Reduced Health-Related Quality of Life Due to Mobile Phone Dependence in a Sample of Chinese College Students: The Mediating Role of Chronotype and Sleep Quality.

IF 2.5 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Promotion Pub Date : 2024-11-01 Epub Date: 2024-06-03 DOI:10.1177/08901171241258375

Zhi-Qi Ying, Dan-Lin Li, Gang Liang, Zhi-Jian Yin, Yue-Zu Li, Rong Ma, Yu Qin, Ya-Jie Zheng, Pei Wang, Chen-Wei Pan

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引用次数: 0

Abstract

Purpose: Presenting a chain mediation model to investigate whether mobile phone dependence results in a reduction in health-related quality of life (HRQoL) among Chinese college students, through the mediating effect of chronotype and sleep quality.

Design and setting: A cross-sectional survey was conducted on students from a Chinese university using a validated structured questionnaire.

Sample: 2014 freshmen.

Measures: The study measured the students' level of mobile phone dependence using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use. Chronotype and sleep quality were measured by the Chinese version of the Morningness-Eveningness Questionnaire (MEQ) and the Pittsburgh Sleep Quality Index (PSQI), respectively. HRQoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L), including a descriptive system and a visual analog scale (VAS).

Analysis: Descriptive statistical analysis, correlation analysis, and mediation analysis.

Results: Mobile phone dependence had a significant negative effect on HRQoL as indicated by both the EQ-5D-5L index score and EQ-VAS score (P < .001 for both). Additionally, it was found to significantly predict chronotype (MEQ score) (β = -.546, P < .001) and sleep quality (PSQI score) (β = .163, P < .001). Chronotype negatively predict sleep quality (β = -.058, P < .001), and sleep quality was a significant negative predictor of HRQoL (EQ-5D-5L index score, β = -.008, P < .001; EQ-VAS score, β = -1.576, P < .001).

Conclusion: Mobile phone dependence negatively impacts students' HRQoL through chronotype and sleep quality, and there is a chain mediating effect. Students should consider making lifestyle changes to improve their HRQoL and promote health.

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中国大学生因依赖手机而降低与健康相关的生活质量：时型和睡眠质量的中介作用

目的：提出一个链式中介模型，研究手机依赖是否会通过时型和睡眠质量的中介效应导致中国大学生健康相关生活质量（HRQoL）的下降：样本：2014 年大一新生：研究使用《青少年问题性手机使用自评问卷》测量学生的手机依赖程度。时间型和睡眠质量分别通过中文版晨起-清醒问卷（MEQ）和匹兹堡睡眠质量指数（PSQI）进行测量。HRQoL采用五级EuroQol五维问卷（EQ-5D-5L）进行评估，包括描述性系统和视觉模拟量表（VAS）：分析：描述性统计分析、相关分析和中介分析：结果：从 EQ-5D-5L 指数得分和 EQ-VAS 分数来看，手机依赖对 HRQoL 有明显的负面影响（两者的 P < .001）。此外，研究还发现手机依赖对慢性型（MEQ 评分）（β = -.546，P < .001）和睡眠质量（PSQI 评分）（β = .163，P < .001）有明显的预测作用。时间型对睡眠质量有负向预测作用（β = -.058, P < .001），睡眠质量对 HRQoL 有显著负向预测作用（EQ-5D-5L 指数得分，β = -.008, P < .001; EQ-VAS 分数，β = -1.576, P < .001）：结论：手机依赖通过时间型和睡眠质量对学生的 HRQoL 产生负面影响，并存在连锁中介效应。学生应考虑改变生活方式，以改善其 HRQoL，促进健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

3.70%

发文量

184

期刊介绍： The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.