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Interaction of Health Literacy and Problematic Mobile Phone Use and Their Impact on Non-Suicidal Self-Injury among Chinese Adolescents

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  • Danlin Li

    (Department of Maternal and Child Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui Province, China
    These authors contributed equally to this work.)

  • Rong Yang

    (Department of Maternal and Child Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui Province, China
    These authors contributed equally to this work.)

  • Yuhui Wan

    (Department of Maternal and Child Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui Province, China
    Anhui Provincial Key Laboratory of Population Health & Aristogenics, 81th Meishan Road, Hefei 230032, Anhui Province, China)

  • Fangbiao Tao

    (Department of Maternal and Child Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui Province, China
    Anhui Provincial Key Laboratory of Population Health & Aristogenics, 81th Meishan Road, Hefei 230032, Anhui Province, China)

  • Jun Fang

    (Anhui Provincial Key Laboratory of Population Health & Aristogenics, 81th Meishan Road, Hefei 230032, Anhui Province, China
    Department of Toxicology, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui Province, China
    Faculty of Pharmaceutical Science, Sojo University, Ikeda 4-22-1, Kumamoto 860-0082, Japan)

  • Shichen Zhang

    (Department of Maternal and Child Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui Province, China
    Anhui Provincial Key Laboratory of Population Health & Aristogenics, 81th Meishan Road, Hefei 230032, Anhui Province, China)

Abstract

Non-suicidal self-injury (NSSI) is prevalent among adolescents. Low health literacy (HL) and problematic mobile phone use (PMPU) are risk factors of NSSI. But so far, no study has examined the interactive role of HL and PMPU on NSSI. In this context, the present study aimed to examine the interactions of HL and PMPU and their impact on NSSI in a school-based sample of Chinese adolescents. A total of 22,628 junior and high school students (10,990 males and 11,638 females) were enrolled in this study. The outcomes were self-reported HL, PMPU and NSSI. Analyses were conducted with chi-square tests and logistic regression models. The prevalence of NSSI was 32.1%. Low HL and PMPU were significantly associated with NSSI independently (OR low HL = 1.886, 95% CI = 1.723–2.065, OR PMPU = 2.062, 95% CI = 1.934–2.199). Interaction analysis indicated that low HL and PMPU were interactively associated with increased risks of NSSI (OR = 2.617, 95% CI = 2.375–2.884). In all, our findings indicate that HL and PMPU are associated with NSSI independently and interactively. The intervention programs of NSSI should consider the adolescents HL levels and PMPU.

Suggested Citation

  • Danlin Li & Rong Yang & Yuhui Wan & Fangbiao Tao & Jun Fang & Shichen Zhang, 2019. "Interaction of Health Literacy and Problematic Mobile Phone Use and Their Impact on Non-Suicidal Self-Injury among Chinese Adolescents," IJERPH, MDPI, vol. 16(13), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:13:p:2366-:d:245458
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    References listed on IDEAS

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    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Haruka Tamura & Tomoko Nishida & Akiyo Tsuji & Hisataka Sakakibara, 2017. "Association between Excessive Use of Mobile Phone and Insomnia and Depression among Japanese Adolescents," IJERPH, MDPI, vol. 14(7), pages 1-11, June.
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    Cited by:

    1. Qing-Qi Liu & Xiao-Pan Xu & Xiu-Juan Yang & Jie Xiong & Yu-Ting Hu, 2022. "Distinguishing Different Types of Mobile Phone Addiction: Development and Validation of the Mobile Phone Addiction Type Scale (MPATS) in Adolescents and Young Adults," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
    2. Phoenix K. H. Mo & Juliet Honglei Chen & Joseph T. F. Lau & Anise M. S. Wu, 2020. "Internet-Related Addictions: From Measurements to Interventions," IJERPH, MDPI, vol. 17(7), pages 1-4, April.
    3. Xianbing Song & Danlin Li & Jie Hu & Rong Yang & Yuhui Wan & Jun Fang & Shichen Zhang, 2020. "Moderating Role of Health Literacy on the Association between Alexithymia and Depressive Symptoms in Middle School Students," IJERPH, MDPI, vol. 17(15), pages 1-9, July.

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