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西安市初中生网络游戏障碍与睡眠质量的相关性
引用本文:汪丽娜,雷慧,姜红,晏妮,王嘉琪,刘偲佼,师昕,成果,马乐.西安市初中生网络游戏障碍与睡眠质量的相关性[J].中国学校卫生,2022,43(7):1046-1050.
作者姓名:汪丽娜  雷慧  姜红  晏妮  王嘉琪  刘偲佼  师昕  成果  马乐
作者单位:1.西安交通大学公共卫生学院,陕西 71006
基金项目:国家自然科学基金项目(21808178);
摘    要:  目的  了解西安市青少年网络游戏障碍(Internet gaming disorder, IGD)现状及其与睡眠质量的关系,为开展青少年IGD干预和促进睡眠质量提供参考依据。  方法  于2019年8月至2020年2月选取西安市航天中学、西京学校、西安交通大学第二附属中学3所中学1 181名初一初二年级学生,采用基本信息问卷收集学生的性别、年龄、家庭环境等基本信息,通过网络游戏障碍诊断问卷和失眠严重程度指数量表获取IGD诊断情况及失眠严重程度,使用Logistic回归等方法分析IGD相关的危险因素及其与失眠严重程度的关联。  结果  在过去12个月内参与网络游戏且填写IGD诊断问卷的929名初中生中,IGD检出率为20.0%(186名)。单因素分析显示性别、是否单亲家庭、是否与父母同住、是否网络游戏上瘾、网络游戏时间自控情况、失眠严重程度不同的初中生IGD检出率差异有统计学意义(χ2值分别为17.11,8.33,202.92,91.23,29.06,P值均 < 0.05)。矫正混杂因素的Logistic回归分析结果表明,在过去12个月是否参与网络游戏和失眠严重程度关联无统计学意义(OR=1.62,95%CI=0.92~2.85,P>0.05);针对网络游戏的人群中重度失眠的IGD风险为不失眠者的3.56倍(95%CI=1.92~6.61,P < 0.01)。  结论  青少年网络游戏障碍现状不容乐观,失眠严重程度与IGD呈正相关。应尽早对网络游戏障碍青少年开展早期的预防干预以降低IGD的发生风险。

关 键 词:电子游戏    睡眠    精神卫生    回归分析    学生
收稿时间:2021-11-19

Association between Internet gaming disorder and sleep quality among junior middle school student of Xi'an City
Affiliation:1.School of Public Health, Xi'an Jiaotong University, Xi'an (710061), China
Abstract:  Objective  To investigate the association of Internet gaming disorder (IGD) and sleep quality in adolescents of Xi'an, thereby providing theoretical evidence for prevention of IGD and improvement of sleep quality of adolescents.  Methods  A total of 1 181 adolescents from 3 middle schools of Xi'an were randomly selected between August, 2019 and February, 2020. These adolescents were assessed by a series of questionnaires, including basic information questionnaire, IGD and Insomnia Severity Index (ISI). Univariate analysis and multivariate Logistic regression model were used to evaluate the association between IGD and insomnia.  Results  Among 929 junior middle school students who participated in online games and the IGD Diagnostic Questionnaire was filled out in the past 12 months, the prevalence of IGD was 20.0%(186). Univariate analyses indicated that gender, whether single family, whether they living with their parents, whether they were addicted to online games, whether they could control the time of online games, and the severity of insomnia influenced IGD (χ2=17.11, 8.33, 202.92, 91.23, 29.06, P < 0.05). The multivariate Logistic regression of the total population showed that participating in online games was not associated with the severity of insomnia (OR=1.62, 95%CI=0.92-0.85, P>0.05). The people who participated in online games in the past 12 monthsthe severity of insomnia was positively correlated with the risk of IGD (OR=3.56, 95%CI=1.92-6.61, P < 0.01).  Conclusion  Internet gaming disorder become a severe situation in the middle school students. The severity of insomnia might become the risk factor of IGD, so social should pay more attention to the prevention of internet addiction.
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