Mahmoodi Hassan, Nadrian Haidar, Shaghaghi Abdolreza, Jafarabadi Mohammad Asghari, Ahmadi Asad, Saqqezi Galavidj Sharifi
Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
J Child Adolesc Psychiatr Nurs. 2018 Feb;31(1):6-13. doi: 10.1111/jcap.12202. Epub 2018 Jul 4.
Mobile phone (MP) overuse is extensively rising among high school students in developing countries. Our aim in this study is to investigate the association between MP overuse and mental health, in the presence of other determinant factors, among high school students in Iran.
We recruited a clustered random sample of 1,034 high school students in Saqqez County, Iran, to complete a self-administered questionnaire with three sections: a sociodemographic questionnaire, Mobile Phone Addiction Index, and General Health Questionnaire.
A majority of the students (n = 654, 63.2%) were found to be with poor mental health. Applying multiple logistic regression, gender (odds ratio [OR] = 1.5; 95% confidence interval [CI] = 1.15-1.97), education degree (OR = 1.47; 95% CI = 1.30-1.67), frequency of daily messages (OR = 1.18; 95% CI = 1.07-1.31), being awakened at night for MP use (OR = 1.83; 95% CI = 1.54-2.18), and MP overuse (OR = 3.21; 95% CI = 1.20-8.58) were found in significant associations with poor mental health.
Planning gender-based health education programs on proper use of MP for students and their parents is suggested to school healthcare providers. The parents should be educated on the proper ways of dealing with their adolescents while using MP at home.
在发展中国家,高中生过度使用手机的现象正在广泛增加。我们这项研究的目的是调查在伊朗高中生中,过度使用手机与心理健康之间的关联,同时考虑其他决定性因素。
我们在伊朗萨格兹县招募了1034名高中生作为整群随机样本,让他们完成一份自我管理的问卷,问卷包括三个部分:社会人口统计学问卷、手机成瘾指数和一般健康问卷。
发现大多数学生(n = 654,63.2%)心理健康状况较差。应用多元逻辑回归分析发现,性别(比值比[OR] = 1.5;95%置信区间[CI] = 1.15 - 1.97)、教育程度(OR = 1.47;95% CI = 1.30 - 1.67)、每日短信频率(OR = 1.18;95% CI = 1.07 - 1.31)、夜间因使用手机而醒来(OR = 1.83;95% CI = 1.54 - 2.18)以及过度使用手机(OR = 3.21;95% CI = 1.20 - 8.58)与心理健康状况较差存在显著关联。
建议学校医疗保健提供者为学生及其家长制定关于正确使用手机的针对性别健康教育计划。家长应接受在家中青少年使用手机时正确应对方式的教育。