Wu Xudong
Advanced Vocational Technical College, Shanghai University of Engineering Science, Shanghai 200437, China.
Wei Sheng Yan Jiu. 2025 Mar;54(2):258-264. doi: 10.19813/j.cnki.weishengyanjiu.2025.02.013.
To understand the current situation of smartphone addiction and musculoskeletal disorders among students of secondary vocational schools in Shanghai, and to analyze the correlation between the two.
A stratified random sampling method was used to select 4897 students from 10 secondary vocational schools in Shanghai between March and April 2023. Smartphone Addiction Scale and the Nordic Musculoskeletal Questionnaire were used for the survey. Descriptive statistical analyses, Pearson's chi-squared test analysis and binary logistic regression analyses were conducted for the statistical analysis of the research.
The overall detection rate of smartphone addiction among students in secondary vocational schools in Shanghai was 70.45%(3450 students), with 66.61%(1993 students) of boys and 76.5%(1457 students) of girls showing addiction, indicating a statistically significant difference between genders(χ2=54.14, P<0.01). The detection rates of smartphone addiction among first, second, and third-year students were 68.92%(1100 students), 71.78%(1160 students), and 70.62%(1190 students) respectively, with no statistically significant difference among different grades(χ2=3.32, P=0.19). The detection rate of smartphone addiction was 69.21%(2117 students) among only children and 72.52%(1333 students) among non-only children, showing a statistically significant difference(χ2=6.29, P=0.01). The detection rate of musculoskeletal disorders was 37.96%(1859 students), with 35.20%(1053 students) of boys and 42.30%(806 students) of girls affected, indicating a statistically significant difference between genders(χ2=25.03, P<0.01). Regarding the incidence of musculoskeletal disorders by body part, the top three were: neck(23.52%, 1152 students), lower back(19.54%, 957 students), and shoulder(16.50%, 808 students), with statistically significant differences between genders(χ2=8.77, P<0.01; χ2=46.24, P<0.01; χ~2=36.48, P<0.01). The mobile phone addiction tendency score had a significant impact on five types of musculoskeletal disorders: neck pain, shoulder pain, lower back pain, wrist pain and elbow pain. For every one-point increase in the mobile phone addiction tendency score, the incidence rates of neck pain, shoulder pain, lower back pain, wrist pain and elbow pain increased by 1.036, 1.037, 1.034, 1.045 and 1.047 times, respectively.
Smartphone addiction among vocational high school students in Shanghai significantly increases the risk of musculoskeletal disorders, including neck pain, shoulder pain, lower back pain, wrist pain, and elbow pain.
了解上海市中等职业学校学生智能手机成瘾及肌肉骨骼疾病的现状,并分析两者之间的相关性。
采用分层随机抽样方法,于2023年3月至4月从上海市10所中等职业学校选取4897名学生。使用智能手机成瘾量表和北欧肌肉骨骼问卷进行调查。对研究进行描述性统计分析、Pearson卡方检验分析和二元逻辑回归分析。
上海市中等职业学校学生智能手机成瘾的总体检出率为70.45%(3450名学生),其中男生成瘾率为66.61%(1993名学生),女生成瘾率为76.5%(1457名学生),性别差异有统计学意义(χ²=54.14,P<0.01)。一、二、三年级学生智能手机成瘾检出率分别为68.92%(1100名学生)、71.78%(1160名学生)和70.62%(1190名学生),不同年级间差异无统计学意义(χ²=3.32,P=0.19)。独生子女智能手机成瘾检出率为69.21%(2117名学生),非独生子女为72.52%(1333名学生),差异有统计学意义(χ²=6.29,P=0.01)。肌肉骨骼疾病检出率为37.96%(1859名学生),男生患病率为35.20%(1053名学生),女生为42.30%(806名学生),性别差异有统计学意义(χ²=25.03,P<0.01)。按身体部位划分,肌肉骨骼疾病发病率前三位依次为:颈部(23.52%,1152名学生)、下背部(19.54%,957名学生)和肩部(16.50%,808名学生),性别差异有统计学意义(χ²=8.77,P<0.01;χ²=46.24,P<0.01;χ²=36.48,P<0.01)。手机成瘾倾向得分对颈部疼痛、肩部疼痛、下背部疼痛、手腕疼痛和肘部疼痛这五种肌肉骨骼疾病有显著影响。手机成瘾倾向得分每增加1分,颈部疼痛、肩部疼痛、下背部疼痛、手腕疼痛和肘部疼痛的发病率分别增加1.036、1.037、1.034、1.045和1.047倍。
上海市职业高中生智能手机成瘾显著增加了肌肉骨骼疾病的风险,包括颈部疼痛、肩部疼痛、下背部疼痛、手腕疼痛和肘部疼痛。