐待)和睡眠质量关联中起部分中介作用, 中介效应为18.08%(18.12%, 17.15%, 24.09%)。女生手机使用在童年期情感虐待、性虐待及童年期虐待与睡眠质量关联中的中介效应(18.32%, 28.05%, 18.24%)总体高于男生(17.81%, 18.94%, 17.63%)。结论手机使用在童年期虐待经历与医学生睡眠质量关联中起中介作用, 控制手机过度使用有助于童年期虐待经历医学生睡眠质量的改善。
- 便携式电话 /
- 虐待儿童 /
- 精神卫生 /
- 睡眠 /
- 学生
Abstract: Objective To explore the mediating effect and gender difference of mobile phone use in the association between different types of childhood abuse experiences and sleep quality of medical students, so as to provide reference for promoting sleep quality of medical students. Methods A longitudinal study design method was used to select freshmen and sophomores in two medical colleges in Anhui Province from November to December 2019, follow-up data were collected from May to June 2020, and a total of 6 879 students were included in this study. Spearman correlation was used to analyze the association between baseline childhood abuse experiences, baseline mobile phone use and follow-up sleep quality. Bootstrap program and Process software were applied to test the mediating effect of mobile phone use in the relationship between childhood abuse and sleep quality. Results Childhood abuse experiences were positively correlated with mobile phone use and sleep quality score (r=0.27, 0.24, P < 0.01), and mobile phone use was positively correlated with sleep quality score (r=0.31, P < 0.01). In the total sample, after adjusting for confounding factors, mobile phone use played a partial mediating role in childhood abuse experiences (including emotional abuse, physical abuse, sexual abuse) and sleep quality, and the mediating effect was 18.08% (18.12%, 17.15%, 24.09%). The mediating effect of mobile phone use on the relationship between childhood emotional abuse, sexual abuse, childhood abuse and sleep quality in girls(18.32%, 28.05%, 18.24%) was higher than in boys(17.81%, 18.94%, 17.63%). Conclusion Mobile phone use has a mediating effect on the relationship between childhood abuse and sleep quality, controlling mobile phone overuse may contribute to improving the sleep quality for those who have experienced childhood abuse. Cellular phone; Child abuse; Mental health; Sleep; Students
- Cellular phone /
- Child abuse /
- Mental health /
- Sleep /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同性别医学生童年期虐待经历、手机使用和睡眠质量得分比较[M(P₂₅，P₇₅)]

Table 1. Distribution characteristics of childhood abuse experiences, mobile phone use and sleep quality[M(P₂₅, P₇₅)]

性别	人数	情感虐待	躯体虐待	性虐待	童年期虐待	手机使用	睡眠质量
男	1 750	6(5，7)	5(5，6)	5(5，5)	16(15，19)	19(15，26)	3(1，4)
女	5 129	6(5，8)	5(5，5)	5(5，5)	16(15，19)	20(15，26)	3(1，4)
合计	6 879	6(5，8)	5(5，5)	5(5，5)	16(15，19)	20(15，26)	3(1，4)
Z值		-5.41	-6.54	-10.88	-0.24	-1.53	-2.72
P值		< 0.01	< 0.01	< 0.01	0.81	0.13	0.01

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表 2 医学生童年期虐待经历和手机使用与睡眠质量得分的相关分析(r值)

Table 2. Correlations analysis of childhood abuse experiences, mobile phone use and sleep quality score among medical students(r)

性别	变量	情感虐待	躯体虐待	性虐待	总虐待	手机使用
男生(n=1 750)	躯体虐待	0.48
	性虐待	0.30	0.24
	总虐待	0.90	0.69	0.48
	手机使用	0.23	0.15	0.15	0.24
	睡眠质量	0.21	0.13	0.15	0.22	0.30
女生(n=5 129)	躯体虐待	0.44
	性虐待	0.25	0.23
	总虐待	0.95	0.61	0.37
	手机使用	0.27	0.15	0.15	0.27
	睡眠质量	0.23	0.14	0.12	0.24	0.32
总样本	躯体虐待	0.44
(n=6 879)	性虐待	0.25	0.24
	总虐待	0.94	0.63	0.40
	手机使用	0.26	0.15	0.14	0.27
	睡眠质量	0.23	0.13	0.12	0.24	0.31
注：P值均 < 0.01。

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表 3 医学生手机使用在童年期虐待经历与睡眠质量关联中的中介效应值

Table 3. Mediating effect of mobile phone use in the association between childhood abuse experiences and sleep quality among medical students

童年期虐待经历	模型	童年期虐待- 手机使用	手机使用- 睡眠质量	中介效应	直接效应	中介效应比例/%
情感虐待	1	0.80	0.08	0.06(0.05~0.08)	0.16(0.14~0.18)	28.39
	2	0.79	0.08	0.06(0.05~0.07)	0.15(0.12~0.17)	29.58
	3	0.52	0.04	0.02(0.02~0.03)	0.10(0.08~0.13)	18.12
躯体虐待	1	0.74	0.09	0.07(0.05~0.08)	0.17(0.13~0.21)	27.89
	2	0.76	0.09	0.07(0.05~0.08)	0.15(0.11~0.20)	29.79
	3	0.49	0.05	0.02(0.02~0.03)	0.11(0.07~0.15)	17.15
性虐待	1	1.22	0.09	0.11(0.08~0.14)	0.19(0.13~0.25)	36.28
	2	1.26	0.09	0.11(0.08~0.14)	0.19(0.12~0.25)	37.01
	3	0.87	0.05	0.04(0.03~0.06)	0.13(0.07~0.19)	24.09
总虐待	1	0.49	0.08	0.04(0.03~0.05)	0.10(0.08~0.11)	28.43
	2	0.49	0.08	0.04(0.03~0.05)	0.09(0.08~0.11)	29.68
	3	0.33	0.04	0.01(0.01~0.02)	0.06(0.05~0.08)	18.08
注：模型1为单因素分析；模型2为调整年龄，性别，家庭所在地，独生子女，父母受教育水平，家庭经济状况；模型3为调整基线人口学统计指标及基线睡眠得分。()内数据为下限值~上限值。

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表 4 不同性别医学生手机使用在童年期虐待经历与睡眠质量关联中的中介效应值

Table 4. Mediating effect of mobile phone use on the association between childhood abuse experiences and sleep quality among medical students of different genders

童年期虐待经历	性别	童年期虐待- 手机使用	手机使用- 睡眠质量	中介效应	直接效应	中介效应比例/%
情感虐待	男	0.59	0.04	0.02(0.01~0.04)	0.11(0.06~0.17)	17.81
	女	0.50	0.04	0.02(0.02~0.03)	0.10(0.07~0.13)	18.32
躯体虐待	男	0.43	0.05	0.02(0.01~0.04)	0.09(0.02~0.16)	17.85
	女	0.52	0.05	0.02(0.02~0.04)	0.12(0.07~0.17)	16.59
性虐待	男	0.78	0.04	0.03(0.01~0.08)	0.15(0.04~0.25)	18.94
	女	0.92	0.05	0.05(0.03~0.07)	0.11(0.03~0.20)	28.05
总虐待	男	0.30	0.04	0.01(0.01~0.02)	0.06(0.03~0.09)	17.63
	女	0.34	0.04	0.02(0.01~0.10)	0.07(0.05~0.08)	18.24
注：均调整基线人口统计学指标和基线睡眠得分。()内数据为下限值~上限值。

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