Urbanization and Internet addiction in a nationally representative sample of adult community residents in Japan: A cross-sectional, multilevel study
Urbanization and Internet addiction in a nationally representative sample of adult community residents in Japan: A cross-sectional, multilevel study
复制标题
DOI：
10.1016/j.psychres.2019.01.094
复制
发表时间：
2019-03
影响因子：
11.3
通讯作者：
Naonori Yasuma;Kazuhiro Watanabe;D. Nishi;H. Ishikawa;H. Tachimori;T. Takeshima;M. Umeda;Laura A Sampson;S. Galea;N. Kawakami
中科院分区：
文献类型：
--
作者：
Naonori Yasuma;Kazuhiro Watanabe;D. Nishi;H. Ishikawa;H. Tachimori;T. Takeshima;M. Umeda;Laura A Sampson;S. Galea;N. Kawakami
本研究探讨了城市化和网络成瘾（IA）之间的关系，并与其他精神病理学和社会支持，在日本的全国代表性样本。使用了世界精神卫生日本第二次调查的数据。共有2450名受访者，平均回应率为43.4%。根据城市化程度（可操作为城市规模），将答卷人的生活区域分为三组。使用强迫性互联网使用量表（CIUS）测量IA。三个变量-心理困扰，过去12个月的精神障碍和社会支持-使用既定的工具进行测量。一个多层次的模型进行了澄清城市化和IA（连续分数和患病率）之间的关联，调整可能的个人层面和地区层面的变量和人口统计变量之前和之后。在调整心理困扰、社会支持和过去12个月的精神障碍之前，大城市的CIUS评分明显高于小城市。调整后，这些协会大幅减弱：城市化不再与轻度/重度IA的几率显着相关，而连续CIUS评分的关系。因此，在日本，居住在大城市与IA的几率较高相关;心理困扰，社会支持和过去12个月的精神障碍部分解释了这种关联。
This study examines the relationship between urbanization and Internet addiction (IA) and association with other psychopathology and social support, in a nationally representative sample in Japan. Data from the World Mental Health Japan Second Survey were used. There were 2450 survey respondents, with an average response rate of 43.4%. Respondents’ living areas were divided into three groups on the basis of urbanization (operationalized as city size). IA was measured using the Compulsive Internet Use Scale (CIUS). Three variables — psychological distress, past-12-month mental disorder, and social support — were measured using established instruments. A multilevel model was conducted to clarify the association between urbanization and IA (continuous scores and prevalence), before and after adjusting for possible individual-level and area-level variables and demographic variables. CIUS scores were significantly higher in large cities than in small municipalities before adjusting for psychological distress, social support, and past-12-month mental disorder. After adjustment, these associations attenuated substantially: urbanization was no longer significantly associated with odds of mild/severe IA, while the relationship held for continuous CIUS scores. Thus, residence in large cities is associated with higher odds of IA in Japan; psychological distress, social support, and past-12-month mental disorder partly explain this association.