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Association between negative life events and smartphone addiction among middle school students
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Xintong SU1, Jingxian ZHAO1, Jiaxuan FU1, Kaize YANG1, Ranran GONG2, Xinyun LIN2, Daosen WANG2, Jie TANG2, Qifei CHEN2, Chuang LIU*, 3, Xiuhong LI*, 2
Chinese Journal of School Health | 2025, 46(5) : 619 - 623
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Chinese Journal of School Health | 2025, 46(5): 619-623
• Column on Prevention and Control of Adolescents Smartphone Addiction •
Association between negative life events and smartphone addiction among middle school students
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Xintong SU1, Jingxian ZHAO1, Jiaxuan FU1, Kaize YANG1, Ranran GONG2, Xinyun LIN2, Daosen WANG2, Jie TANG2, Qifei CHEN2, 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.1000-9817.2025153
Outline
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Objective

To explore the association between negative life events and smartphone addiction among middle school students, so as to provide theoretical support and practical guidance for prevention and intervention of smartphone addiction among middle school students.

Methods

Using cluster sampling, 8 890 students were selected to survey from 27 junior high schools and 3 senior high schools in a district of Shenzhen in 2022 (baseline) and 2023 (follow-up). Data were collected through self-resigned questionnaires on basic information, the Smartphone Addiction Scale-Short Version, and the Adolescent Self-rating Life Events Checklist. Mixed-effects models were employed to analyze the association.

Results

Compared to 2022, the punishment scores of middle school students in 2023 [1.00(0.00, 6.00) and 1.00(0.00, 6.00)] decreased (Z=4.27), while the scores of interpersonal stress, learning stress and adaptation [4.00(0.00, 8.00), 4.00(0.00, 8.00); 4.00(1.00, 8.00), 5.00(2.00, 9.00); 2.00(0.00, 6.00), 3.00(0.00, 7.00)] increased (Z=-3.04, -8.36, -6.80) (P < 0.01). Mixed-effects models revealed a positive dose-response relationship between negative life events and smartphone addiction (OR=1.08-1.17, P < 0.01). Stepwise regression showed independent positive effects of interpersonal stress (OR=1.05), academic stress (OR=1.03), and adaptation stress (OR=1.11) on smartphone addiction (P < 0.01). Subgroup analysis of non-addicted students in 2022 confirmed persistent associations for academic stress (OR=1.03) and adaptation (OR=1.07) (P < 0.01).

Conclusion

Negative life events exhibit a positive dose-response relationship with smartphone addiction, particularly interpersonal stress, academic stress, and adaptation-related events.

Life change events  /  Cellular phone  /  Behavior, addictive  /  Regression analysis  /  Students
苏欣桐, 赵静贤, 符佳轩, 杨铠泽, 龚苒苒, 林心韵, 王道森, 唐婕, 陈绮菲, 刘创, 李秀红. 中学生负性生活事件与智能手机成瘾的关联. 中国学校卫生, 2025 , 46 (5) : 619 -623 . DOI: 10.16835/j.cnki.1000-9817.2025153
Xintong SU, Jingxian ZHAO, Jiaxuan FU, Kaize YANG, Ranran GONG, Xinyun LIN, Daosen WANG, Jie TANG, Qifei CHEN, Chuang LIU, Xiuhong LI. Association between negative life events and smartphone addiction among middle school students[J]. Chinese Journal of School Health, 2025 , 46 (5) : 619 -623 . DOI: 10.16835/j.cnki.1000-9817.2025153
Year 2025 volume 46 Issue 5
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5
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doi: 10.16835/j.cnki.1000-9817.2025153
  • Receive Date:2025-02-10
  • Online Date:2026-11-06
  • Published:2025-05-25
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  • Received:2025-02-10
  • Revised:2025-04-25
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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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小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
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