Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students

Abstract Background Problematic mobile phone use (PMPU) is becoming increasingly popular and has serious harmful effects on physical and mental health among adolescents. Inadequate health literacy (HL) is related to some risky behaviors and mental health problems in adolescents. Nevertheless, few st...

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Main Authors: Dan-Lin Li, Sizhe Wang, Daoxu Zhang, Rong Yang, Jie Hu, Yanni Xue, Xuexue Huang, Yuhui Wan, Chen-Wei Pan, Jun Fang, Shichen Zhang
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15049-4
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author Dan-Lin Li
Sizhe Wang
Daoxu Zhang
Rong Yang
Jie Hu
Yanni Xue
Xuexue Huang
Yuhui Wan
Chen-Wei Pan
Jun Fang
Shichen Zhang
author_facet Dan-Lin Li
Sizhe Wang
Daoxu Zhang
Rong Yang
Jie Hu
Yanni Xue
Xuexue Huang
Yuhui Wan
Chen-Wei Pan
Jun Fang
Shichen Zhang
author_sort Dan-Lin Li
collection DOAJ
description Abstract Background Problematic mobile phone use (PMPU) is becoming increasingly popular and has serious harmful effects on physical and mental health among adolescents. Inadequate health literacy (HL) is related to some risky behaviors and mental health problems in adolescents. Nevertheless, few studies have explored the relationship between HL and PMPU and the gender difference in the relationship among Chinese adolescents. The aim of this study was to examine the associations between HL and PMPU and explore gender difference in the associations. Methods A total of 22,628 junior and senior high school students (10,990 males and 11,638 females) in 6 regions of China participated in this study. HL and PMPU were measured by self-report validated questionnaires. Chi-square tests and logistic regression analysis were conducted in the study. Results Logistic regression analysis showed that students with inadequate HL are likely to have PMPU (OR = 2.013, 95% CI: 1.840–2.202), and different degrees of association can be seen in six dimensions. Besides, in both males and females, students with inadequate HL had a higher risk of PMPU (OR male = 1.607, 95% CI: 1.428–1.807; OR female = 2.602, 95% CI: 2.261–2.994). Regarding the gender difference, the results showed that males had more PMPU than females, and the difference was more significant for students with adequate HL than those with inadequate HL (OR inadequate = 1.085, 95% CI: 1.016–1.159; OR adequate = 1.770, 95% CI: 1.490–2.101). Similarly, there were associations in the six dimensions. Conclusions HL decreases PMPU, and males have a higher risk of PMPU than females. These findings suggest a reasonable strategy to reduce PMPU by improving the HL level of adolescents.
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spelling doaj.art-cc29213ff1324f2f92c3bee5a058f64e2023-01-22T12:27:18ZengBMCBMC Public Health1471-24582023-01-012311810.1186/s12889-023-15049-4Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school studentsDan-Lin Li0Sizhe Wang1Daoxu Zhang2Rong Yang3Jie Hu4Yanni Xue5Xuexue Huang6Yuhui Wan7Chen-Wei Pan8Jun Fang9Shichen Zhang10School of Public Health, Medical College of Soochow UniversityMOE Key Laboratory of Population Health Across Life Cycle/ Anhui Provincial Key Laboratory of Population Health and AristogenicsState Key Laboratory of Bioreactor Engineering, Shanghai Frontiers Science Center of Optogenetic Techniques for Cell Metabolism, Frontiers Science Center for Materiobiology and Dynamic Chemistry, Shanghai Key Laboratory of New Drug Design, School of Pharmacy, East China University of Science and TechnologyMOE Key Laboratory of Population Health Across Life Cycle/ Anhui Provincial Key Laboratory of Population Health and AristogenicsMOE Key Laboratory of Population Health Across Life Cycle/ Anhui Provincial Key Laboratory of Population Health and AristogenicsMOE Key Laboratory of Population Health Across Life Cycle/ Anhui Provincial Key Laboratory of Population Health and AristogenicsMOE Key Laboratory of Population Health Across Life Cycle/ Anhui Provincial Key Laboratory of Population Health and AristogenicsMOE Key Laboratory of Population Health Across Life Cycle/ Anhui Provincial Key Laboratory of Population Health and AristogenicsSchool of Public Health, Medical College of Soochow UniversityMOE Key Laboratory of Population Health Across Life Cycle/ Anhui Provincial Key Laboratory of Population Health and AristogenicsSchool of Public Health and Health Management, Anhui Medical CollegeAbstract Background Problematic mobile phone use (PMPU) is becoming increasingly popular and has serious harmful effects on physical and mental health among adolescents. Inadequate health literacy (HL) is related to some risky behaviors and mental health problems in adolescents. Nevertheless, few studies have explored the relationship between HL and PMPU and the gender difference in the relationship among Chinese adolescents. The aim of this study was to examine the associations between HL and PMPU and explore gender difference in the associations. Methods A total of 22,628 junior and senior high school students (10,990 males and 11,638 females) in 6 regions of China participated in this study. HL and PMPU were measured by self-report validated questionnaires. Chi-square tests and logistic regression analysis were conducted in the study. Results Logistic regression analysis showed that students with inadequate HL are likely to have PMPU (OR = 2.013, 95% CI: 1.840–2.202), and different degrees of association can be seen in six dimensions. Besides, in both males and females, students with inadequate HL had a higher risk of PMPU (OR male = 1.607, 95% CI: 1.428–1.807; OR female = 2.602, 95% CI: 2.261–2.994). Regarding the gender difference, the results showed that males had more PMPU than females, and the difference was more significant for students with adequate HL than those with inadequate HL (OR inadequate = 1.085, 95% CI: 1.016–1.159; OR adequate = 1.770, 95% CI: 1.490–2.101). Similarly, there were associations in the six dimensions. Conclusions HL decreases PMPU, and males have a higher risk of PMPU than females. These findings suggest a reasonable strategy to reduce PMPU by improving the HL level of adolescents.https://doi.org/10.1186/s12889-023-15049-4Health literacyAddictive behaviorAdolescentGender differenceChina
spellingShingle Dan-Lin Li
Sizhe Wang
Daoxu Zhang
Rong Yang
Jie Hu
Yanni Xue
Xuexue Huang
Yuhui Wan
Chen-Wei Pan
Jun Fang
Shichen Zhang
Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students
BMC Public Health
Health literacy
Addictive behavior
Adolescent
Gender difference
China
title Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students
title_full Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students
title_fullStr Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students
title_full_unstemmed Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students
title_short Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students
title_sort gender difference in the associations between health literacy and problematic mobile phone use in chinese middle school students
topic Health literacy
Addictive behavior
Adolescent
Gender difference
China
url https://doi.org/10.1186/s12889-023-15049-4
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