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Longitudinal association between only-child status and smartphone addiction in middle school students
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Kaize YANG1, Daosen WANG2, Jiaxuan FU1, Xintong SU1, Jingxian ZHAO1, Ranran GONG2, Xinyun LIN2, Chuang LIU*, 3, Xiuhong LI*, 2
Chinese Journal of School Health | 2025, 46(5) : 630 - 633
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Chinese Journal of School Health | 2025, 46(5): 630-633
• Column on Prevention and Control of Adolescents Smartphone Addiction •
Longitudinal association between only-child status and smartphone addiction in middle school students
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Kaize YANG1, Daosen WANG2, Jiaxuan FU1, Xintong SU1, Jingxian ZHAO1, Ranran GONG2, Xinyun LIN2, Chuang LIU*, 3, Xiuhong LI*, 2
Affiliations
  • 1Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou(510080), Guangdong Province, China
Published: 2025-05-25 doi: 10.16835/j.cnki.1000-9817.2025138
Outline
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Objective

To explore the longitudinal association between only-child status and smartphone addiction among middle school students, so as to provide a basis for establishing family intervention measures for smartphone addiction in middle school students.

Methods

In October 2022 and October 2023, a preliminary survey and follow-up were conducted among 8 759 middle and high school students from 30 schools in a district of Shenzhen. A self-designed questionnaire was used to determine whether the students were the only-child, and the Chinese Version of the Smartphone Addiction Scale-Short Version (C-SAS-SV) was utilized to assess the students' smartphone addiction status. A multilevel mixed-effects model and subgroup analysis were applied to examine the association between only-child status and smartphone addiction among middle school students.

Results

During 2022 to 2023, the prevalence of smartphone addiction in the cohort of middle school students increased from 24.1% to 25.2%. Compared with only-child, non-only child were more likely to be addicted to smartphones (adjusted model: OR=1.2, 95%CI=1.1-1.4) and also scored higher on smartphone addiction (adjusted model: β=0.9, 95%CI=0.2-1.5)(P < 0.05). Subgroup analysis further revealed that compared to baseline, non-only child demonstrated an increased prevalence of smartphone addiction (adjusted model: OR=1.2, 95%CI=1.0-1.5) and higher addiction scores (adjusted model: β=0.8, 95%CI=0.2-1.5) after one year(P < 0.05).

Conclusions

Non-only child face higher risk of smartphone addiction. Under the current population policy, it is crucial to address smartphone addiction among middle school students who is not only child.

Only child  /  Cellular phone  /  Behavior, addictive  /  Regression analysis  /  Students
杨铠泽, 王道森, 符佳轩, 苏欣桐, 赵静贤, 龚苒苒, 林心韵, 刘创, 李秀红. 是否独生子女和中学生智能手机成瘾的纵向关联. 中国学校卫生, 2025 , 46 (5) : 630 -633 . DOI: 10.16835/j.cnki.1000-9817.2025138
Kaize YANG, Daosen WANG, Jiaxuan FU, Xintong SU, Jingxian ZHAO, Ranran GONG, Xinyun LIN, Chuang LIU, Xiuhong LI. Longitudinal association between only-child status and smartphone addiction in middle school students[J]. Chinese Journal of School Health, 2025 , 46 (5) : 630 -633 . DOI: 10.16835/j.cnki.1000-9817.2025138
Year 2025 volume 46 Issue 5
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3
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Article Info
doi: 10.16835/j.cnki.1000-9817.2025138
  • Receive Date:2025-01-20
  • Online Date:2026-11-06
  • Published:2025-05-25
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  • Received:2025-01-20
  • Revised:2025-02-19
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    1Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou(510080), Guangdong Province, China
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表12种不同金属材料的力学参数
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Family
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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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