Han Chang Hoon, Chung Jae Ho, Lee Su Jin
Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.
Department of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
J Thorac Dis. 2021 Feb;13(2):968-976. doi: 10.21037/jtd-20-2342.
Problematic Internet addiction (IA) has been shown to be associated with a variety of psychological comorbidities, but its relationship with adolescent asthma has not yet been investigated in detail.
We analyzed 18,473 adolescent patients with physician-diagnosed asthma and 205,069 non-asthmatic adolescent patients from the Korean Youth Risk Behavior Web-based Survey. Socioeconomic factors, health behavior factors, psychological factors, and IA status were assessed using the Korean Internet Addiction Proneness Scale. Multiple logistic regression analysis was performed, with adjustment for multiple cofounders, to explore the association between IA and adolescent asthma.
Comparison between the adolescent asthma group and non-adolescent asthma group indicated higher rates of probable IA (13.7% 12.1%, respectively, P<0.001), IA (4.8% 3.1%, respectively, P<0.001), and problematic IA (18.5% 15.2%, respectively, P<0.001) in the adolescent asthma group. After adjustment for multiple confounders, probable IA [odds ratio (OR): 1.16, 95% confidence interval (CI): 1.08-1.26] and IA (OR: 1.07, 95% CI: 1.02-1.12) were significantly associated with increased risk of adolescent asthma, compared to non-problematic Internet use.
IA is associated with an increased rate of asthma in Korean adolescents. So, IA has attracted minimal attention in relation to the treatment of asthma.
有问题的网络成瘾(IA)已被证明与多种心理共病有关,但其与青少年哮喘的关系尚未得到详细研究。
我们分析了来自韩国青少年风险行为网络调查的18473名经医生诊断为哮喘的青少年患者和205069名非哮喘青少年患者。使用韩国网络成瘾倾向量表评估社会经济因素、健康行为因素、心理因素和IA状态。进行多因素逻辑回归分析,并对多个混杂因素进行调整,以探讨IA与青少年哮喘之间的关联。
青少年哮喘组与非青少年哮喘组的比较表明,青少年哮喘组中可能的IA(分别为13.7%和12.1%,P<0.001)、IA(分别为4.8%和3.1%,P<0.001)和有问题的IA(分别为18.5%和15.2%,P<0.001)的发生率更高。在对多个混杂因素进行调整后,与无问题的网络使用相比,可能的IA[比值比(OR):1.16,95%置信区间(CI):1.08 - 1.26]和IA(OR:1.07,95%CI:1.02 - 1.12)与青少年哮喘风险增加显著相关。
在韩国青少年中,IA与哮喘发病率增加有关。因此,在哮喘治疗方面,IA受到的关注极少。