Poorolajal Jalal, Ahmadpoor Jamal, Mohammadi Younes, Soltanian Ali Reza, Asghari Seyedeh Zahra, Mazloumi Ehsan
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Research Center for Health Sciences, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Health Promot Perspect. 2019 Aug 6;9(3):207-213. doi: 10.15171/hpp.2019.29. eCollection 2019.
Despite the growing epidemic of problematic Internet use (PIU), little information is available on PIU and related factors in Iran. This cross-sectional study was conducted on 4261 university students among 13universities throughout the country in 2017. The data collection tool included demographic characteristics, the status of using the Internet, social media, computer games, tobacco, alcohol, and illicit drugs, suicide ideation and attempt, and unprotected sex. PIU was measured using the15-item PIU questionnaire. The status of general health was evaluated using the 28-item general health questionnaire (GHQ) questionnaire. The simple and multiple logistic regression analysis were used to measure the crude and adjusted associations between various factors and PIU. Of 4261 university students, 55.9% were female, 13.5% were smokers, 4.9% were drug abusers, 7.9% were alcohol abusers, 7.8% had unprotected sex in the past year, 7.4%had suicidal ideation in the past month, 1.7% had attempted suicide in the past year, and27.3% suffered from PIU. Only 61.1% had normal health. In contrast, 30.9%, 7.2%, and 0.8%had mild, moderate, and severe general health problems, respectively. There were significant relationships between PIU and age group 20-24 vs. <20 years (odds ratio [OR]=1.39; 95% CI:1.06, 1.82), single vs, married (OR=2.57; 95% CI: 1.85, 3.57), suicidal attempt (OR=2.77;95% CI: 1.47, 5.19), using online games (OR=1.31; 95% CI: 1.07, 1.60), and poor general health (OR=12.14; 95% CI: 4.53, 32.54). Nearly one-third of medical sciences students suffered from PIU. This unhealthy behavior was associated with poor general health and elevated risk of suicidal behaviors. This health-threatening behavior provides an early warning signal that deserves special attention, otherwise, it may threaten both college students' health and function.
尽管有问题的互联网使用（PIU）的流行趋势不断加剧，但关于伊朗PIU及其相关因素的信息却很少。这项横断面研究于2017年在全国13所大学的4261名大学生中进行。数据收集工具包括人口统计学特征、互联网使用状况、社交媒体、电脑游戏、烟草、酒精和非法药物、自杀意念和企图以及无保护性行为。使用15项PIU问卷来测量PIU。使用28项一般健康问卷（GHQ）来评估总体健康状况。采用简单和多元逻辑回归分析来衡量各种因素与PIU之间的粗略关联和调整后的关联。在4261名大学生中，55.9%为女性，13.5%为吸烟者，4.9%为药物滥用者，7.9%为酒精滥用者，7.8%在过去一年中有过无保护性行为，7.4%在过去一个月中有过自杀意念，1.7%在过去一年中有过自杀未遂，27.3%患有PIU。只有61.1%的人健康状况正常。相比之下，分别有30.9%、7.2%和0.8%的人有轻度、中度和重度的总体健康问题。PIU与20 - 24岁年龄组与<20岁年龄组（比值比[OR]=1.39；95%置信区间：1.06, 1.82）、单身与已婚（OR=2.57；95%置信区间：1.85, 3.57）、自杀未遂（OR=2.77；95%置信区间：1.47, 5.19）、使用网络游戏（OR=1.31；95%置信区间：1.07, 1.60）以及总体健康状况不佳（OR=12.14；95%置信区间：4.53, 32.54）之间存在显著关系。近三分之一的医学专业学生患有PIU。这种不健康行为与总体健康状况不佳以及自杀行为风险升高有关。这种威胁健康的行为提供了一个值得特别关注的早期预警信号，否则，它可能会威胁到大学生的健康和功能。
