内蒙古初中生网络成瘾状况及相关因素分析

Internet addiction and associated factors of junior high school students in Inner Mongolia

目的 探讨内蒙古初中生网络成瘾现况,并对其相关因素进行分析,为防控初中生网络成瘾提供科学依据。方法 2023年9月,在内蒙古全部旗县区采用分层整群随机抽样方法抽取53 755名初中生,按照《全国学生常见病和健康影响因素监测与干预工作方案》内容,使用网络成瘾量表、广泛性焦虑量表等进行问卷调查。采用χ^(2)检验和多元Logistic回归分析探讨中学生网络成瘾的相关因素并绘制列线图。结果 内蒙古初中生网络成瘾报告率为2.15%。多因素Logistic回归分析结果显示,高年级(初二:OR=1.54;初三:OR=1.64)、被家长打骂(OR=1.06)、住校(OR=2.28)、遭受校园欺凌(OR=1.91)、有焦虑症状(OR=3.15)、存在物质滥用行为(吸烟:OR=2.56;饮酒:OR=2.29;为了高兴吸可溶性溶剂:OR=2.17;除咳嗽外使用止咳剂:OR=1.50;无医生许可使用镇静剂:OR=1.34)与初中生网络成瘾均呈正相关(P值均<0.05)。基于以上影响因素建立列线图,曲线下面积为0.819,校准曲线表明预测值与实测值基本一致。结论 内蒙古初中生网络成瘾与生活环境和物质滥用行为有关。应重视初中生生活环境,加强物质滥用的预防教育,以减少网络成瘾的发生。

Objective To explore the current situation of Internet addiction among junior high school students in Inner Mongolia and its associated factors,so as to provide a theoretical basis for the prevention and control of Internet addiction among junior high school students.Methods In September 2023,53755 junior high school students were selected by stratified cluster random sampling method from all the flag counties in Inner Mongolia,and questionnaires were administered according to the"Monitoring and Intervention Program of Common Diseases and Health Influencing Factors of Students,by using the Internet Addiction Inventory and Generalized Anxiety Disorder Scale-7 Item.The Chi-test and multiple Logistic regression analysis were used to explore related factors and draw nomograms.Results The reported rate of Internet addiction among junior high school students in Inner Mongolia was 2.15%.The results of multivariate Logistic regression analyses showed that students were more likely to be in higher grades(grade eight:OR=1.54;grade nine:OR=1.64),being scolded by their parents(OR=1.06),living in the school(OR=2.28),being bullied in the school(OR=1.91),anxiety symptoms(OR=3.15),and substance abuse(smoking:OR=2.56;drinking alcohol:OR=2.29;inhaling soluble solvents for pleasure:OR=2.17;using cough suppressant except for coughing:OR=1.50;using sedatives without doctor's permission:OR=1.34)were positively correlated with Internet addiction among junior high school students in Inner Mongolia(P<0.05).The area under the curve was 0.819,and the calibration curve showed that the predicted values were basically consistent with the measured values.Conclusions Internet addiction among junior high school students in Inner Mongolia is related to students'living environment and substance abuse behavior.Attention should be paid to the living environment of junior high school students and strengthen the preventive education of substance abuse in order to reduce the occurrence of Internet addiction among junior high school students.