中学生负性生活事件与智能手机成瘾的关联

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

doi:10.16835/j.cnki.1000-9817.2025153

中学生负性生活事件与智能手机成瘾的关联

doi: 10.16835/j.cnki.1000-9817.2025153

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:
苏欣桐(1998-)，女，广东中山人，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: G444 C913.5 TN916.9
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- 文章访问数: 20
- HTML全文浏览量: 8
- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2025-02-10
- 修回日期: 2025-04-25
- 网络出版日期: 2025-06-07
- 刊出日期: 2025-05-25

Association between negative life events and smartphone addiction among 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: 目的探究负性生活事件与中学生智能手机成瘾之间的关联，为中学生智能手机成瘾的预防和干预提供理论支持和实践指导。方法采用整群抽样方法，于2022年对深圳市某区27所初中和3所高中8 890名中学生开展基线调查，2023年对以上对象开展随访研究，通过自编一般情况调查表、智能手机依赖量表简版、青少年自评生活事件量表调查中学生基本信息、智能手机成瘾、负性生活事件情况。采用混合效应模型分析中学生负性生活事件与智能手机成瘾的关联。结果与2022年相比，2023年中学生受惩罚评分[1.00(0.00, 6.00), 1.00(0.00, 6.00)]降低(Z=4.27)，而人际压力、学习压力和适应评分[4.00(0.00, 8.00), 4.00(0.00, 8.00); 4.00(1.00, 8.00), 5.00(2.00, 9.00); 2.00(0.00, 6.00), 3.00(0.00, 7.00)]升高(Z值分别为-3.04，-8.36，-6.80)(P值均 < 0.01)。混合效应模型显示，中学生负性生活事件与智能手机成瘾呈正向剂量效应关系(OR=1.08~1.17，P < 0.01)。逐步回归分析表明，人际压力(OR=1.05)、学习压力(OR=1.03)和适应(OR=1.11)对中学生智能手机成瘾有独立正向影响(P值均 < 0.01)。对2022年无成瘾的中学生进行亚组分析，学习压力(OR=1.03)和适应(OR=1.07)与智能手机成瘾的关联仍有统计学意义(P值均 < 0.01)。结论负性生活事件与中学生智能手机成瘾呈正向剂量反应关系，尤其是人际压力、学习压力、适应方面的负性生活事件。
- 生活变动事件 /
- 便携式电话 /
- 行为，成瘾 /
- 回归分析 /
- 学生
Abstract: Objective To explore the association between negative life events and smartphone addiction among middle school students, so as to provide theoretical support and practical guidance for prevention and intervention of smartphone addiction among middle school students. Methods Using cluster sampling, 8 890 students were selected to survey from 27 junior high schools and 3 senior high schools in a district of Shenzhen in 2022 (baseline) and 2023 (follow-up). Data were collected through self-resigned questionnaires on basic information, the Smartphone Addiction Scale-Short Version, and the Adolescent Self-rating Life Events Checklist. Mixed-effects models were employed to analyze the association. Results Compared to 2022, the punishment scores of middle school students in 2023 [1.00(0.00, 6.00) and 1.00(0.00, 6.00)] decreased (Z=4.27), while the scores of interpersonal stress, learning stress and adaptation [4.00(0.00, 8.00), 4.00(0.00, 8.00); 4.00(1.00, 8.00), 5.00(2.00, 9.00); 2.00(0.00, 6.00), 3.00(0.00, 7.00)] increased (Z=-3.04, -8.36, -6.80) (P < 0.01). Mixed-effects models revealed a positive dose-response relationship between negative life events and smartphone addiction (OR=1.08-1.17, P < 0.01). Stepwise regression showed independent positive effects of interpersonal stress (OR=1.05), academic stress (OR=1.03), and adaptation stress (OR=1.11) on smartphone addiction (P < 0.01). Subgroup analysis of non-addicted students in 2022 confirmed persistent associations for academic stress (OR=1.03) and adaptation (OR=1.07) (P < 0.01). Conclusion Negative life events exhibit a positive dose-response relationship with smartphone addiction, particularly interpersonal stress, academic stress, and adaptation-related events.
- Life change events /
- Cellular phone /
- Behavior, addictive /
- 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中学生智能手机成瘾检出率的年份间比较

Table 1. Comparison of smartphone addiction prevalence among middle school students with different demographic characteristics over two years

人口学指标	人数	2022年	2023年	χ²值	P值
性别
男	4 774	1 065(22.3)	1 088(22.8)	0.29	0.59
女	4 116	1 086(26.4)	1 151(28.0)	2.51	0.11
学段
初中	7 219	1 602(22.2)	1 688(23.4)	2.84	0.09
高中	1 671	549(32.9)	551(33.0)	0.00	0.97
学校类型
公办学校	6 419	1 392(21.7)	1 480(23.1)	3.39	0.07
民办学校	2 471	759(30.7)	759(30.7)	0.00	1.00
父亲文化程度
初中及以下	2 933	817(27.9)	791(27.0)	0.54	0.46
高中或中专	3 119	761(24.4)	800(25.6)	1.23	0.27
大专及以上	2 838	573(20.2)	648(22.8)	5.71	0.02
母亲文化程度
初中及以下	3 404	917(26.9)	879(25.8)	1.04	0.31
高中或中专	2 745	663(24.2)	718(26.2)	2.82	0.09
大专及以上	2 741	571(20.8)	642(23.4)	5.19	0.02
是否独生子女
是	1 490	320(21.5)	337(22.6)	0.50	0.48
否	7 400	1 831(24.7)	1 902(25.7)	1.76	0.19
是否担任班级干部
是	4 548	980(21.5)	1 057(23.2)	3.65	0.06
否	4 342	1 171(27.0)	1 182(27.2)	0.06	0.81
住宿情况
走读生	6 350	1 396(22.0)	1 496(23.6)	4.39	0.04
住宿生	2 540	755(29.7)	743(29.3)	0.11	0.74
注： ()内数字为检出率/%。

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表 2 不同年份中学生负性生活事件评分比较[M(P₂₅, P₇₅), n=8 890]

Table 2. Comparison of negative life event impact scores and smartphone addiction among middle school students over two years[M(P₂₅, P₇₅), n=8 890]

年份	受惩罚	丧失	人际压力	学习压力	适应
2022	1.00(0.00, 6.00)	1.00(0.00, 5.00)	4.00(0.00, 8.00)	4.00(1.00, 8.00)	2.00(0.00, 6.00)
2023	1.00(0.00, 6.00)	1.00(0.00, 6.00)	4.00(0.00, 8.00)	5.00(2.00, 9.00)	3.00(0.00, 7.00)
Z值	4.27	-1.09	-3.04	-8.36	-6.80
P值	< 0.01	0.27	< 0.01	< 0.01	< 0.01

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表 3 中学生负性生活事件影响程度评分与智能手机成瘾关联的混合效应模型[OR值(95%CI)，n=8 890]

Table 3. Mixed-effects model analysis of the association between negative life event impact scores and smartphone addiction among middle school students[OR(95%CI), n=8 890]

负性生活事件	粗模型	调整模型	似然比检验χ²值
受惩罚	1.08(1.08~1.09)	1.08(1.07~1.09)	224.26
丧失	1.09(1.08~1.10)	1.09(1.08~1.09)	198.23
人际压力	1.15(1.14~1.15)	1.14(1.13~1.15)	161.98
学习压力	1.14(1.13~1.14)	1.13(1.13~1.14)	156.98
适应	1.18(1.17~1.19)	1.17(1.16~1.18)	120.77
注： P值均 < 0.01。

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