Reduced Health-Related Quality of Life Due to Mobile Phone Dependence in a Sample of Chinese College Students: The Mediating Role of Chronotype and Sleep Quality

Purpose Presenting a chain mediation model to investigate whether mobile phone dependence results in a reduction in health-related quality of life (HRQoL) among Chinese college students, through the mediating effect of chronotype and sleep quality. Design and Setting A cross-sectional survey was con...

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Veröffentlicht in:American journal of health promotion 2024-11, Vol.38 (8), p.1153-1162
Hauptverfasser: Ying, Zhi-Qi, Li, Dan-Lin, Liang, Gang, Yin, Zhi-Jian, Li, Yue-Zu, Ma, Rong, Qin, Yu, Zheng, Ya-Jie, Wang, Pei, Pan, Chen-Wei
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container_end_page 1162
container_issue 8
container_start_page 1153
container_title American journal of health promotion
container_volume 38
creator Ying, Zhi-Qi
Li, Dan-Lin
Liang, Gang
Yin, Zhi-Jian
Li, Yue-Zu
Ma, Rong
Qin, Yu
Zheng, Ya-Jie
Wang, Pei
Pan, Chen-Wei
description Purpose Presenting a chain mediation model to investigate whether mobile phone dependence results in a reduction in health-related quality of life (HRQoL) among Chinese college students, through the mediating effect of chronotype and sleep quality. Design and Setting A cross-sectional survey was conducted on students from a Chinese university using a validated structured questionnaire. Sample 2014 freshmen. Measures The study measured the students’ level of mobile phone dependence using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use. Chronotype and sleep quality were measured by the Chinese version of the Morningness-Eveningness Questionnaire (MEQ) and the Pittsburgh Sleep Quality Index (PSQI), respectively. HRQoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L), including a descriptive system and a visual analog scale (VAS). Analysis Descriptive statistical analysis, correlation analysis, and mediation analysis. Results Mobile phone dependence had a significant negative effect on HRQoL as indicated by both the EQ-5D-5L index score and EQ-VAS score (P < .001 for both). Additionally, it was found to significantly predict chronotype (MEQ score) (β = −.546, P < .001) and sleep quality (PSQI score) (β = .163, P < .001). Chronotype negatively predict sleep quality (β = −.058, P < .001), and sleep quality was a significant negative predictor of HRQoL (EQ-5D-5L index score, β = −.008, P < .001; EQ-VAS score, β = −1.576, P < .001). Conclusion Mobile phone dependence negatively impacts students’ HRQoL through chronotype and sleep quality, and there is a chain mediating effect. Students should consider making lifestyle changes to improve their HRQoL and promote health.
doi_str_mv 10.1177/08901171241258375
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Design and Setting A cross-sectional survey was conducted on students from a Chinese university using a validated structured questionnaire. Sample 2014 freshmen. Measures The study measured the students’ level of mobile phone dependence using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use. Chronotype and sleep quality were measured by the Chinese version of the Morningness-Eveningness Questionnaire (MEQ) and the Pittsburgh Sleep Quality Index (PSQI), respectively. HRQoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L), including a descriptive system and a visual analog scale (VAS). Analysis Descriptive statistical analysis, correlation analysis, and mediation analysis. Results Mobile phone dependence had a significant negative effect on HRQoL as indicated by both the EQ-5D-5L index score and EQ-VAS score (P < .001 for both). Additionally, it was found to significantly predict chronotype (MEQ score) (β = −.546, P < .001) and sleep quality (PSQI score) (β = .163, P < .001). Chronotype negatively predict sleep quality (β = −.058, P < .001), and sleep quality was a significant negative predictor of HRQoL (EQ-5D-5L index score, β = −.008, P < .001; EQ-VAS score, β = −1.576, P < .001). Conclusion Mobile phone dependence negatively impacts students’ HRQoL through chronotype and sleep quality, and there is a chain mediating effect. Students should consider making lifestyle changes to improve their HRQoL and promote health.]]></description><identifier>ISSN: 0890-1171</identifier><identifier>ISSN: 2168-6602</identifier><identifier>EISSN: 2168-6602</identifier><identifier>DOI: 10.1177/08901171241258375</identifier><identifier>PMID: 38831423</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Cellular telephones ; Chinese languages ; College students ; Correlation analysis ; Health promotion ; Health status ; Mobile phones ; Morningness ; Quality of life ; Questionnaires ; Sleep ; Statistical analysis</subject><ispartof>American journal of health promotion, 2024-11, Vol.38 (8), p.1153-1162</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c250t-eae91a38c05e53934a1ae9e9df87104751195fa68c069093dcefbe48ba6274b13</cites><orcidid>0009-0001-9211-3621</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/08901171241258375$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/08901171241258375$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38831423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ying, Zhi-Qi</creatorcontrib><creatorcontrib>Li, Dan-Lin</creatorcontrib><creatorcontrib>Liang, Gang</creatorcontrib><creatorcontrib>Yin, Zhi-Jian</creatorcontrib><creatorcontrib>Li, Yue-Zu</creatorcontrib><creatorcontrib>Ma, Rong</creatorcontrib><creatorcontrib>Qin, Yu</creatorcontrib><creatorcontrib>Zheng, Ya-Jie</creatorcontrib><creatorcontrib>Wang, Pei</creatorcontrib><creatorcontrib>Pan, Chen-Wei</creatorcontrib><title>Reduced Health-Related Quality of Life Due to Mobile Phone Dependence in a Sample of Chinese College Students: The Mediating Role of Chronotype and Sleep Quality</title><title>American journal of health promotion</title><addtitle>Am J Health Promot</addtitle><description><![CDATA[Purpose Presenting a chain mediation model to investigate whether mobile phone dependence results in a reduction in health-related quality of life (HRQoL) among Chinese college students, through the mediating effect of chronotype and sleep quality. Design and Setting A cross-sectional survey was conducted on students from a Chinese university using a validated structured questionnaire. Sample 2014 freshmen. Measures The study measured the students’ level of mobile phone dependence using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use. Chronotype and sleep quality were measured by the Chinese version of the Morningness-Eveningness Questionnaire (MEQ) and the Pittsburgh Sleep Quality Index (PSQI), respectively. HRQoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L), including a descriptive system and a visual analog scale (VAS). Analysis Descriptive statistical analysis, correlation analysis, and mediation analysis. Results Mobile phone dependence had a significant negative effect on HRQoL as indicated by both the EQ-5D-5L index score and EQ-VAS score (P < .001 for both). Additionally, it was found to significantly predict chronotype (MEQ score) (β = −.546, P < .001) and sleep quality (PSQI score) (β = .163, P < .001). Chronotype negatively predict sleep quality (β = −.058, P < .001), and sleep quality was a significant negative predictor of HRQoL (EQ-5D-5L index score, β = −.008, P < .001; EQ-VAS score, β = −1.576, P < .001). Conclusion Mobile phone dependence negatively impacts students’ HRQoL through chronotype and sleep quality, and there is a chain mediating effect. Students should consider making lifestyle changes to improve their HRQoL and promote health.]]></description><subject>Cellular telephones</subject><subject>Chinese languages</subject><subject>College students</subject><subject>Correlation analysis</subject><subject>Health promotion</subject><subject>Health status</subject><subject>Mobile phones</subject><subject>Morningness</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Statistical analysis</subject><issn>0890-1171</issn><issn>2168-6602</issn><issn>2168-6602</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kU2P0zAQhi0EYsvCD-CCLHHhksUTf8ThhsrHInUFtMs5cpJJ65VrZ2Pn0J_DP8VVtyCBOI1n5nlfj_QS8hLYFUBVvWW6ZvkBpYBSal7JR2RRgtKFUqx8TBbHfXEELsizGO8YKyUw9pRccK05iJIvyM819nOHPb1G49KuWKMzKbffZ-NsOtAw0JUdkH6YkaZAb0JrHdJvu-DzDEf0PfoOqfXU0I3Zj3mZJcud9RiRLoNzuEW6SXPmUnxHb3dIb7C3Jlm_petw5qfgQzqMSI3v6cYhjucTnpMng3ERXzzUS_Lj08fb5XWx-vr5y_L9quhKyVKBBmswXHdMouQ1FwbyBOt-0BUwUUmAWg5GZUDVrOZ9h0OLQrdGlZVogV-SNyffcQr3M8bU7G3s0DnjMcyx4UwJWdWC64y-_gu9C_Pk83UNB5BSsEqpTMGJ6qYQ44RDM052b6ZDA6w55tf8k1_WvHpwnts99r8V58AycHUCotnin2__7_gL_32h3g</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Ying, Zhi-Qi</creator><creator>Li, Dan-Lin</creator><creator>Liang, Gang</creator><creator>Yin, Zhi-Jian</creator><creator>Li, Yue-Zu</creator><creator>Ma, Rong</creator><creator>Qin, Yu</creator><creator>Zheng, Ya-Jie</creator><creator>Wang, Pei</creator><creator>Pan, Chen-Wei</creator><general>SAGE Publications</general><general>American Journal of Health Promotion</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0001-9211-3621</orcidid></search><sort><creationdate>20241101</creationdate><title>Reduced Health-Related Quality of Life Due to Mobile Phone Dependence in a Sample of Chinese College Students: The Mediating Role of Chronotype and Sleep Quality</title><author>Ying, Zhi-Qi ; Li, Dan-Lin ; Liang, Gang ; Yin, Zhi-Jian ; Li, Yue-Zu ; Ma, Rong ; Qin, Yu ; Zheng, Ya-Jie ; Wang, Pei ; Pan, Chen-Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c250t-eae91a38c05e53934a1ae9e9df87104751195fa68c069093dcefbe48ba6274b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cellular telephones</topic><topic>Chinese languages</topic><topic>College students</topic><topic>Correlation analysis</topic><topic>Health promotion</topic><topic>Health status</topic><topic>Mobile phones</topic><topic>Morningness</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Sleep</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ying, Zhi-Qi</creatorcontrib><creatorcontrib>Li, Dan-Lin</creatorcontrib><creatorcontrib>Liang, Gang</creatorcontrib><creatorcontrib>Yin, Zhi-Jian</creatorcontrib><creatorcontrib>Li, Yue-Zu</creatorcontrib><creatorcontrib>Ma, Rong</creatorcontrib><creatorcontrib>Qin, Yu</creatorcontrib><creatorcontrib>Zheng, Ya-Jie</creatorcontrib><creatorcontrib>Wang, Pei</creatorcontrib><creatorcontrib>Pan, Chen-Wei</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of health promotion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ying, Zhi-Qi</au><au>Li, Dan-Lin</au><au>Liang, Gang</au><au>Yin, Zhi-Jian</au><au>Li, Yue-Zu</au><au>Ma, Rong</au><au>Qin, Yu</au><au>Zheng, Ya-Jie</au><au>Wang, Pei</au><au>Pan, Chen-Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduced Health-Related Quality of Life Due to Mobile Phone Dependence in a Sample of Chinese College Students: The Mediating Role of Chronotype and Sleep Quality</atitle><jtitle>American journal of health promotion</jtitle><addtitle>Am J Health Promot</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>38</volume><issue>8</issue><spage>1153</spage><epage>1162</epage><pages>1153-1162</pages><issn>0890-1171</issn><issn>2168-6602</issn><eissn>2168-6602</eissn><abstract><![CDATA[Purpose Presenting a chain mediation model to investigate whether mobile phone dependence results in a reduction in health-related quality of life (HRQoL) among Chinese college students, through the mediating effect of chronotype and sleep quality. Design and Setting A cross-sectional survey was conducted on students from a Chinese university using a validated structured questionnaire. Sample 2014 freshmen. Measures The study measured the students’ level of mobile phone dependence using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use. Chronotype and sleep quality were measured by the Chinese version of the Morningness-Eveningness Questionnaire (MEQ) and the Pittsburgh Sleep Quality Index (PSQI), respectively. HRQoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L), including a descriptive system and a visual analog scale (VAS). Analysis Descriptive statistical analysis, correlation analysis, and mediation analysis. Results Mobile phone dependence had a significant negative effect on HRQoL as indicated by both the EQ-5D-5L index score and EQ-VAS score (P < .001 for both). Additionally, it was found to significantly predict chronotype (MEQ score) (β = −.546, P < .001) and sleep quality (PSQI score) (β = .163, P < .001). Chronotype negatively predict sleep quality (β = −.058, P < .001), and sleep quality was a significant negative predictor of HRQoL (EQ-5D-5L index score, β = −.008, P < .001; EQ-VAS score, β = −1.576, P < .001). Conclusion Mobile phone dependence negatively impacts students’ HRQoL through chronotype and sleep quality, and there is a chain mediating effect. Students should consider making lifestyle changes to improve their HRQoL and promote health.]]></abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>38831423</pmid><doi>10.1177/08901171241258375</doi><tpages>10</tpages><orcidid>https://orcid.org/0009-0001-9211-3621</orcidid></addata></record>
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source Access via SAGE; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Cellular telephones
Chinese languages
College students
Correlation analysis
Health promotion
Health status
Mobile phones
Morningness
Quality of life
Questionnaires
Sleep
Statistical analysis
title Reduced Health-Related Quality of Life Due to Mobile Phone Dependence in a Sample of Chinese College Students: The Mediating Role of Chronotype and Sleep Quality
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