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Open AccessArticle

Effects of Sleep Quality on the Association between Problematic Mobile Phone Use and Mental Health Symptoms in Chinese College Students

1
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China
2
Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei 230032, China
3
School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2017, 14(2), 185; https://doi.org/10.3390/ijerph14020185
Received: 1 November 2016 / Revised: 29 December 2016 / Accepted: 1 February 2017 / Published: 14 February 2017
(This article belongs to the Section Global Health)
Problematic mobile phone use (PMPU) is a risk factor for both adolescents’ sleep quality and mental health. It is important to examine the potential negative health effects of PMPU exposure. This study aims to evaluate PMPU and its association with mental health in Chinese college students. Furthermore, we investigated how sleep quality influences this association. In 2013, we collected data regarding participants’ PMPU, sleep quality, and mental health (psychopathological symptoms, anxiety, and depressive symptoms) by standardized questionnaires in 4747 college students. Multivariate logistic regression analysis was applied to assess independent effects and interactions of PMPU and sleep quality with mental health. PMPU and poor sleep quality were observed in 28.2% and 9.8% of participants, respectively. Adjusted logistic regression models suggested independent associations of PMPU and sleep quality with mental health (p < 0.001). Further regression analyses suggested a significant interaction between these measures (p < 0.001). The study highlights that poor sleep quality may play a more significant role in increasing the risk of mental health problems in students with PMPU than in those without PMPU. View Full-Text
Keywords: cellular phone; cross-sectional studies; sleep; anxiety; depression cellular phone; cross-sectional studies; sleep; anxiety; depression
MDPI and ACS Style

Tao, S.; Wu, X.; Zhang, Y.; Zhang, S.; Tong, S.; Tao, F. Effects of Sleep Quality on the Association between Problematic Mobile Phone Use and Mental Health Symptoms in Chinese College Students. Int. J. Environ. Res. Public Health 2017, 14, 185.

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