是否独生子女和中学生智能手机成瘾的纵向关联

杨铠泽; 王道森; 符佳轩; 苏欣桐; 赵静贤; 龚苒苒; 林心韵; 刘创; 李秀红

doi:10.16835/j.cnki.1000-9817.2025138

是否独生子女和中学生智能手机成瘾的纵向关联

doi: 10.16835/j.cnki.1000-9817.2025138

1.
中山大学公共卫生学院妇幼卫生学系，广东广州 510080
2.
中山大学公共卫生学院(深圳)妇幼卫生与老龄健康教研室
3.
深圳市光明区妇幼保健院保健部

基金项目:

国家自然科学基金项目 82273649

广东省自然科学基金项目 2024A1515010979

详细信息

作者简介:
杨铠泽(1999-)，男，广东省人，在读硕士，主要研究方向为儿童青少年心理卫生

通讯作者:
刘创，E-mail：2547518028@qq.com

李秀红，E-mail：lixh@mail.sysu.edu.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 TN929.53
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- 文章访问数: 15
- HTML全文浏览量: 6
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2025-01-20
- 修回日期: 2025-02-19
- 网络出版日期: 2025-06-07
- 刊出日期: 2025-05-25

Longitudinal association between only-child status and smartphone addiction in middle school students

1.
Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou(510080), Guangdong Province, China

摘要

摘要: 目的探讨是否独生子女与中学生智能手机成瘾的纵向关联，为建立中学生智能手机成瘾的家庭干预措施提供依据。方法于2022年10月和2023年10月在深圳某区对30所学校的8 759名初、高中学生分别进行预调查和随访，采用自编问卷了解中学生是否独生子女，使用智能手机依赖量表中文版(C-SAS-SV)评估中学生智能手机成瘾状况。采用多层混合效应模型和亚组分析了解中学生是否独生子女和智能手机成瘾的关联。结果 2022—2023年，中学生手机成瘾报告率从24.1%上升至25.2%，非独生子女相较独生子女智能手机成瘾风险更高(多因素调整模型：OR=1.2，95%CI=1.1~1.4)，其智能手机成瘾得分(多因素调整模型：β=0.9, 95%CI=0.2~1.5)也更高(P值均 < 0.05)。亚组分析结果显示，相较于基线，非独生子女在1年后智能手机成瘾报告率(多因素调整模型: OR=1.2, 95%CI=1.0~1.5)及得分(多因素调整模型: β=0.8，95%CI=0.2~1.5)均增加(P值均 < 0.05)。结论非独生子女智能手机成瘾的发生风险相对较高。建议在当前人口政策背景下，应重视非独生子女中学生的智能手机成瘾问题。
- 独生子女 /
- 便携式电话 /
- 行为，成瘾 /
- 回归分析 /
- 学生
Abstract: Objective To explore the longitudinal association between only-child status and smartphone addiction among middle school students, so as to provide a basis for establishing family intervention measures for smartphone addiction in middle school students. Methods In October 2022 and October 2023, a preliminary survey and follow-up were conducted among 8 759 middle and high school students from 30 schools in a district of Shenzhen. A self-designed questionnaire was used to determine whether the students were the only-child, and the Chinese Version of the Smartphone Addiction Scale-Short Version (C-SAS-SV) was utilized to assess the students' smartphone addiction status. A multilevel mixed-effects model and subgroup analysis were applied to examine the association between only-child status and smartphone addiction among middle school students. Results During 2022 to 2023, the prevalence of smartphone addiction in the cohort of middle school students increased from 24.1% to 25.2%. Compared with only-child, non-only child were more likely to be addicted to smartphones (adjusted model: OR=1.2, 95%CI=1.1-1.4) and also scored higher on smartphone addiction (adjusted model: β=0.9, 95%CI=0.2-1.5)(P < 0.05). Subgroup analysis further revealed that compared to baseline, non-only child demonstrated an increased prevalence of smartphone addiction (adjusted model: OR=1.2, 95%CI=1.0-1.5) and higher addiction scores (adjusted model: β=0.8, 95%CI=0.2-1.5) after one year(P < 0.05). Conclusions Non-only child face higher risk of smartphone addiction. Under the current population policy, it is crucial to address smartphone addiction among middle school students who is not only child.
- Only child /
- Cellular phone /
- Behavior, addictive /
- Regression analysis /
- Students
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表 1 不同人口学特征中学生2022和2023年智能手机成瘾报告率比较

Table 1. Comparison of smartphone addiction among students with dfferent demographic characteristics in 2022 and 2023

人口统计学指标	人数	2022年	2023年	χ²值	P值
是否独生子女
是	1 400	289(20.6)	311(22.2)	1 066.2	< 0.01
否	7 359	1 819(24.7)	1 892(25.7)
学段
初中	7 110	1 569(22.1)	1 662(23.4)	572.0	< 0.01
高中	1 649	5 39(32.7)	541(32.8)
性别
男	4 704	1 047(22.3)	1 079(22.9)	0.1	0.71
女	4 055	1 061(26.2)	1 124(27.7)
是否单亲家庭
是	402	117(33.4)	137(34.1)	1 613.5	< 0.01
否	8 357	1 991(23.7)	2 066(24.7)
是否早产
是	378	90(23.8)	91(24.1)	1 758.9	< 0.01
否	8 381	2 018(24.1)	2 112(25.2)
父亲文化程度
高中以上	5 966	1 544(25.9)	1 567(26.3)	471.1	< 0.01
高中及以下	2 793	564(20.2)	636(22.8)
母亲文化程度
高中以上	6 067	1 549(25.5)	1 574(25.9)	482.0	< 0.01
高中及以下	2 692	559(20.8)	629(23.4)
父母感情状况
较好	7 330	1 660(22.4)	1 714(23.4)	740.2	< 0.01
一般或较差	1 429	448(31.4)	489(34.2)
主要照料人
父母	8 412	2 013(23.9)	2 107(25.0)	1 836.6	< 0.01
其他	347	95(27.4)	96(27.7)
注： ()内数字为报告率/%。

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