Department of Health Sciences, California State University, 18111 Nordhoff St. Northridge, Northridge, CA 91330, United States.
Institute for Health Promotion and Disease Prevention, Department of Preventive Medicine, University of Southern California, 2001 N. Soto St., 3(rd) floor, Los Angeles, CA 90033, United States.
Addict Behav. 2021 Jun;117:106869. doi: 10.1016/j.addbeh.2021.106869. Epub 2021 Feb 8.
There has been a tremendous increase in the use of smartphones among college students and alongside the benefits there is growing concern over problematic/addictive smartphone use (PSU). Among the most robust predictors of behavioral and substance use disorders are a subset of adverse childhood experiences conceptualized as household dysfunction (HHD). Despite the high prevalence of HHD and risk of PSU among college students, research investigating the link between HHD and PSU among college populations is sparse, especially in the United States.
Students (N = 351) from a diverse, southern California university responded to an online survey. Regression models assessed the association between HHD (e.g., parent alcohol and drug use, mental health, incarceration, suicide, intimate partner violence, separation/divorce, and homelessness; categorized into 0, 1-3, and 4 or more) and PSU using Smartphone Addiction Scale short version (SAS-SV) scale, adjusted for covariates.
Over 50% of students reported at least one type of household dysfunction and about 25% were at high risk for PSU. Compared to students who report no household stressors, students with 1-3 had twice the odds (AOR: 2.11, 95% CI: 1.13-3.83) and students with 4 or more had four times the odds (AOR: 4.01, 95% CI: 2.35-6.82) of PSU, after adjusting for covariates. There were no sex differences in this association.
Findings suggest that household dysfunction can increase the likelihood of developing behavioral disorders such as PSU. Implications for prevention efforts are discussed.
大学生中智能手机的使用呈爆炸式增长,除了带来好处,人们也越来越担心过度使用智能手机的问题。在行为和物质使用障碍的最强预测因素中,有一部分是被概念化为家庭功能障碍(HHD)的不良童年经历。尽管大学生中 HHD 和 PSU 的患病率很高,但在大学生群体中研究 HHD 和 PSU 之间联系的研究却很少,尤其是在美国。
来自加利福尼亚州一所多元化大学的学生(N=351)回答了一份在线调查。回归模型评估了 HHD(例如,父母的酒精和药物使用、心理健康、监禁、自杀、亲密伴侣暴力、分居/离婚和无家可归)与使用智能手机成瘾量表短版(SAS-SV)之间的关联,调整了协变量。
超过 50%的学生报告至少有一种家庭功能障碍,约 25%的学生有较高的 PSU 风险。与没有家庭压力的学生相比,有 1-3 种家庭压力的学生 PSU 的可能性是前者的两倍(OR:2.11,95% CI:1.13-3.83),有 4 种或更多家庭压力的学生 PSU 的可能性是前者的四倍(OR:4.01,95% CI:2.35-6.82),在调整了协变量后。这种关联在性别上没有差异。
研究结果表明,家庭功能障碍会增加患行为障碍(如 PSU)的可能性。讨论了预防工作的意义。