Association between mobile phone use and inattention in 7102 Chinese adolescents: a population-based cross-sectional study

BMC Public Health

Lei Zhang²  Zhengping Yu²  Zhou Zhou²  Qichang Zeng¹  Changxi Wang³  Min Li²  Mindi He²  Peng Gao²  Feizhou Zheng² 

[1] Dongchan Middle School, Sichuan 629007, People's Republic of China;Department of Occupational Health, Key Laboratory of Medical Protection for Electromagnetic Radiation, Ministry of Education, Third Military Medical University, NO. 30 Gaotanyan Street, Chongqing 400038, People's Republic of China;Suining Experimental High School, Sichuan 629000, People's Republic of China

关键词: Cross-sectional study;    Chinese adolescents;    Inattention;    Mobile phone;   

Others  :  1126480
DOI  :  10.1186/1471-2458-14-1022

 received in 2014-07-02, accepted in 2014-09-29,  发布年份 2014

【 摘 要 】

Background

The dramatic growth of mobile phone (MP) use among young people has increased interest in its possible health hazards in this age group. The aim of this cross-sectional study was to investigate the association between MP use and inattention in adolescents.

Methods

A total of 7720 middle school students were involved in this cross-sectional study. Inattention was assessed as defined for the Attention Deficit component of Attention deficit/Hyperactivity disorder (ADHD) by the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev. [DSM-IV-TR]). The demographic characteristics and information on MP use were included in the questionnaire. Chi-square tests and logistic regression models were used to analyze the data.

Results

In total, 7102 (91.99%) valid questionnaires were obtained. After adjusted for confounders, inattention in adolescents was significantly associated with MP ownership, the time spent on entertainment on MP per day, the position of the MP during the day and the mode of the MP at night. The strongest association between inattention and the time spent on the MP was among students who spent more than 60 minutes per day playing on their MP.

Conclusions

Our study shows some associations between MP use and inattention in Chinese adolescents. Decreasing MP usage to less than 60 minutes per day may help adolescents to stay focused and centered.

【 授权许可】

   
2014 Zheng et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Jacobs K, Hudak S, McGiffert J: Computer-related posture and musculoskeletal discomfort in middle school students. Work 2009, 32:275-283.
• [2]Jiang XX, Hardy LL, Ding D, Baur LA, Shi HJ: Recreational screen-time among Chinese adolescents: a cross-sectional study. J Epidemiol 2014, 24(5):397-403.
• [3]Van Deventer E, van Rongen E, Saunders R: WHO research agenda for radiofrequency fields. Bioelectromagnetics 2011, 32:417-421.
• [4]China Internet Network Information Center: China Internet network development state statistic report. In China Internet Network Development State Statistic Report 33rd. Beijing: CINIC; 2014.
• [5]Van Egmond-Fröhlich AW, Weghuber D, De Zwaan M: Association of symptoms of attention-deficit/hyperactivity disorder with physical activity, media time, and food intake in children and adolescents. PLoS One 2012, 7(11):e49781.
• [6]Mazurek MO, Engelhardt CR: Video game use in boys with autism spectrum disorder, ADHD, or typical development. Pediatrics 2013, 132(2):260-266.
• [7]Weiss MD, Baer S, Allan BA, Saran K, Schibuk H: The screens culture: impact on ADHD. Atten Defic Hyperact Disord 2011, 3(4):327-334.
• [8]Divan HA, Divan HA, Obel C, Olsen J: Prenatal and postnatal exposure to cell phone use and behavioral problems in children. Epidemiology 2008, 19(4):523-529.
• [9]Van Rongen E, Roubos EW, Van Aernsbergen LM, Brussaard G, Havenaar J, Koops FB, Van Leeuwen FE, Leonhard HK, Van Rhoon GC, Swaen GM, Van de Weerdt RH, Zwamborn AP: Mobile phones and children: is precaution warranted? Bioelectromagnetics 2004, 25:142-144.
• [10]Byun YH, Ha M, Kwon HJ, Hong YC, Leem JH, Sakong J, Kim SY, Lee CG, Kang D, Choi HD, Kim N: Mobile phone use, blood lead levels, and attention deficit hyperactivity symptoms in children: a longitudinal study. PLoS One 2013, 8(3):e59742.
• [11]Zajdel R, Zajdel J, Zwolińska A, Smigielski J, Beling P, Cegliński T, Nowak D: The sound of a mobile phone ringing affects the complex reaction time of its owner. Arch Med Sci 2012, 8(5):892-898.
• [12]Carskadon MA: Sleep's effects on cognition and learning in adolescents. Prog Brain Res 2011, 190:137-143.
• [13]Milde-Busch A, Boneberger A, Heinrich S, Thomas S, Kühnlein A, Radon K, Straube A, von Kries R: Higher prevalence of psychopathological symptoms in adolescents with headache: a population-based cross-sectional study. Headache 2010, 50(5):738-748.
• [14]Sahin S, Ozdemir K, Unsal A, Temiz N: Evaluation of mobile phone addiction level and sleep quality in university students. Pak J Med Sci 2013, 29(4):913-918.
• [15]Munezawa T, Kaneita Y, Osaki Y, Kanda H, Minowa M, Suzuki K, Higuchi S, Mori J, Yamamoto R, Ohida T: The association between use of mobile phones after lights out and sleep disturbances among Japanese adolescents: a nationwide cross-sectional survey. Sleep 2011, 34(8):1013-1020.
• [16]Sudan M, Kheifets L, Arah O, Olsen J, Zeltzer L: Prenatal and postnatal cell phone exposures and headaches in children. Open Pediatr Med J 2012, 6:46-52.
• [17]Chu MK, Song HG, Kim C, Lee BC: Clinical features of headache associated with mobile phone use: a cross-sectional study in university students. BMC Neurol 2011, 11:115. BioMed Central Full Text
• [18]Childress AC, Berry SA: Pharmacotherapy of attention-deficit hyperactivity disorder in adolescents. Drugs 2012, 72(3):309-325.
• [19]Breslau J, Miller E, Joanie Chung WJ, Schweitzer JB: Childhood and adolescent onset psychiatric disorders, substance use, and failure to graduate high school on time. J Psychiatr Res 2011, 45(3):295-301.
• [20]Wallace D, Eltiti S, Ridgewell A, Garner K, Russo R, Sepulveda F, Walker S, Quinlan T, Dudley S, Maung S, Deeble R, Fox E: Cognitive and physiological responses in humans exposed to a TETRA base station signal in relation to perceived electromagnetic hypersensitivity. Bioelectromagnetics 2012, 33(1):23-39.
• [21]Schmid MR, Loughran SP, Regel SJ, Murbach M, Bratic Grunauer A, Rusterholz T, Bersagliere A, Kuster N, Achermann P: Sleep EEG alterations: effects of different pulse-modulated radio frequency electromagnetic fields. J Sleep Res 2012, 21(1):50-58.
• [22]Lee TM, Lam PK, Yee LT, Chan CC: The effect of the duration of exposure to the electromagnetic field emitted by mobile phones on human attention. Neuroreport 2003, 14(10):1361-1364.
• [23]Edelstyn N, Oldershaw A: The acute effects of exposure to the electromagnetic field emitted by mobile phones on human attention. Neuroreport 2002, 13(1):119-121.
• [24]Lee TM, Ho SM, Tsang LY, Yang SH, Li LS, Chan CC, Yang SY: Effect on human attention of exposure to the electromagnetic field emitted by mobile phones. Neuroreport 2001, 12(4):729-731.
• [25]American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 4th edition. Washington: APA; 2000.
• [26]Chaste P, Clement N, Botros HG, Guillaume JL, Konyukh M, Pagan C, Scheid I, Nygren G, Anckarsäter H, Rastam M, Ståhlberg O, Gillberg IC, Melke J, Delorme R, Leblond C, Toro R, Huguet G, Fauchereau F, Durand C, Boudarene L, Serrano E, Lemière N, Launay JM, Leboyer M, Jockers R, Gillberg C, Bourgeron T: Genetic variations of the melatonin pathway in patients with attention-deficit and hyperactivity disorders. J Pineal Res 2011, 51(4):394-399.
• [27]Tahiroglu AY, Celik GG, Avci A, Seydaoglu G, Uzel M, Altunbas H: Short- term effects of playing computer games on attention. J Att Dis 2010, 13(6):668-676.
• [28]Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A: Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 2003, 60(8):837-844.
• [29]Mortazavi SM, Ahmadi J, Shariati M: Prevalence of subjective poor health symptoms associated with exposure to electromagnetic fields among university students. Bioelectromagnetics 2007, 28:326-330.
• [30]Mortazavi SM, Mahbudi A, Atefi M, Bagheri S, Bahaedini N, Besharati A: An old issue and a new look: electromagnetic hypersensitivity caused by radiations emitted by GSM mobile phones. Technol Health Care 2011, 19:435-443.
• [31]Mortazavi SM, Atefi M, Kholghi F: The pattern of mobile phone use and prevalence of self-reported symptoms in elementary and junior high school students in Shiraz. Iran Iran J Med Sci 2011, 36(2):96-103.
• [32]Arnsten AF: The emerging neurobiology of attention deficit hyperactvty disorder: the key role of the prefrontal association cortex. J Pediatr 2009, 154(5):I-S43.
• [33]Aalto S, Haarala C, Brück A, Sipilä H, Hämäläinen H, Rinne JO: Mobile phone affects cerebral blood flow in humans. J Cereb Blood Flow Metab 2006, 26(7):885-890.
• [34]Alexander SJ, Harrison AG: Cognitive responses to stress, depression, and anxiety and their relationship to ADHD symptoms in first year psychology students. J Atten Disord 2013, 17(1):29-37.
• [35]Massetti GM, Vivolo AM, Brookmeyer K, Degue S, Holland KM, Holt MK, Matjasko JL: Preventing youth violence perpetration among girls. J Womens Health 2011, 20(10):1415-1428.
• [36]Chan P, Rabinowitz T: A cross-sectional analysis of video games and attention deficit hyperactivity disorder symptoms in adolescents. Ann Gen Psychiatry 2006, 5:16. BioMed Central Full Text
• [37]Ozturk FO, Ekinci M, Ozturk O, Canan F: The relationship of affective temperament and emotional-behavioral difficulties to internet addiction in Turkish teenagers. ISRN Psychiatry 2013, 961734. doi: 10.1155/2013/961734. Print 2013
• [38]Yen JY, Yen CF, Chen CS, Tang TC, Ko CH: The association between adult ADHD symptoms and internet addiction among college students: the gender difference. Cyberpsychol Behav 2009, 12(2):187-191.
• [39]Redmayne M, Smith A, Abramson M: Adolescent in-school cellphone habits: a census of rules, survey of their effectiveness, and fertility implications. Reprod Toxicol 2011, 32(3):354-359.
• [40]Schuz J, Johansen C: A comparison of self-reported cellular telephone use with subscriber data: agreement between the two methods and implications for risk estimation. Bioelectromagnetics 2007, 28:130-136.
• [41]Zhi S, Guoying D, Jipeng L, Yangyang L, Yongxing Z, Zhao Q: Correlational analysis of neck/shoulder pain and low back pain with the use of digital products, physical activity and psychological status among adolescents in Shanghai. PLoS One 2013, 8(10):e78109.