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内蒙古地区学生网络成瘾与抑郁症状的共发趋势及关联

袁雯 蒋家诺 秦阳 王若琳 张奕 张依航 陈力 刘婕妤 郭桐君 杨田 张秀红 宋逸 马军 董彦会

袁雯, 蒋家诺, 秦阳, 王若琳, 张奕, 张依航, 陈力, 刘婕妤, 郭桐君, 杨田, 张秀红, 宋逸, 马军, 董彦会. 内蒙古地区学生网络成瘾与抑郁症状的共发趋势及关联[J]. 中国学校卫生, 2023, 44(9): 1294-1298. doi: 10.16835/j.cnki.1000-9817.2023.09.004
引用本文: 袁雯, 蒋家诺, 秦阳, 王若琳, 张奕, 张依航, 陈力, 刘婕妤, 郭桐君, 杨田, 张秀红, 宋逸, 马军, 董彦会. 内蒙古地区学生网络成瘾与抑郁症状的共发趋势及关联[J]. 中国学校卫生, 2023, 44(9): 1294-1298. doi: 10.16835/j.cnki.1000-9817.2023.09.004
YUAN Wen, JIANG Jianuo, QIN Yang, WANG Ruolin, ZHANG Yi, ZHANG Yihang, CHEN Li, LIU Jieyu, GUO Tongjun, YANG Tian, ZHANG Xiuhong, SONG Yi, MA Jun, DONG Yanhui. Co-occurrence trend and association study of Internet addiction and depressive symptoms among students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1294-1298. doi: 10.16835/j.cnki.1000-9817.2023.09.004
Citation: YUAN Wen, JIANG Jianuo, QIN Yang, WANG Ruolin, ZHANG Yi, ZHANG Yihang, CHEN Li, LIU Jieyu, GUO Tongjun, YANG Tian, ZHANG Xiuhong, SONG Yi, MA Jun, DONG Yanhui. Co-occurrence trend and association study of Internet addiction and depressive symptoms among students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1294-1298. doi: 10.16835/j.cnki.1000-9817.2023.09.004

内蒙古地区学生网络成瘾与抑郁症状的共发趋势及关联

doi: 10.16835/j.cnki.1000-9817.2023.09.004
基金项目: 

北京市教育科学“十四五”规划2022年度课题项目 AECA22126

详细信息
    作者简介:

    袁雯(1991-),女,湖北十堰人,博士,助理研究员,主要研究方向为儿童青少年慢性病的心理行为因素、环境因素与机制探讨

    通讯作者:

    董彦会,E-mail:dongyanhui@bjmu.edu.cn

  • 利益冲突声明   所有作者声明无利益冲突。
  • 中图分类号: G444  C913.5  R179

Co-occurrence trend and association study of Internet addiction and depressive symptoms among students in Inner Mongolia Autonomous Region

  • 摘要:   目的  探讨内蒙古地区学生网络成瘾和抑郁的流行现状,并分析两者的共发趋势与关联,为制订儿童青少年网络成瘾和抑郁的防控策略提供科学依据。  方法  于2017—2021年每年9月采用分层随机整群抽样的方法选取内蒙古12个盟市(103个旗县区)6 317,7 152,81 808,71 180和89 932名10~24岁学生为研究对象。使用网络成瘾量表和流调中心抑郁量表(CES-D)判定其网络成瘾和抑郁情况,计算学生网络成瘾和抑郁症状的年检出率、群组差异以及共发趋势,采用多元线形回归和限制性立方样条分析估计学生网络成瘾与抑郁症状的线形与非线形关联。  结果  学生网络成瘾检出率由2017年的4.1%逐渐下降到2020年的2.1%,但是2021年又上升至3.9%;抑郁症状检出率由2017年的20.9%上升至2020年的28.0%和2021年的27.0%;网络成瘾和抑郁共发的检出率保持在1.8%~2.5%。2017—2021各年份男生网络成瘾检出率均高于女生,2017年后女生抑郁症状检出率高于男生(χ2值分别为42.82,553.90,P值均 < 0.05);以2019年为分界点,网络成瘾检出率实现了城乡逆转,抑郁症状和共病检出率总体上仍表现为城区高于郊县,且差异表现出逐年缩小甚至追平的趋势。2021年学生网络成瘾得分与抑郁得分(B=1.67,95%CI=1.64~1.71)、抑郁症状检出(OR=1.39,95%CI=1.38~1.41)和重度抑郁症状检出(OR=1.35,95%CI=1.33~1.36)均呈正相关(P值均 < 0.05),且在不同性别、城乡和学段中均呈近似的“n”型曲线。  结论  学生网络成瘾与抑郁存在线性和非线形关联,这种关联在不同性别、地区、学段中均存在。各地区,尤其是郊县应加快制订和落实相关措施,遏制儿童青少年网络成瘾和抑郁的加速增长。
    1)  利益冲突声明   所有作者声明无利益冲突。
  • 图  1  不同性别、地区、学段内蒙古学生网络成瘾和抑郁得分的非线形关联

    Figure  1.  Non-linear association of students' Internet addiction and depression from Inner Mongolia Autonomous Region in different sex, area, school type groups

    表  1  不同组别内蒙古学生2017—2021年网络成瘾和抑郁症状及共发的检出率/%

    Table  1.   The detection rate of Internet addiction and depression and co-occurrence among students from Inner Mongolia Autonomous Region during 2017 to 2021/%

    组别 选项 2017年 2018年 2019年 2020年 2021年
    人数 网络成瘾 抑郁症状 共发 人数 网络成瘾 抑郁症状 共发 人数 网络成瘾 抑郁症状 共发 人数 网络成瘾 抑郁症状 共发 人数 网络成瘾 抑郁症状 共发
    性别 2 760 4.6 21.0 2.6 3 180 3.4 23.8 1.7 40 248 3.4 23.5 2.1 34 507 5.0 24.8 2.6 43 968 4.3 23.5 2.1
    3 557 3.7 20.8 2.1 3 972 3.1 26.5 2.0 41 560 2.8 27.4 1.9 36 673 3.8 31.0 2.5 45 964 3.5 30.3 2.2
    监测点 城区 4 490 4.5 21.1 2.4 4 746 3.4 26.7 1.9 30 424 3.1 25.9 2.1 25 840 4.3 28.6 2.6 28 200 3.8 27.4 2.2
    郊县 1 827 3.2 20.5 1.9 2 406 2.8 22.5 1.7 51 384 3.1 25.2 1.9 45 340 4.5 27.7 2.5 61 732 4.0 26.8 2.1
    学段 初中 2 725 3.4 19.0 2.1 3 011 3.1 20.7 1.7 46 524 3.0 24.0 1.9 35 849 4.1 23.9 2.0 54 472 3.3 23.5 1.6
    普高 1 912 4.9 25.4 2.6 2 277 3.9 30.3 2.2 26 385 3.5 29.0 2.3 28 866 5.0 34.7 3.3 28 988 5.0 34.6 3.3
    职高 986 4.4 21.3 2.5 1 128 3.3 29.3 2.1 4 289 2.8 29.5 1.9 3 089 5.1 28.0 2.8 3 593 4.6 26.8 2.3
    大学 694 4.2 15.7 1.9 736 1.2 22.6 0.8 4 610 2.4 16.1 1.3 3 376 2.1 15.4 0.9 2 879 2.3 15.1 1.1
    合计 6 317 4.1 20.9 2.3 7 152 3.2 25.3 1.8 81 808 3.1 25.5 2.0 71 180 2.1 28.0 2.5 89 932 3.9 27.0 2.2
    下载: 导出CSV

    表  2  2021年内蒙古学生网络成瘾与抑郁症状的Logistic回归分析(n=89 932)

    Table  2.   Logistic regression between Internet addiction and depressive symptoms among students from Inner Mongolia Autonomous Region in 2021(n=89 932)

    组别 选项 抑郁症状 重度抑郁症状
    β 标准误 OR值(95%CI) β 标准误 OR值(95%CI)
    性别 0.30 0.007 1.34(1.33~1.36) 0.28 0.008 1.33(1.31~1.35)
    0.38 0.008 1.47(1.44~1.49) 0.32 0.008 1.38(1.36~1.40)
    地区 城区 0.36 0.009 1.44(1.41~1.46) 0.31 0.010 1.36(1.33~1.39)
    郊县 0.32 0.006 1.38(1.36~1.39) 0.29 0.007 1.34(1.32~1.36)
    学段 初中 0.32 0.007 1.37(1.36~1.39) 0.30 0.007 1.34(1.32~1.36)
    普高 0.33 0.008 1.39(1.37~1.41) 0.30 0.009 1.35(1.33~1.37)
    职高 0.31 0.023 1.36(1.30~1.42) 0.23 0.025 1.26(1.19~1.32)
    大学 0.44 0.035 1.55(1.44~1.66) 0.30 0.046 1.35(1.23~1.48)
    合计 0.33 0.005 1.39(1.38~1.41) 0.30 0.006 1.35(1.33~1.36)
    注:P值均 < 0.05。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2023-07-19
  • 修回日期:  2023-08-31
  • 网络出版日期:  2023-09-28
  • 刊出日期:  2023-09-25

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