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Internet addiction and its influencing factors among middle school students in Hunan province: a cross-sectional study
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Fei WANG1, Lixi QIN2, Zhuoga NIMA2, Yaqing TAN1, Miyang LUO2, Yanhua CHEN1, Jiayou LUO2
Chinese Journal of Public Health | 2025, 41(6) : 641 - 647
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Chinese Journal of Public Health | 2025, 41(6): 641-647
• Special Report – Focusing on Child Health and Development •
Internet addiction and its influencing factors among middle school students in Hunan province: a cross-sectional study
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Fei WANG1, Lixi QIN2, Zhuoga NIMA2, Yaqing TAN1, Miyang LUO2, Yanhua CHEN1, Jiayou LUO2
Affiliations
  • 1Hunan Provincial Center for Disease Control and Prevention, Changsha 410153, China
  • 2Central South University Xiangya School of Public Health, Changsha 410013, China
Published: 2025-06-10 doi: 10.11847/zgggws1146228
Outline
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Objective

To analyze the current situation of internet addiction and its influencing factors among middle school students in Hunan province.

Methods

In 2022, a multi-stage stratified cluster sampling method was used to select a total of 127 624 middle school students from various counties and districts in Hunan province as research subjects. The chi-square test was used to compare the differences in internet addiction detection rates between groups, and multi-factor logistic regression analysis was used to analyze the influencing factors of internet addiction.

Results

The detection rate of internet addiction among middle school students in Hunan province was 2.69%, with 2.79% for boys and 2.58% for girls. The internet addiction rate of boys was higher than that of girls, and both showed an upward trend with increasing grade (except for grade 12). Among the middle school students identified as having internet addiction, the most frequent symptoms were withdrawal symptoms (87.75%), tolerance symptoms (83.09%), and internet control disorders (79.45%). Multi-factor logistic regression analysis showed that higher grades (grade 8: OR = 1.681, 95%CI: 1.459 - 1.936; grade 9: OR = 1.881, 95%CI: 1.636 - 2.163; grade 10: OR = 1.756, 95%CI: 1.520 - 2.029; grade 11: OR = 1.853, 95%CI: 1.605 - 2.140; grade 12: OR = 1.612, 95%CI: 1.387 - 1.873), boarding school (OR = 1.748, 95%CI: 1.619 - 1.886), ethnic minority (OR = 1.147, 95%CI: 1.053 - 1.250), being beaten and scolded by parents (OR = 1.797, 95%CI: 1.652 - 1.954), depression (OR = 2.569, 95%CI: 2.376 - 2.778), being injured (OR = 1.342, 95%CI: 1.196 - 1.505), being bullied (OR = 2.022, 95%CI: 1.875 - 2.181), smoking (OR = 1.979, 95%CI: 1.794 - 2.184), and drinking alcohol (OR = 1.909, 95%CI: 1.755 - 2.076) were risk factors for internet addiction among middle school students; while being female (OR = 0.914, 95%CI: 0.850 - 0.983), school location in suburban counties (OR = 0.822, 95%CI: 0.763 - 0.884), and physical activity (exercise 1 - 3 d/week: OR = 0.609, 95%CI: 0.561 - 0.660; exercise 4 - 6 d/week: OR = 0.509, 95%CI: 0.454 - 0.571; exercise 7 d/week: OR = 0.466, 95%CI: 0.404 - 0.538) were protective factors against internet addiction among middle school students.

Conclusions

The phenomenon of internet addiction among middle school students in Hunan province is relatively serious. It is recommended to intervene in high-frequency symptoms of internet addiction and its influencing factors to reduce the occurrence of internet addiction behavior among middle school students.

middle school students  /  internet addiction  /  detection rate  /  influencing factors  /  Hunan province
王非, 秦李希, 尼玛卓嘎, 谭雅卿, 罗米扬, 陈艳华, 罗家有. 湖南省中学生网络成瘾现状及影响因素分析. 中国公共卫生, 2025 , 41 (6) : 641 -647 . DOI: 10.11847/zgggws1146228
Fei WANG, Lixi QIN, Zhuoga NIMA, Yaqing TAN, Miyang LUO, Yanhua CHEN, Jiayou LUO. Internet addiction and its influencing factors among middle school students in Hunan province: a cross-sectional study[J]. Chinese Journal of Public Health, 2025 , 41 (6) : 641 -647 . DOI: 10.11847/zgggws1146228
Year 2025 volume 41 Issue 6
78
31
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Article Info
doi: 10.11847/zgggws1146228
  • Receive Date:2024-10-23
  • Online Date:2026-10-25
  • Published:2025-06-10
Article Data
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History
  • Received:2024-10-23
  • Revised:2024-12-21
  • Accepted:2025-04-12
Affiliations
    1Hunan Provincial Center for Disease Control and Prevention, Changsha 410153, China
    2Central South University Xiangya School of Public Health, Changsha 410013, China

Corresponding:

CHEN Yanhua, E-mail:
LUO Jiayou, E-mail:
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