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Nie X, Huang L, Hou J, Dai A, He L, Zheng P, Ye Z, Zhang S, Zhou G, Zhang J, Hua Q. Smartphone usage behaviors and their association with De Quervain's Tenosynovitis (DQT)among college students: a cross-sectional study in Guangxi, China. BMC Public Health 2023; 23:2257. [PMID: 37974168 PMCID: PMC10652590 DOI: 10.1186/s12889-023-16808-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 09/21/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND The growing prevalence of smartphone use among college students in China has led to health concerns, including De Quervain's Tenosynovitis (DQT). However, the specific smartphone usage behaviors contributing to DQT remain poorly understood. This study aimed to explore the relationship between smartphone usage behaviors and DQT in college students. METHODS A cross-sectional study was conducted with 937 students from various majors in Guangxi between September 2021 and April 2022. Participants completed an online questionnaire assessing smartphone usage behaviors and their association with DQT. The Finkelstein test was employed to diagnose DQT. RESULTS Over half of the college students (52%) tested positive for DQT via Finkelstein's test. Higher levels of smartphone usage time (6-8 h/day: OR = 4.454, 95%CI:1.662-12.229; ≥8 h/day: OR = 4.521, 95%CI:1.596-12.811), phone games (OR = 1.997, 95%CI:1.312-3.040), social media (OR = 2.263, 95%CI:1.795-3.833), and leisure activities (OR = 1.679, 95%CI:1.140-2.475) were significantly associated with an increased risk of DQT. Two specific gestures (Bilateral thumbs, BT: OR = 1.900, 95%CI:1.281-2.817; Bilateral thumbs-horizontal screen, BT-HS: OR = 1.872, 95%CI:1.244-2.818) and two screen sizes (5.0-5.5inch: OR = 2.064, 95%CI:1.108-3.846; 6.0-6.5inch: OR = 2.413, 95%CI:1.125-4.083) also exhibited a higher risk of DQT. Bilateral DQT was observed, with Gesture-BT identified as the primary risk factor. CONCLUSION Our findings suggest that increased smartphone usage time, phone games, social media, and leisure activities elevate the risk of DQT among college students. Furthermore, two specific gestures and two screen sizes were also linked to a heightened DQT risk. To mitigate DQT development, college students should reduce smartphone usage time and adopt appropriate gestures.
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Affiliation(s)
- Xinyu Nie
- Department of Spine Surgery, The second hospital of Jilin University, Changchun, China
- Guangxi Diabetic Foot Salvage Engineering Research Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Lihong Huang
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
- Guangxi Diabetic Foot Salvage Engineering Research Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Jun Hou
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
- Stomatology College of Guangxi Medical University, Nanning, China
| | - Anyuan Dai
- Department of Spine Surgery, The second hospital of Jilin University, Changchun, China
| | - Lihuan He
- Department of Orthopedics, Sinopharm Dongfeng General Hospital of Hubei University of Medicine, Shiyan, China
| | - Puxiang Zheng
- Xianning Medical College, National Demonstration Center for Experimental General Medicine Education, Hubei University of Science and Technology, Xianning, China
| | - Zhimao Ye
- Guangxi Diabetic Foot Salvage Engineering Research Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
- Stomatology College of Guangxi Medical University, Nanning, China
| | - Shiming Zhang
- Guangxi Diabetic Foot Salvage Engineering Research Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
- Stomatology College of Guangxi Medical University, Nanning, China
| | - Guangqi Zhou
- Guangxi Diabetic Foot Salvage Engineering Research Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
- Stomatology College of Guangxi Medical University, Nanning, China
| | - Jun Zhang
- Department of Spine Surgery, The second hospital of Jilin University, Changchun, China.
| | - Qikai Hua
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
- Guangxi Diabetic Foot Salvage Engineering Research Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
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Xie T, Wang Y, Cheng Y. Social Media Overload as a Predictor of Depressive Symptoms Under the COVID-19 Infodemic: A Cross-Sectional Survey From Chinese University Students. Int J Public Health 2023; 68:1606404. [PMID: 37927389 PMCID: PMC10622586 DOI: 10.3389/ijph.2023.1606404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 10/11/2023] [Indexed: 11/07/2023] Open
Abstract
Objectives: People's mental health and digital usage have attracted widespread attention during the COVID-19 pandemic. This study aimed to investigate how social media overload influenced depressive symptoms under the COVID-19 infodemic and the role of risk perception and social media fatigue. Methods: A questionnaire survey was conducted on 644 college students during the COVID-19 lockdown in Shanghai, and data analysis was conducted using the PROCESS4.0 tool. Results: The findings showed that in the COVID-19 information epidemic: 1) both information overload and communication overload were significantly and positively associated with depressive symptoms; 2) risk perception of COVID-19, and social media fatigue mediated this association separately; 3) and there was a chain mediating relationship between communication overload and depressive symptoms. Conclusion: Social media overload was positively associated with depressive symptoms among college students under the COVID-19 infodemic by increasing risk perception and social media fatigue. The findings sparked further thinking on how the public should correctly use social media for risk communication during public health emergencies.
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Affiliation(s)
- Tian Xie
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
| | - Yangyang Wang
- China Institute for Urban Governance, Shanghai Jiao Tong University, Shanghai, China
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China
| | - Yali Cheng
- School of Journalism, Fudan University, Shanghai, China
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Xie P, Shi X, Zhu B, Zhao W, Li X, Zou X, Liu G, Han X. COVID-19 vaccine uptake, reasons, and associated factors among older adults in Shenzhen, China. Hum Vaccin Immunother 2023; 19:2196914. [PMID: 37096742 PMCID: PMC10142320 DOI: 10.1080/21645515.2023.2196914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2023] Open
Abstract
Evidence is limited on the actual uptake of the coronavirus disease 2019 (COVID-19) vaccine among older adults, especially those with chronic diseases, during the pandemic. To examine COVID-19 vaccine uptake, reasons, and associated factor among older adults, a cross-sectional survey was conducted between September 24 and October 20, 2021 among older adults aged 60 and above in Shenzhen, China. Logistic regression analysis was used to examine associations of COVID-19 vaccine uptake with sociodemographic characteristics, pneumonia vaccination history, and participation in health education activities among older adults and among those with chronic diseases. Of the 951 participants, 82.8% reported being vaccinated against COVID-19 during the study period, but this proportion was relatively lower among adults aged 80 and above (62.7%) and those with chronic diseases (77.9%). The top-rated reasons for not being vaccinated included doctors not recommending it due to underlying diseases (34.1%), not being ready for it (18.3%), and failure to make an appointment (9.1%). General older adults who were aged below 70, had a high school and above education, were permanent residents of Shenzhen, were with good health and had pneumonia vaccination history were more likely to take the COVID-19 vaccination. Yet, among older adults with chronic diseases, other than age and permanent residency status, health status was the only significant indicator of COVID-19 vaccine uptake. Our study added to evidence that health condition is the critical barrier to the actual uptake of the COVID-19 vaccine among Chinese older adults, especially those aged 80 and above and those with chronic diseases.
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Affiliation(s)
- Pei Xie
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China
| | - XiuYuan Shi
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China
| | - Bin Zhu
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China
| | - Wenjing Zhao
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China
| | - Xiaoheng Li
- Shenzhen Center for Disease Prevention and Control, Shenzhen, China
| | - Xuan Zou
- Shenzhen Center for Disease Prevention and Control, Shenzhen, China
| | - Gang Liu
- Shenzhen Center for Disease Prevention and Control, Shenzhen, China
| | - Xinxin Han
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China
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Wang Y, Xu J, Xie T. Social Media Overload and Anxiety Among University Students During the COVID-19 Omicron Wave Lockdown: A Cross-Sectional Study in Shanghai, China, 2022. Int J Public Health 2023; 67:1605363. [PMID: 36703861 PMCID: PMC9870878 DOI: 10.3389/ijph.2022.1605363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 12/23/2022] [Indexed: 01/11/2023] Open
Abstract
Objectives: The increase in the intensity of social media use during the COVID-19 lockdown has affected mental health. Therefore, it is of practical implications to explore the association between social media overload and anxiety and the underlying mechanisms. Methods: Using data from 644 university students during the COVID-19 blockade in Shanghai from March to April 2022, the chain mediation model of information strain and risk perception of omicron between social media overload and anxiety was then tested using the macro PROCESS4.0 tool. Results: The findings showed that social media overload (including information overload and social overload) was positively associated with anxiety. This relationship was mediated by information strain and risk perception of Omicron. A chain mediating role of information strain and risk perception of Omicron has also been proved in this study. Conclusion: Social media overload has a positive effect on anxiety by increasing information strain and risk perception of Omicron. This study provides some implications for future interventions on how to use social media properly for mental health during the pandemic and health management of urban governance.
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Affiliation(s)
- Yangyang Wang
- China Institute for Urban Governance, Shanghai Jiao Tong University, Shanghai, China,School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China
| | - Jian Xu
- China Institute for Urban Governance, Shanghai Jiao Tong University, Shanghai, China,School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
| | - Tian Xie
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China,*Correspondence: Tian Xie,
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