"The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study"

作者全名："Liu, Yang; Wu, Nannan; Yan, Jie; Yu, Junjie; Liao, Liping; Wang, Hong"

作者地址："[Liu, Yang; Wu, Nannan; Yan, Jie; Yu, Junjie; Liao, Liping; Wang, Hong] Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, Collaborat Innovat Ctr Social Risks Governance Hlt, Chongqing, Peoples R China"

通信作者："Wang, H (通讯作者)，Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, Collaborat Innovat Ctr Social Risks Governance Hlt, Chongqing, Peoples R China."

来源：PLOS ONE

ESI学科分类：Multidisciplinary

WOS号：WOS:000968067200002

JCR分区：Q1

影响因子：2.9

年份：2023

卷号：18

期号：3

开始页：　

结束页：　

文献类型：Article

关键词：　

摘要："BackgroundInternet addiction has emerged as a major global concern as a potential adverse impact of internet exposure on adolescents. Internet addiction is associated with many demographic variables; however, there is a lack of consensus on its relationship with health literacy. Therefore, the aim of the present study was to assess the rates of internet addiction and health literacy level among middle school students (grades 7 to 12) in Chongqing, China, as well as to investigate the association between them. MethodsA cross-sectional, questionnaire-based study was conducted among 8971 students who were randomly selected by using stratified cluster sampling between November and December 2019. The Internet Addiction Diagnostic Questionnaire, Adolescent Health Literacy Scale and a self-designed basic information questionnaire were used to collect data. Chi-square tests were performed to compare the differences in the distribution of internet addiction across health literacy levels as well as some sociodemographic characteristics. Multivariate logistic regression analyses were conducted to identify the association between health literacy and internet addiction. ResultsThe prevalence of internet addiction among middle school students in Chongqing was 6.1%. The percentage of the students who spent more than 4 hours online every day in the past week was 14.3%. In addition, 26.7%, 26.0%, 28.3% and 26.3% of the participants reported low functional, interactive, critical and total health literacy, respectively. After adjusting for the confounding effects of demographics, multivariate regression analysis showed that critical health literacy was a protective variable for internet addiction, while functional, and interactive health literacy were the risk variable (P<0.05). Furthermore, the internet addiction rates were higher among boys, students with good peer relationships, and students without parental supervision, whereas internet addiction rates were lowest among students in grade 12. ConclusionsThe prevalence of internet addiction among middle school students in Chongqing is relatively high. Internet addiction is strongly negatively associated with critical health literacy, but it is positively associated with functional and interactive health literacy but not total health literacy. This study provides preliminary evidence for the predictive role of health literacy in internet addiction of adolescents."

基金机构：Social and Humanities Sciences Research Project from Chongqing Municipal Education Commission [18SKGH016]

基金资助正文："This study was funded by Social and Humanities Sciences Research Project from Chongqing Municipal Education Commission (18SKGH016), the recipient is Hong Wang (?? in Chinese), and we received a grant of 20,000 RMB. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript."