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Sex differences in prevalence, risk factors and clinical correlates of internet addiction among chinese college students
Shen, Yanmei1,2; Wang, Lu1,2; Huang, Chunxiang1,2; Guo, Jimin3; De Leon, Sara Arenas4; Lu, JianPing5; Luo, Xuerong1,2; Zhang, Xiang Yang6
First AuthorShen, Yanmei
Correspondent Emailluoxuerong@csu.edu.cn (x. luo) ; luoxuerong@csu.edu.cn (x.y. zhang)
Contribution Rank6
Abstract

Background: Internet addiction(IA) is now very common. However, few studies have explored the sex differences in risk factors for IA, especially among Chinese college students. This study aimed to investigate the sex differences in prevalence, risk factors and clinical correlates of IA among Chinese college students. Methods: A total of 8098 college students from Hunan province were recruited using a cross-sectional design and a convenience sampling method. Each student filled out the survey online anonymously, which collected their information on their socio-demographics, internet addiction(Revised Chinese internet addiction scale;CIAS-R), ADHD(Wender Utah Rating Scale and World Health Organization (WHO) Adult ADHD Self-Report Scale v 1.1 Symptom Checklist), depression(Self-reporting Depression Scale;SDS), insomnia(Athens Insomnia Scale;AIS), anxiety(Self-Rating Anxiety Scale;SAS) and suicidal behaviors through WeChat. Results: Overall, the prevalence of IA in males and females was 7.21%(259/3592) and 8.17%(368/4506), respectively. Multivariate logistic regression analysis revealed that suicidal ideation[odds ratio (OR),1.557;95% confidence interval (CI),1.083-2.240], suicide attempts(OR,2.081;95%CI:1.271-3.409), ADHD(OR,6.487;95% CI,4.697-8.959) and insomnia(OR,2.596;95%CI,1.910-3.529) were independent risk factors for male IA after controlling for confounding variables. Nationality(OR,1.507;95%CI,1.058-2.145), suicidal ideation (OR,2.012;95%CI,1.532-2.641), depression(OR,1.771;95%CI:1.071-2.930), ADHD(OR,4.497; 95%CI,3.285-6.158) and insomnia (OR,2.356;95%CI,1.813-3.061) were independent risk factors for female IA. Limitation: No causal relationships could be drawn due to the cross-sectional design. Conclusions: This study shows IA is common among both sexes. IA is significantly associated with ADHD, insomnia and suicidal behaviors in both male and female students, indicating the importance of screening IA and addressing ADHD, insomnia and suicidal behaviors to improve the mental health of college students and better prevent suicide in both sexes.

KeywordInternet addiction sex difference risk factors Chinese college students
2021-01-15
DOI10.1016/j.jad.2020.10.054
Source PublicationJOURNAL OF AFFECTIVE DISORDERS
ISSN0165-0327
Volume279Pages:680-686
Subtype实证研究
Indexed BySCI
Funding ProjectShenzhen Science and Technology Innovation Committee[JCYJ20160429185235132] ; Sanming Project of Medicine in Shenzhen[SZSM201612079] ; National Key Research and Development Program of China[2016YFC1306105]
PublisherELSEVIER
WOS KeywordGENDER-DIFFERENCES ; ADOLESCENTS ; ASSOCIATION ; DEPRESSION ; DISORDER ; HYPERACTIVITY ; METAANALYSIS ; SYMPTOMS ; DRINKING ; SUICIDE
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000600674200036
Citation statistics
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/38149
Collection中国科学院心理健康重点实验室
Corresponding AuthorLuo, Xuerong; Zhang, Xiang Yang
Affiliation1.Cent South Univ, Xiangya Hosp 2, Dept Psychiat, Changsha 410011, Hunan, Peoples R China
2.Cent South Univ, China Natl Clin Res Ctr Mental Disorders Xiangya, Mental Hlth Inst,Hunan Key Lab Psychiat & Mental, China Natl Technol Inst Mental Disorders,Hunan Te, Changsha 410011, Hunan, Peoples R China
3.Univ New Mexico, Dept Internal Med, Mol Med, Albuquerque, NM 87131 USA
4.Univ New Mexico, Dept Biochem & Mol Biol, Hlth Sci Ctr, Albuquerque, NM 87131 USA
5.Shenzhen Kangning Hosp, Shenzhen Mental Hlth Ctr, Dept Child & Adolescent Psychiat, Shenzhen, Guangdong, Peoples R China
6.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, 16 Lincui Rd, Beijing 100101, Peoples R China
Corresponding Author AffilicationKey Laboratory of Mental Health, CAS
Recommended Citation
GB/T 7714
Shen, Yanmei,Wang, Lu,Huang, Chunxiang,et al. Sex differences in prevalence, risk factors and clinical correlates of internet addiction among chinese college students[J]. JOURNAL OF AFFECTIVE DISORDERS,2021,279:680-686.
APA Shen, Yanmei.,Wang, Lu.,Huang, Chunxiang.,Guo, Jimin.,De Leon, Sara Arenas.,...&Zhang, Xiang Yang.(2021).Sex differences in prevalence, risk factors and clinical correlates of internet addiction among chinese college students.JOURNAL OF AFFECTIVE DISORDERS,279,680-686.
MLA Shen, Yanmei,et al."Sex differences in prevalence, risk factors and clinical correlates of internet addiction among chinese college students".JOURNAL OF AFFECTIVE DISORDERS 279(2021):680-686.
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