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Study on the relationship between substance use, problematic internet use, and co-occurring behaviors among college students and unintentional injuries
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Xiao-ding ZHOU1, Ru-yu LI1, Qi GAO1, Pei-xia CHENG2, Hui-ping ZHU2
Modern Preventive Medicine | 2025, 52(9) : 1674 - 1680
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Modern Preventive Medicine | 2025, 52(9): 1674-1680
Health and Social Behavior
Study on the relationship between substance use, problematic internet use, and co-occurring behaviors among college students and unintentional injuries
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Xiao-ding ZHOU1, Ru-yu LI1, Qi GAO1, Pei-xia CHENG2, Hui-ping ZHU2
Affiliations
  • Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, China
Published: 2025-05-10 doi: 10.20043/j.cnki.MPM.202411165
Outline
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Objective

To explore the relationship between substance use, problematic internet use, and their co-occurring behaviors with unintentional injuries among college students.

Methods

A cross-sectional study design was employed, with a questionnaire survey conducted among 1 700 enrolled students from two ordinary higher education institutions in Beijing. The CRAFFT scale was used to assess substance use, while the Internet Addiction Test (IAT) evaluated problematic internet use. Information on unintentional injuries and related influencing factors was also collected. Multivariate binary logistic regression was utilized to analyze the association between substance use, problematic internet use, co-occurring behaviors, and unintentional injuries, as well as to explore the influencing factors of unintentional injuries in the co-occurring behavior population.

Results

A total of 1 626 valid questionnaires were collected. The prevalence of substance use was 35.85% (583 cases), the prevalence of problematic internet use was 52.34% (851 cases), and the co-occurrence prevalence was 20.05% (326 cases). The prevalence of unintentional injuries was 16.91% (275 cases). After adjusting for confounding factors, the multivariate logistic regression analysis indicated that compared to the control group, the odds ratio for unintentional injuries in the co-occurring behavior group was 1.57 (95%CI: 1.054-2.340), while neither substance use (aOR=1.117, 95%CI: 0.717-1.741) nor problematic internet use (aOR=1.098, 95%CI: 0.758-1.589) showed significant correlation with unintentional injuries. Among the co-occurring behavior population, suicidal ideation was identified as an independent risk factor for unintentional injuries (aOR=2.118, 95%CI: 1.184-3.787).

Conclusion

The simultaneous presence of substance uses and problematic internet use significantly increases the risk of unintentional injuries among college students. It is crucial to focus on high-risk populations exhibiting co-occurring behaviors, especially those with suicidal ideation, and to implement targeted preventive interventions.

Substance use  /  Problematic internet use  /  Co-occurring behaviors  /  Unintentional injuries  /  College students
Xiao-ding ZHOU, Ru-yu LI, Qi GAO, Pei-xia CHENG, Hui-ping ZHU. Study on the relationship between substance use, problematic internet use, and co-occurring behaviors among college students and unintentional injuries[J]. Modern Preventive Medicine, 2025 , 52 (9) : 1674 -1680 . DOI: 10.20043/j.cnki.MPM.202411165
Year 2025 volume 52 Issue 9
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Article Info
doi: 10.20043/j.cnki.MPM.202411165
  • Receive Date:2024-11-11
  • Online Date:2026-03-17
  • Published:2025-05-10
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  • Received:2024-11-11
Affiliations
    Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, China
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表12种不同金属材料的力学参数

Family
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Number of
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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