湖南省中学生网络成瘾症现况调查

An investigation on the prevalence of internet addiction disorder in middle school students of Hunan province

目的 了解湖南省中学生网络成瘾症的现状及发生的相关因素。方法 通过分层整群抽样获取样本,采用成熟量表和自行编制的影响因素调查表进行调查。结果 湖南省中学生网络成瘾症检出率为5．52%（95%CI：4．84～6．20）;在不同性别、年级和是否班干部间差异有统计学意义（P＜0．05）,但在不同地区、学校类别、是否独生子女间差异没有统计学意义（P＞0．05）;性别、厌学、焦虑、人际交往敏感、同伴常进网吧、父亲受教育程度、社区歌舞厅/录像厅数量、社区锻炼场所数量是中学生网络成瘾症的相关因素（P＜0．10）,其OR值分别为0．281、3．469、2．318、1．710、1．877、1．456、1．273、0．726。结论 湖南省中学生网络成瘾症检出率在全国居于中等水平;中学生网络成瘾症的发生受性别、同伴常进网吧等8个因素的影响。

Objective To study the prevalence of internet addiction disorder（IAD） in middle school students of Hunan and to explore its risk factors. Methods 5760 middle school students and their parents were sampled at random in Hunan province using two-stage sampling （stratified sampling and cluster sampling） method. The ten-item diagnosis tool for IAD, self-rating depression scale, self-rating anxiety scale, interpersonal sensitivity subscale of symptom checklist, family assessment device, parenting locus of control scale, and self-developed questionnaire were employed together to gather related data. 95% confidence interval（ CI ） was used to describe the prevalence of IAD. Chi-square and logistic regression tests were employed respectively to compare the differences of IAD prevalence among different subpopulations and to explore the possible influential factors. Results The overall prevalence of IAD in middle school students of Hunan was 5.52% , with 95 % CI as 4.84- 6.20. IAD prevalence rates between males and females, being or not being monitored in the class and among different grades, showed significant differences （P 〈 0.05）. No statistical difference was found between single child or having siblings in the family, being at key middle school or ordinary middle school, or within residential areas, （P 〉 0.05 ）. Gender, tired of going to school, anxiety, interpersonal sensitivity, peer influence in haunting at internet bars, father＇s education level, the number of recreational settings in the community etc. were the influencing factors of IAD,with ORs as 0.281,3.469,2.318,1.710,1.877,1.456,1.273 and 0.726 respectively （P〈0.10）. Conclusion The prevalence of IAD in middle school students of Hunan was moderate compared to the reported prevalence rates in other provinces. Gender and peer influence in haunting at internet bars and other 6 factors were suggested to be correlated with IAD events.