Parent-adolescent interaction and risk of adolescent internet addiction: a population-based study in Shanghai

BMC Psychiatry

Xiao-ming Shen²  Jin-song Zhang²  Jun Zhang²  Xiang-peng Liao²  Li-na Zhang⁶  Fengxiu Ouyang²  Sudha Rani Kotha¹  Lu Wang⁴  Fang Yang⁵  Howard Hu³  Chong-huai Yan²  Li-xiao Shen²  Jian Xu² 

[1] Global Health at University of Toronto’s Faculty of Medicine, Toronto, Canada;Xinhua Hospital, MOE-Shanghai Key Laboratory of Children’s Environmental Health, Department of Child and Adolescent Healthcare, Shanghai Institute for Pediatric Research, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;Biostatistics Department, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA;Global Health Department, University of Michigan, Ann Arbor, Michigan, USA;Biostatistics Department, Shanghai Jiao Tong University School of Medicine, Shanghai, China

关键词: Family structure;    Marital status;    China;    Father-child relations;    Mother-child relations;    Internet addiction;    Adolescents;   

Others  :  1123639
DOI  :  10.1186/1471-244X-14-112

 received in 2014-01-14, accepted in 2014-03-31,  发布年份 2014

【 摘 要 】

Background

Family-based intervention is essential for adolescents with behavioral problems. However, limited data are available on the relationship between family-based factors and adolescent internet addiction (AIA). We aimed to examine this relationship using a representative sample of Shanghai adolescents.

Methods

In October 2007, a total of 5122 adolescents were investigated from 16 high schools via stratified-random sampling in Shanghai. Self-reported and anonymous questionnaires were used to assess parent-adolescent interaction and family environments. AIA was assessed by DRM-52 Scale, developed from Young’s Internet-addiction Scale, using seven subscales to evaluate psychological symptoms of AIA.

Results

Adjusting for adolescents’ ages, genders, socio-economic status, school performances and levels of the consumption expenditure, strong parental disapproval of internet-use was associated with AIA (vs. parental approval, OR = 2.20, 95% CI: 1.24-3.91). Worse mother-adolescent relationships were more significantly associated with AIA (OR = 3.79, 95% CI: 2.22-6.48) than worse father-adolescent relationships (OR = 1.76, 95% CI: 1.10-2.80). Marital status of “married-but-separated” and family structure of “left-behind adolescents” were associated with symptoms of some subscales. When having high monthly allowance, resident students tended to develop AIA but commuter students did not. Family social-economic status was not associated with the development of AIA.

Conclusions

The quality of parent-adolescent relationship/communication was closely associated with the development of AIA, and maternal factors were more significantly associated with development of AIA than paternal factors. Family social-economic status moderated adolescent internet-use levels but not the development of AIA.

【 授权许可】

   
2014 Xu et al.; licensee BioMed Central Ltd.

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