云南大学生手机依赖与便秘的关联

胡东月; 陈碧霞; 李海; 杨吉凤; 郑瑞丽; 李江丽; 徐洪吕

doi:10.16835/j.cnki.1000-9817.2022.12.016

云南大学生手机依赖与便秘的关联

doi: 10.16835/j.cnki.1000-9817.2022.12.016

胡东月^{1, 2},
陈碧霞^{1, 2},
李海¹,
杨吉凤^{1, 2},
郑瑞丽¹,
李江丽^{1, 2},
徐洪吕^{1, 2, ,}

1.
昆明学院医学院护理系，云南 650214
2.
昆明学院社区护理研究团队

基金项目:

国家自然科学基金项目 82160622

云南省科技厅科技计划项目 202101BA070001-117

昆明学院引进人才科研项目 YJL2013

详细信息

作者简介:
胡东月(2000-)，女，云南曲靖人，在读本科

通讯作者:
徐洪吕，E-mail：x___hl@126.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 G444 B844.2 R574.4
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- 文章访问数: 608
- HTML全文浏览量: 251
- PDF下载量: 65
- 被引次数: 0
出版历程
- 收稿日期: 2022-08-08
- 修回日期: 2022-09-11
- 网络出版日期: 2022-12-30
- 刊出日期: 2022-12-25

Association between mobile phone dependence and constipation of college students in Yunnan Province

HU Dongyue^{1, 2},
CHEN Bixia^{1, 2},
LI Hai¹,
YANG Jifeng^{1, 2},
ZHENG Ruili¹,
LI Jiangli^{1, 2},
XU Honglyu^{1, 2
, ,}

1.
Department of Nursing, School of Medicine, Kunming University, Kunming(650214), China

摘要

摘要: 目的探讨云南大学生手机依赖症状与便秘的关联，为预防大学生便秘提供数据支持。方法在云南省昆明市和大理州3所大学整群抽取9 960名在校大学生，使用青少年手机使用依赖自评问卷评估大学生手机依赖症状，通过问卷收集大学生便秘状况。数据采用SPSS 23.0进行统计分析，使用χ²检验比较不同人口学特征大学生便秘报告率，使用二分类Logistic回归模型分析手机依赖症状与便秘的关联。结果云南大学生手机依赖症状报告率为30.93%，便秘报告率为24.46%。在二分类Logistic回归分析模型中，控制人口学变量以及其他混杂因素之后，结果显示，手机依赖戒断症状(OR=1.29，95%CI=1.09~1.54)、手机依赖身心影响(OR=1.25，95%CI=1.10~1.43)和手机依赖渴求性(OR=1.20，95%CI=1.06~1.36)与大学生便秘的关联均有统计学意义(P值均 < 0.01)。结论云南大学生手机依赖可能增加便秘风险，需加强针对性的健康教育。
- 行为，成瘾 /
- 便携式电话 /
- 便秘 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To explore the association between mobile phone dependence and constipation of college students in Yunnan Province, and to provide a data reference for improving and preventing constipation in college students. Methods A questionnaire survey was conducted among 9 960 college students from three universities in Kunming and Dali, Yunnan Province. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use was used to assess mobile phone dependence symptoms, and the questionnaire was conducted to collect the constipation information of college students. Data were analyzed with SPSS 23.0. Chi-square test was used to compare the reporting rates of detection in college students with different demographic characteristics. The association between mobile phone dependence and constipation was analyzed by binary Logistic regression models. Results The detection rate of mobile phone dependence symptoms was 30.93%, and the reporting rates of constipation was 24.46% of college students in Yunnan Province. After collcted for the demographic variables and other confounding effects, the analysis results showed that: withdrawal symptoms of mobile phone dependence(OR=1.29, 95%CI=1.09-1.54), physical and mental health impacts of mobile phone dependence (OR=1.25, 95%CI=1.10-1.43) and craving of mobile phone dependence (OR=1.20, 95%CI=1.06-1.36) were associated with constipation in college students(P < 0.01). Conclusion Mobile phone dependence may increase the risk of constipation of college students in Yunnan Province, so health education should be strengthend.
- Behavior, addictive /
- Cellular phone /
- Constipation /
- Mental health /
- Regression analysis /
- 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 不同人口统计学特征大学生便秘报告率比较

Table 1. Comparison of constipation reporting rates of college students with different demographic characteristics

人口统计学指标	选项	人数	便秘人数	χ²值	人口统计学指标	选项	人数	便秘人数	χ²值
性别	男	2 889	437(15.13)	191.79^**		1 501~2 000	1 242	277(22.30)
	女	7 071	1 999(28.27)			>2 000	303	57(18.81)
年龄/岁	17~18	2 215	539(24.33)	8.73^*	学习负担	很重	566	167(29.51)	41.26^**
	19~20	5 633	1 330(23.61)			重	3 343	913(27.31)
	≥21	2 112	567(26.85)			一般	5 873	1 326(22.58)
民族	汉族	7 180	1 760(24.51)	0.04		轻	128	18(14.06)
	少数民族	2 780	676(24.32)			很轻	50	12(24.00)
学历	本科	8 224	1 873(22.77)	72.34^**	朋友数量/个	0	144	53(36.81)	56.00^**
	专科	1 736	563(32.43)			1~2	1 483	436(29.40)
专业分类	工学	861	143(16.61)	67.90^**		3~4	1 957	530(27.08)
	管理学	913	218(23.88)			>5	6 376	1 417(22.22)
	教育学	1 118	243(21.74)		父亲文化程度	小学以下	1 952	539(27.61)	20.97^**
	理学	956	200(20.92)			小学毕业	2 294	580(25.28)
	农学	836	208(24.88)			初中	3 602	858(23.82)
	文学	935	228(24.39)			高中或中专	1 374	304(22.13)
	医学	3 213	914(28.45)			大专及以上	738	155(21.00)
	艺术学	908	229(25.22)		母亲文化程度	小学以下	3 273	899(27.47)	36.52^**
	其他	220	53(24.09)			小学毕业	2 339	572(24.45)
家庭居住地	农村	8 006	1 994(24.91)	4.44^*		初中	2 781	653(23.48)
	城市	1 954	442(22.62)			高中或中专	1 025	214(20.88)
独生子女	是	1 687	337(19.98)	4.90^*		大专及以上	542	98(18.08)
	否	8 273	2 059(24.89)		父亲职业	公职人员^c	613	131(21.37)	8.89
家庭类型	双亲家庭^a	8 572	2 078(24.24)	1.99		工人	344	88(25.58)
	单亲家庭	788	198(25.13)			公司职员	527	112(21.25)
	组合家庭^b	468	125(26.71)			商人	5 923	1 495(25.24)
	其他	132	35(26.52)			农民	1 303	307(23.56)
家庭经济条件	差	914	265(28.99)	31.67^**		其他	1 250	303(24.24)
	较差	2 324	617(26.55)		母亲职业	公职人员^c	441	83(18.82)	17.30^**
	中等	6 252	1 472(23.54)			工人	304	63(20.72)
	较好	373	62(16.62)			公司职员	495	117(23.64)
	好	97	20(20.62)			商人	6 313	1 609(25.49)
每月生活费/元	< 1 000	2 329	631(27.09)	17.38^**		农民	828	179(21.62)
	1 000~1 500	6 086	1 471(24.17)			其他	1 579	385(24.38)
注：a均为生父母，b有继父或继母，c公务员及事业单位人员等；()内数据为报告率/%；P < 0.05，*P < 0.01。

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表 2 云南大学生手机依赖症状与便秘的Logistic回归分析(n=9 960)

Table 2. Logistic analysis of mobile phone dependence symptoms and constipation of college students in Yunnan Province(n=9 960)

模型	自变量	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
模型1	手机依赖	0.03	0.11	0.06	0.81	1.03(0.83~1.26)
	手机依赖戒断症状	0.28	0.09	10.19	< 0.01	1.33(1.12~1.58)
	手机依赖身心影响	0.26	0.07	14.62	< 0.01	1.29(1.13~1.48)
	手机依赖渴求性	0.17	0.06	7.54	0.01	1.19(1.05~1.34)
模型2	手机依赖	0.00	0.11	0.00	0.97	1.00(0.81~1.24)
	手机依赖戒断症状	0.26	0.09	8.23	< 0.01	1.29(1.09~1.54)
	手机依赖身心影响	0.23	0.07	10.83	< 0.01	1.25(1.10~1.43)
	手机依赖渴求性	0.18	0.06	8.10	< 0.01	1.20(1.06~1.36)

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参考文献(29)

[1]	BHARUCHA A E, WALD A. Chronic constipation[J]. Mayo Clin Process, 2019, 94(11): 2340-2357. doi: 10.1016/j.mayocp.2019.01.031
[2]	BLACK C J, DROSSMAN D A, TALLEY N J, et al. Functional gastrointestinal disorders: advances in understanding and management[J]. Lancet, 2020, 396(10263): 1664-1674. doi: 10.1016/S0140-6736(20)32115-2
[3]	SCHMIDT F M, SANTOS V L. Prevalence of constipation in the general adult population: an integrative review[J]. Wound Ostomy Contin Nurs, 2014, 41(1): 70-76. doi: 10.1097/01.WON.0000438019.21229.b7
[4]	孙园园, 许翠萍, 张娜, 等. 不同年龄段慢性便秘患者病因特点分析[J]. 胃肠病学, 2014, 19(6): 360-362. doi: 10.3969/j.issn.1008-7125.2014.06.011 SUN Y Y, XU C P, ZHANG N, et al. Etiological characteristics of chronic constipation in patients with different ages[J]. Chin J Gastroenterol, 2014, 19(6): 360-362. (in Chinese) doi: 10.3969/j.issn.1008-7125.2014.06.011
[5]	WŁODARCZYK J, WASNIEWSKA A, FICHNA J, et al. Current overview on clinical management of chronic constipation[J]. Clin Med, 2021, 10(8): 1738.
[6]	中国互联网络信息中心. 第48次中国互联网络发展状况统计报告[EB/OL]. (2021-09-15)[2022-11-29]. http://www.199it.com/archives/1302651.html. China Internet Network Information Center. The 48th statistical report on the development of the internet in China[EB/OL]. (2021-09-15)[2022-11-29]. http://www.199it.com/archives/1302651.html. (in Chinese)
[7]	LONG J, LIU T Q, LIAO Y H, et al. Prevalence and correlates of problematic smartphone use in a large random sample of Chinese undergraduates[J]. BMC Psychiatry, 2016, 16(1): 408. doi: 10.1186/s12888-016-1083-3
[8]	刘庆奇, 周宗奎, 牛更枫, 等. 手机成瘾与青少年睡眠质量: 中介与调节作用分析[J]. 心理学报, 2017, 49(12): 1524-1536. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201712005.htm LIU Q Q, ZHOU Z K, NIU G F, et al. Mobile phone addition and sleep quality in adolescents: mediation and moderation analyses[J]. Acta Psychol Sinica, 2017, 49(12): 1524-1536. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201712005.htm
[9]	CHO H Y, KIM D J, PARK J W. Stress and adult smartphone addiction: mediation by self-control, neuroticism, and extraversion[J]. Stress Health, 2017, 33(5): 624-630. doi: 10.1002/smi.2749
[10]	THOMÉE S. Mobile phone use and mental health: a review of the research that takes a psychological perspective on exposure[J]. Int J Environ Res Public Health, 2018, 15(12): 2692. doi: 10.3390/ijerph15122692
[11]	CHEN Z, PENG Y, SHI Q, et al. Prevalence and risk factors of functional constipation according to the Rome criteria in China: a systematic review and Meta-analysis[J]. Front Med(Lausanne), 2022, 9: 815156.
[12]	陶舒曼, 付继玲, 王惠, 等. 青少年手机使用依赖自评问卷编制及其在大学生中的应用[J]. 中国学校卫生, 2013, 34(1): 26-29. http://www.cjsh.org.cn/article/id/zgxxws201301009 TAO S M, FU J L, WANG H, et al. Development of self-rating questionnaire for adolescent problematic mobile phone use and the psychometric evaluation in undergraduates[J]. Chin J Sch Health, 2013, 34(1): 26-29. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201301009
[13]	谢阳, 伍晓艳, 陶舒曼, 等. 大学生手机依赖症状与焦虑及睡眠质量的关系[J]. 中国学校卫生, 2020, 41(11): 1621-1624. doi: 10.16835/j.cnki.1000-9817.2020.11.006 XIE Y, WU X Y, TAO S M, et al. Moderating effect of sleep quality on the relationship between problematic mobile phone use and anxiety of college students[J]. Chin J Sch Health, 2020, 41(11): 1621-1624. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.11.006
[14]	陈佳. 新疆高职院校大学生手机依赖症状状况及其与体质健康的关系[J]. 职业与健康, 2020, 36(16): 2248-2251. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202016028.htm CHEN J. Mobile phone dependence of students in Xinjiang higher vocational colleges and its relationship with physical health[J]. Occup Health, 2020, 36(16): 2248-2251. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202016028.htm
[15]	SHI M, ZHAI X, LI S, et al. The relationship between physical activity, mobile phone addiction, and irrational procrastination in Chinese college students[J]. Int J Environ Res Public Health, 2021, 18(10): 5325. doi: 10.3390/ijerph18105325
[16]	阿地力·艾海提, 姑丽切克然·艾斯克, 如鲜古丽·艾海提, 等. 新疆某医学院校大学生便秘影响因素分析[J]. 保健医学研究与实践, 2021, 18(5): 39-43. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202105009.htm AIHAITI A D L, AISIKE G L Q K R, AIHAITI R X G L, et al. Analysis of factors influencing constipation among college students in a medical school in Xinjiang[J]. Health Med Res Pract, 2021, 18(5): 39-43. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202105009.htm
[17]	楚慧款, 李海, 钟丽坤, 等. 武汉地区大学生便秘流行病学特点及其影响因素分析[J]. 胃肠病学, 2013, 18(8): 482-486. doi: 10.3969/j.issn.1008-7125.2013.08.009 CHU H K, LI H, ZHONG L K, et al. Epidemiologic characteristics and risk factors for constipation in college students in Wuhan[J]. Chin J Gastroenterol, 2013, 18(8): 482-486. (in Chinese) doi: 10.3969/j.issn.1008-7125.2013.08.009
[18]	邓洁敏. 广州大学生便秘及慢性便秘的流行特征及影响因素分析[D]. 广州: 广州中医药大学, 2021. DENG J M. Epidemiological characteristics and influencing factors of constipation and constipation and chronic constipation among college students in Guangzhou[D]. Guangzhou: Guangzhou University of Chinese Medicine, 2021. (in Chinese)
[19]	张鹏, 白涵睿, 赵蕊, 等. 在校大学生功能性便秘调查研究[J]. 中国中医药现代远程教育, 2020, 18(11): 49-51. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202011022.htm ZHANG P, BAI H R, ZHAO R, et al. Investigation and study on functional constipation of college students[J]. Chin Med Mod Distanc Educ China, 2020, 18(11): 49-51. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202011022.htm
[20]	WORTELBOER K, NIEUWDORP M, HERREMA H. Fecal microbiota transplantation beyond clostridioides difficile infections[J]. E-Biol Med, 2019, 44: 716-729.
[21]	刘鹏林, 乔翠霞, 尤雯丽, 等. 基于肠道菌群探讨功能性便秘从脾论治的机理[J]. 中国肛肠病杂志, 2020, 40(12): 64-66. https://www.cnki.com.cn/Article/CJFDTOTAL-GCBZ202012031.htm LIU P L, QIAO C X, YOU W L, et al. Discussion on the mechanism of treating functional constipation from the spleen based on intestinal bacteriosis[J]. Chin J Coloproctol, 2020, 40(12): 64-66. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GCBZ202012031.htm
[22]	FISCHER-GROTE L, KOTHGASSNER O D, FELNHOFER A. Risk factors for problematic smartphone use in children and adolescents: a review of existing literature[J]. Neuropsychiatry, 2019, 33(4): 179-190.
[23]	BRANTON W G, ELLESTAD K K, MAINGAT F, et al. Brain microbial populations in HIV/AIDS: α-proteobacteria predominate independent of host immune status[J]. PLoS One, 2013, 8(1): e54673.
[24]	DINAN T G, CRYAN J F. Gut-brain axis in 2016: brain-gut-microbiota axis-mood, metabolism and behaviour[J]. Nat Rev Gastroenterol Hepatol, 2017, 14(2): 69-70.
[25]	DI Y Z, HAN B S, DI J M, et al. Role of the brain-gut axis in gastrointestinal cancer[J]. World J Clin Cases, 2019, 7(13): 1554-1570. http://www.cqvip.com/QK/70862X/201913/7002446300.html
[26]	刘秦浪, 孙林梅, 孙慧, 等. 从脑肠轴探讨功能性便秘伴情绪异常发病机制的研究进展[J]. 世界中医药, 2022, 17(4): 579-582, 589. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA202204024.htm LIU Q L, SUN L H, SUN H, et al. Research progress on the pathogenesis of functional constipation with emotional disorders from brain-gut axis perspectives[J]. World J Tradit Chin Med, 2022, 17(4): 579-582, 589. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA202204024.htm
[27]	刘海宁, 陈玉琢, 吴昊, 等. 肠道菌群与功能性便秘的研究进展[J]. 复旦学报(医学版), 2015, 42(4): 564-568. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYK201504027.htm LIU H N, CHEN Y Z, WU H, et al. Research progress of functional constipation and intestinal microbiota[J]. Fudan Univ J Med Sci, 2015, 42(4): 564-568. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYK201504027.htm
[28]	高飞, 刘铁钢, 白辰, 等. 脑肠轴与胃肠动力之间相关性的研究进展[J]. 天津中医药大学学报, 2018, 37(6): 520-524. https://www.cnki.com.cn/Article/CJFDTOTAL-TZYY201806022.htm GAO F, LIU T G, BAI C, et al. The research of the correlation between brain-gut axis and gastrointestinal motility[J]. J Tianjin Univ Tradit Chin Med, 2018, 37(6): 520-524. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TZYY201806022.htm
[29]	沈馨, 孙志宏. 微生物-肠-脑轴与神经系统疾病的研究进展[J]. 生物工程学报, 2021, 37(11): 3781-3788. https://www.cnki.com.cn/Article/CJFDTOTAL-SHWU202111007.htm SHEN X, SUN Z H. Microbe-gut-brain axis and neurological disorders: a review[J]. Chin J Biotechnol, 2021, 37(11): 3781-3788. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHWU202111007.htm