Zhang Weifang, Yang Xiaozhao Y, Yang Tingzhong, Bottorff Joan L, Peng Sihui, Yu Lingwei, Cottrell Randall R
Weifang Zhang, Professor, Affiliated Hospital of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China.
Xiaozhao Y. Yang, Associate Professor, School of Sociology and Anthropology, Sun Yat-sen University, Guangzhou, China.
Am J Health Behav. 2021 Nov 15;45(6):1002-1015. doi: 10.5993/AJHB.45.6.5.
We examined associations between excessive use and mental disorders at the individual and contextual level.
We conducted a representative nationwide survey sampling process of 11,283 medical students from 30 universities in China. Mental health status was measured by the Chinese Health Questionnaire. Both unadjusted and adjusted methods were considered in the analyses.
High frequency and long-time use prevalence was 19.1% and 31.2% respectively among users. The multilevel logistic regression model found that individual-level high frequency (OR = 1.26) and long-time use (OR = 1.24) were significantly associated with mental health disorders. University-level excessive use also was associated with the mental disorders (OR = 1.33 [high frequency use]; OR = 1.17 [long-time use]). Structural equation analysis showed that individual- and university-level high frequency and individual-level and university-level long-time use have a direct influence on poor mental health. The above variables, except individual-level long-time use, have an indirect influence on poor mental health through mental stress.
This study provides new evidence that excessive use is associated with mental disorders. These findings underscore the importance of alerting people to the possible health risks of excessive social media use.
我们在个体和背景层面研究了过度使用与精神障碍之间的关联。
我们在中国30所大学对11283名医学生进行了具有代表性的全国性抽样调查。心理健康状况通过中国健康问卷进行测量。分析中考虑了未调整和调整后的方法。
在使用者中，高频使用和长期使用的患病率分别为19.1%和31.2%。多水平逻辑回归模型发现，个体层面的高频使用（OR = 1.26）和长期使用（OR = 1.24）与精神健康障碍显著相关。大学层面的过度使用也与精神障碍相关（OR = 1.33[高频使用]；OR = 1.17[长期使用]）。结构方程分析表明，个体和大学层面的高频使用以及个体层面和大学层面的长期使用对心理健康不佳有直接影响。除个体层面的长期使用外，上述变量通过心理压力对心理健康不佳有间接影响。
本研究提供了新的证据，表明过度使用与精神障碍有关。这些发现强调了提醒人们注意过度使用社交媒体可能带来的健康风险的重要性。
