Abstract: Objective To explore the status of internet indulgence and the relations between internet indulgence and depression among middle and high school students,so as to provide reference for three-grade prevention.Methods A total of 4 500 students in Beijing participated in this survey from January,2018 to June,2018 by multistage cluster sampling.Based on field survey,students' internet indulgence,depression and other relevant data were collected.Results In 4 234 valid questionnaires,the percentages of students with features of poor fungibility of internet,high priority order for internet,high demand of internet game,and surfing the internet not less than 4 hours per day were 22.19%,19.62%,18.60% and 21.37%,respectively.The group with relatively heavy internet addiction also had a higher proportion of playing games online.And 43.33% perceived themselves to be addicted to the Internet,with parents being their main recourse.High priority order for internet (OR=1.63,95%CI:1.36-1.95),high demand for online game (OR=1.33,95%CI:1.10-1.60),and surfing the internet for a long time (2-3 hours per day:OR=1.40,95%CI:1.09-1.80;3-4 hours per day:OR=1.32,95%CI:1.01-1.75;≥4 hours per day:OR=1.80,95%CI:1.38-2.36) were independent risk factors of depression among the middle and high school students.Conclusions Internet indulgence become a severe situation in the middle and high school students,which might become the risk factor of depression,so parents should pay more attention to the prevention of internet addiction.

Key words: adolescent, internet addiction, depression

摘要： 目的 了解中学生网络沉溺现状及其与抑郁水平的关系,为开展中学生网络成瘾三级预防提供依据。方法 采用多阶段整群抽样方法,于2018年1—6月在北京市随机抽取4 500名中学生,采用现场调查法调查其网络沉溺情况、抑郁情况等。结果 在4 234份有效问卷中,显示具有网络可替代性差、优先性高、游戏需求大,日均上网不少于4 h特质的占比分别为22.19%,19.62%,18.60%和21.37%。网络沉溺程度相对较重的组,其上网行为中选择玩游戏的比例也较高。有43.33%自觉有网络成瘾行为,家长是其最主要的求助对象。网络优先性高(OR=1.63,95%CI:1.36~1.95)、网络游戏需求大(OR=1.33,95%CI:1.10~1.60)、日均上网时长长(2~3 h/d:OR=1.40,95%CI:1.09~1.80;3~4 h/d:OR=1.32,95%CI:1.01~1.75;≥4 h/d:OR=1.80,95%CI:1.38~2.36)是中学生抑郁的独立危险因素。结论 中学生网络沉溺情况不容乐观,网络成瘾可能是中学生抑郁的风险因素,家长应加强预防中学生网络成瘾。

关键词: 青少年, 网络成瘾, 抑郁