Urbanization and Internet addiction in a nationally representative sample of adult community residents in Japan: A cross-sectional, multilevel study

被引：11

作者：

Yasuma, Naonori ^{[1
,2
]}

Watanabe, Kazuhiro ^{[1
]}

Nishi, Daisuke ^{[1
,6
]}

Ishikawa, Hanako ^{[1
]}

Tachimori, Hisateru ^{[3
,4
]}

Takeshima, Tadashi ^{[5
,6
]}

Umeda, Maki ^{[7
]}

Sampson, Laura ^{[8
]}

Galea, Sandro ^{[9
]}

Kawakami, Norito ^{[1
]}

机构：

[1] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Bunkyo Ku, Tokyo, Japan

[2] Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Dept Community Mental Hlth & Law, Kodaira, Tokyo, Japan

[3] Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Dept Translat Med Ctr, Kodaira, Tokyo, Japan

[4] Natl Ctr Global Hlth & Med, Inst Global Hlth Policy Res, Bur Int Hlth Cooperat, Shinjyuku Ku, Tokyo, Japan

[5] Kawasaki City Ctr Mental Hlth & Welf, Kawasaki, Kanagawa, Japan

[6] Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Dept Mental Hlth Policy, Kodaira, Tokyo, Japan

[7] Univ Hyogo, Res Inst Nursing Care People & Community, Akashi, Hyogo, Japan

[8] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA USA

[9] Boston Univ, Sch Publ Hlth, Deans Off, Boston, MA USA

来源：

PSYCHIATRY RESEARCH | 2019年 / 273卷

关键词：

Large cities; Psychological distress; Social support; Prevalence; Hierarchical model; COMMON MENTAL-DISORDERS; ASSOCIATION; PREVALENCE; ANXIETY; PERFORMANCE; ADOLESCENTS; VERSION; URBAN;

D O I：

10.1016/j.psychres.2019.01.094

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

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.

引用

页码：699 / 705

页数：7

共 27 条

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