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目的了解湘西州留守与非留守中学生精神成瘾行为情况及网络成瘾影响因素,为积极开展相关健康教育提供参考。方法分层随机整群抽取湘西州2 251名中学生,其中留守1 124名,非留守1 127名,并对其长时间上网、网络成瘾、长时间玩电子游戏行为进行问卷调查。结果非留守中学女生长时间上网的报告率(13.69%)高于留守女生(7.19%);非留守初中生(18.84%)、高中生(18.07%)长时间玩电子游戏的报告率高于留守初中生(11.96%)、高中生(12.59%);农村非留守中学生(9.59%)网络成瘾的报告率高于农村留守中学生(6.21%),差异均有统计学意义(P值均<0.05)。Logistic回归显示,留守中学生网络成瘾的危险因素有男生,上网以游戏为主,心情很少或有时、经常或总是不愉快(OR值分别为6.452,1.850,3.263,3.045,P值均<0.05);非留守中学生网络成瘾的危险因素有男生,单亲、其他家庭类型,很少或有时、经常或总是心情不好、父亲学历为初中及高中(OR值分别为2.400,2.558,4.801,3.821,1.794,2.582,P值均<0.05),保护因素有学习成绩中等(OR=0.246,P=0.001)。结论非留守较留守中学生更易发生精神成瘾行为,应引导其正确使用计算机和网络,控制上网时间,并积极开展相关健康教育。
Objective To understand the behavior of addicts and addicts among left-behind and non-left-behind middle school students in Xiangxi and to provide reference for actively developing related health education. Methods A total of 2 251 middle school students in Xiangxi Prefecture were stratified and randomly stratified, of which 1 124 were left behind and 1 127 were left behind. Questionnaires were also conducted on their prolonged Internet access, internet addiction and long time playing electronic games. Results The reported rate (13.69%) of female students staying in the middle school for a long time was higher than that of the left-behind girls (7.19%). The reported rate of long-time video games was higher for non-junior high school students (18.84%) and high school students Junior middle school students (11.96%) and high school students (12.59%). The reported rate of Internet addiction among non-staying middle school students (9.59%) in rural areas was higher than that of middle school students staying in rural areas (6.21% ). Logistic regression analysis showed that the risk factors of Internet addiction among middle school students were male, the Internet was game-based, the mood was little or sometimes, often or always unpleasant (OR = 6.452,1.850,3.263,3.045, P <0.05 respectively) ). The risk factors for internet addiction among non-left-behind middle school students were boys, single parents and other family types. There was little or sometimes frequent or always bad mood. The father’s education level was middle school and high school (OR 2.400, 2.558, 4.801, 3.821,1.794,2.582, all P <0.05). The protective factors were middle school grade (OR = 0.246, P = 0.001). Conclusion Non-left-behind middle school students are more likely to have addicted behaviors, and should guide their proper use of computers and internet, control their time online and actively carry out relevant health education.