上海市中学生压力与网络成瘾的关联性

袁琳琳; 张喆; 周欣怡; 翟娅妮; 殷小雅; 李舒曼; 孙力菁

doi:10.16835/j.cnki.1000-9817.2024369

上海市中学生压力与网络成瘾的关联性

doi: 10.16835/j.cnki.1000-9817.2024369

上海市疾病预防控制中心儿童青少年健康所，200336

基金项目:

上海市加强公共卫生体系建设三年行动计划项目(2023-2025年)学科带头人项目 GWVI-11.2-XD14

详细信息

作者简介:
袁琳琳(1995-)，女，安徽省人，硕士，医师，主要研究方向为儿童青少年健康

通讯作者:
孙力菁，E-mail：sunlijing@scdc.sh.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G444 C913.5 TN711
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- 被引次数: 0
出版历程
- 收稿日期: 2024-08-08
- 修回日期: 2024-11-01
- 网络出版日期: 2025-01-07
- 刊出日期: 2024-12-25

Correlation between stress and Internet addiction among middle school students in Shanghai

Institute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai(200336), China

摘要

摘要: 目的了解上海市中学生压力与网络成瘾的关联，为预防网络成瘾和促进学生心理健康提供科学依据。方法 2021年5—6月采用分层随机整群抽样方法选取上海市6 123名初中和高中学生进行健康危险行为监测，使用城市中学生压力源评价量表评价学生压力，网络成瘾量表评价学生网络成瘾。使用Kruskal-Wallis H检验、χ²检验和多因素Logistic回归进行统计学分析。结果上海市中学生压力分值为24(12，39)，学业压力分值为8(5，13)，自我身心压力分值为6(2，10)，人际压力分值为5(1，9)，家庭压力分值为4(1，8)，网络成瘾检出率为4.7%。多因素Logistic回归分析显示，高水平压力中学生出现网络成瘾的风险是低水平压力中学生的8.05倍(OR=8.05，95%CI=4.59~14.12，P < 0.05)；高水平学业压力、自我身心压力、人际压力和家庭压力中学生出现网络成瘾的风险均较高(OR值分别为5.98，6.92，4.85，4.18，95%CI分别为3.69~9.70，4.03~11.88，3.11~7.55，2.73~6.40，P值均 < 0.05)。结论中学生学业压力、自我身心压力、人际压力和家庭压力均与网络成瘾风险增加有关。
- 压力 /
- 因特网 /
- 行为，成瘾 /
- 回归分析 /
- 学生
Abstract: Objective To understand the relationship between stress and Internet addiction among middle school students in Shanghai, so as to provide a scientific basis for promoting students' mental health and preventing Internet addiction. Methods From May to June 2021, a stratified random cluster sampling method was used to select 6 123 middle and high school students in Shanghai for health risk behavior monitoring. Daily Stressors Evaluation Scale for Urban Secondary School Students was used to evaluate students' stress, and the Internet Addiction Test compiled by Young was used to evaluate students' Internet addiction. The correlation between student stress and Internet addiction was analyzed by Kruskal-Wallis H test, Chi-square test and multiple Logistic regression. Results Total stress score of middle school students in Shanghai was 24 (12, 39), academic stress score was 8 (5, 13), physical and psychological stress score was 6 (2, 10), interpersonal stress score was 5 (1, 9), and family stress score was 4 (1, 8). The detection rate of Internet addiction was 4.7%. Multivariate Logistic regression analysis showed that the risk of Internet addiction among middle school students with high levels of stress was 8.05 times(95%CI=4.59-14.12) that of students with low levels of stress(P < 0.05). The risk of Internet addiction among middle school students with high levels of academic stress, physical and psychological stress, interpersonal stress and family stress was 5.98(95%CI=3.69-9.70), 6.92(95%CI=4.03-11.88), 4.85(95%CI=3.11-7.55), and 4.18(95%CI=2.73-6.40) times that of students with low levels of stress, respectively(P < 0.05). Conclusion The academic stress, physical and psychological stress, interpersonal stress, and family stress among middle school students can all lead to an increased risk of Internet addiction.
- Pressure /
- Internet /
- Behavior, addictive /
- Regression analysis /
- Students
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表 1 上海市不同组别中学生压力分值比较[M(P₂₅，P₇₅)]

Table 1. Comparison of stress scores among middle school students in different groups from Shanghai[M(P₂₅, P₇₅)]

组别	选项	人数	压力分值	H值	P值
学段	初中	3 111	22(11，37)	59.09	< 0.01
	普高	1 992	27(15，41)
	职高	1 020	22(8，38)
性别^a	男	3 258	22(10，36)	61.68	< 0.01
	女	2 864	26(13，41)
父亲文化	初中及以下	982	26(12，41)	6.84	0.08
程度^a	高中	1 473	25(12，39)
	大专	1 328	23(11，39)
	本科及以上	2 274	23(12，38)
母亲文化	初中及以下	1 150	25(12，42)	10.85	0.01
程度^a	高中	1 414	25(12，39)
	大专	1 370	24(12，39)
	本科及以上	2 135	23(11，37)
自感学习	中等	1 819	24(12，36)	103.74	< 0.01
状况^a	中等偏下	1 600	28(15，45)
	中等偏上	2 517	21(10，36)
注： ^a表示存在缺失数据。

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表 2 不同组别上海市中学生网络成瘾检出率比较

Table 2. Comparison of Internet addiction diagnosis rates among middle school students in different groups from Shanghai

组别	选项	人数	网络成瘾人数	χ²值	P值
学段	初中	2 629	76(2.9)	38.60	< 0.01
	普高	1 875	112(6.0)
	职高	889	64(7.2)
性别^a	男	2 774	132(4.8)	0.09	0.76
	女	2 618	120(4.6)
父亲文化	初中及以下	840	58(6.9)	13.24	< 0.01
程度^a	高中	1 304	65(5.0)
	大专	1 179	48(4.1)
	本科及以上	2 019	79(3.9)
母亲文化	初中及以下	1 000	78(7.8)	32.00	< 0.01
程度^a	高中	1 252	65(5.2)
	大专	1 204	46(3.8)
	本科及以上	1 890	63(3.3)
自感学习	中等	1 606	57(3.5)	33.52	< 0.01
状况^a	中等偏下	1 409	105(7.5)
	中等偏上	2 230	83(3.7)
注： ()内数字为检出率/%；^a表示存在缺失数据。

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表 3 上海市中学生压力水平与网络成瘾的多因素Logistic回归分析(n=5 202)

Table 3. Multivariate Logistic regression analysis of stress level and Internet addiction among middle school students from Shanghai (n=5 202)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)
学段	普高	0.69	0.16	19.29	< 0.01	2.00(1.47~2.72)
	职高	0.96	0.19	26.21	< 0.01	2.60(1.80~3.74)
母亲文化程度	高中	-0.37	0.18	4.15	0.04	0.69(0.48~0.99)
	大专	-0.60	0.20	8.90	< 0.01	0.55(0.37~0.82)
	本科及以上	-0.66	0.19	12.04	< 0.01	0.52(0.36~0.75)
自感学习状况	中等偏下	0.67	0.17	14.94	< 0.01	1.96(1.39~2.75)
	中等偏上	0.12	0.18	0.48	0.49	1.13(0.80~1.60)
压力	正常水平	1.16	0.29	16.06	< 0.01	3.19(1.81~5.63)
	高水平	2.09	0.29	52.89	< 0.01	8.05(4.59~14.12)

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