Ho intša kotsi le ho kopana le ho lemalla hoa inthaneteng le ho pepesa mocha ho nahana ho ipolaea ho bacha. (2016)

2016 May 1. pii: S0929-6646 (16) 30039-0. Doi: 10.1016 / j.jfma.2016.03.010. 

Liu HC1, Liu SI2, Tjung JJ3, Letsatsi FJ4, Huang HC4, Fang CK5.

Bokapele / Morero

Ho intša kotsi ke ntho e ka ipehang kotsing ea ho ipolaea. Re ikemiselitse ho tseba hore na bokhoba ba marang-rang le ho pepesetsoa marang-rang molemong oa ho ipolaea li amanang le SH ho bacha.

mekhoa

Phuputso ena e ne e le tlatlisiso ea lihlopha tsa liithuti tse iketselitseng lihlopha tsa lipotso tsa Inthaneteng tse kenyeletsang lipotso tsa boitsebiso ba boitsebiso ba ho ipolaea le SH, Chen Internet Addiction Scale (CIAS), Potso ea Bophelo ba Mokuli (PHQ-9), (dimensional support scale) (MDSS), Rosenberg boitlhompho bo phahameng (RSES), Tlhahlobo ea Tšebeliso ea Lithethefatsi ea Tšebeliso ea Lithethefatsi (AUDIT-C), le lipotso tsa tšebeliso e mpe ea lithethefatsi.

Results

Kakaretso ea baithuti ba 2479 ba phethile lipotso (sekhahla sa karabelo = 62.1%). Ba ne ba na le lilemo tse bolelele ba lilemo tse 15.44 (mefuta e fapaneng ea lilemo tse 14-19; ho kheloha ho tloaelehileng 0.61), 'me boholo e le basali (n = 1494;; 60.3%). Palo ea SH nakong ea selemo se fetileng e ne e le 10.1% (n = 250). Har'a barupeluoa, 17.1% e ne e lemalletse inthanete (n = 425) le 3.3% ba ne ba pepeselitsoe litaba tsa ho ipolaea marang-rang (n = 82). Tlhatlhobong ea tlhaiso-leseling ea maemo a phahameng, bokhoba ba inthanete le ho pepesehela marang-rang menahanong ea ho ipolaea ka bobeli li amana haholo le kotsi e eketsehang ea SH, kamora ho laola bong, mabaka a lelapa, ho pepesehela menahano ea ho ipolaea bophelong ba 'nete, khatello ea maikutlo, ts'ebeliso ea joala / koae, ho ipolaea ka nako e le ngoe, le ts'ehetso ea sechaba e lemohuoang. Leha ho le joalo, kamano lipakeng tsa bokhoba ba inthanete le SH e ile ea fokola kamora ho ikamahanya le boemo ba boitšepo, ha marang-rang a pepesetsoa menahano ea ho ipolaea e ntse e amana haholo le kotsi e eketsehang ea SH (odds ratio = 1.96; 95% interval confidence: 1.06-3.64) .

 

 

  

fihlela qeto e

Liphihlelo tsa inthaneteng li amahanngoa le SH lilemong tsa bocha. Maano a thibelo a ka kenyelletsa thuto ho eketsa tlhokomeliso ea sechaba, ho khetholla bacha ba kotsing e kholo, le ho fana ka thuso kapele.

 

 

 

 

1. Selelekela

Ho intša kotsi (SH) ke lentsoe le sebelisoang ho hlalosa liketso tsohle tse etsoang ka boomo tsa ho intša kotsi kapa ho intša kotsi linaheng tse ngata tsa Europe, ho sa tsotelehe ho ba teng ha sepheo sa ho ipolaea. Ketsahalo ena e bohlokoa ho utloisisa hobane ho pheta-pheta ha SH ho etsahala khafetsa ebile ke sesosa sa ho ipolaea, le ha liketso tse ngata tsa SH lilemong tsa bocha li qala ka sepheo sa ho se ts'oenyehe.1 Boithuto ba nako e telele bo ileng ba latela SH ka nako ea bocha bo fumane hore batho ba nang le liketso tsa SH ba na le sekhahla se phahameng sa lefu se fetang makhetlo a mane ha se bapisoa le sekhahla se lebelletsoeng (ho ipolaea ke lona lebaka le ka sehloohong la kotsi ena e eketsehang),2 le sekhahla se eketsehileng sa ho ba le bothata ba mafu a kelello botsofaling ba banyane.3

Lisosa tsa kotsi bakeng sa SH ho bacha ke li-multifactorial mme hangata lia hokahana. Tlhahlobo e hlophisitsoeng ea lintlha tsa kotsi ho mocha oa SH e bonts'a hore bacha ba nang le SH bao e seng balateli ba na le litšobotsi tse ts'oanang le tsa bacha ba qetileng ho ipolaea.4 Har'a mabaka a khethiloeng, ho pepesehela ho ipolaea (ekaba ho kopanyetsoa ha maikutlo a ho ipolaea / tšitiso ea boitšoaro ba ho ipolaea kapa tšusumetso ea bophatlalatsi) ho nkuoa e le tšusumetso ho batjha ho feta batho ba baholo.5, 6 Ho pepesetsoa boits'oaro bo sa ipatileng ba ho ipolaea ka lelapeng le metsoalle ho fumanoa ho le ho reroa ha SH ho bacha.7 Leha ho le joalo, ha ho tsejoe hanyane ka kamano e teng lipakeng tsa ho pepesehela maikutlo a batho ba bang a ho ipolaea, haholo-holo maemong a ikhethileng a sechaba a hlahisitsoeng ke inthanete, le boits'oaro bo kotsi ba mocha sechabeng.

Bokhoba ba marang-rang bo tsebahala e le mokhoa o sa nepahalang oa tšebeliso ea marang-rang e lebisang ho senyeha kapa khatello ea maikutlo.8 Ho kenyelletsa ho ameha ka botebo ka mesebetsi ea inthanete, ho hloleha khafetsa ho hanela tšusumetso ea ho sebelisa marang-rang, ho mamella, ho tlohela, ho sebelisa marang-rang nako e telele ho feta ho reretsoe, takatso e sa feleng le / kapa liteko tse sa atleheng tsa ho fokotsa kapa ho fokotsa tšebeliso ea marang-rang. , nako e sebelisitsoeng haholo mesebetsing ea inthanete le ho tlohela marang-rang, boiteko bo fetelletseng bo sebelisitsoeng mesebetsing e hlokahalang ho fihlella marang-rang, mme o tsoelapele ts'ebeliso e boima ea marang-rang ho sa tsotellehe tsebo ea ho ba le bothata bo phehellang kapa bo sa khaotseng ba 'mele kapa ba kelello bo ka bakang kapa bo mpefalitsoe ke ts'ebeliso ea marang-rang.9 Liphuputso tse fetileng li fumane hore bacha ba nang le bokhoba ba marang-rang ba na le matšoao a tebileng a bofokoli ba khatello ea maikutlo, khatello ea maikutlo le khatello, le kotsi e eketsehileng ea ho etsa boitšoaro bo mabifi.10, 11 Leha ho le joalo, ha ho tsejoe hanyane ka kamano e teng lipakeng tsa bokhoba ba marang-rang le SH ho bacha. Ho etsa lipatlisiso tse ling tse amanang le kamano ena le mochini oa motheo ho hlokahalang ho tseba le ho laola SH ho bacha.

Phuputsong ena, sepheo sa rona e ne e le ho hlahloba kamano ea SH ho bacha ho pepesetsoa inthanete ho fihlela maikutlo a ho ipolaea a tsoang ho ba bang. Re boetse re lekile ho hlakisa kamano ea bokhoba ba marang-rang ho SH lilemong tsa bocha, ka ho laola litlamorao tsa khatello ea maikutlo, ho ipolaea ka nako e le 'ngoe, ho pepesehela maikutlo a ho ipolaea, tšebeliso ea lithethefatsi, lintlha tse ikhethang tsa lelapa, ho lemoha ts'ehetso ea sechaba le boitšepo.4, 12 Bakeng sa ba intšitseng kotsi, re boetse re shebile liphapang tsa palo ea liketso le sepheo sa ho ipolaea, le hore na mekhoa ea SH e entsoeng lipatlisiso marang-rang e ne e fapana pakeng tsa bacha ba lemaletseng marang-rang le bacha ba se nang lithibelo. Litšobotsi tsa liphihlelo tse amanang le SH li fumanoe ka ho hlahloba ho pepesetsoa marang-rang menahanong ea ho ipolaea.

 

 

2. Mekhoa

 

 

2.1. Moralo oa ho ithuta le mohlala

Boithuto bona e ne e le phuputso e entsoeng ka methapo e ileng ea etsoa toropong ea Taipei le Setereke sa Taipei ho tloha Mphalane 2008 ho fihlela ka la XGUMX. Ho ne ho na le likolo tse phahameng tsa 2009 tse nkang karolo tse phahameng (13 litoropong, 8 teropong, le likolo tsa mahaeng tsa 3 ho latela Buka ea Fanoen ea Demographic Fact ea Taiwan-Fuki13). Likolo tsohle tse nkileng karolo li ne li e-na le thepa ea likhomphutha eo baithuti ba neng ba e sebelisa bakeng sa ho itlhomella ka lipotso tsa inthanete.

Ho hira ho entsoe ke mothusi oa lipatlisiso tsa boemo bo phahameng, ntle le ho nka karolo ha basebetsi ba sekolo, ho qoba kotsi ea ho qobelloa. Mothusi oa lipatlisiso o hlalositse ka hloko sepheo le lits'ebetso tsa thuto ena, a hatisa litaba tsa lekunutu, mme a fumana tumello e ngotsoeng e nkiloeng ho barupeluoa. Ho ile ha fanoa ka lengolo ho batsoali ba kopa tumello ea bona mme karabo ea bona e ngotsoeng ea khutlisoa ke baithuti ba nkang karolo. Tumello ea boits'oaro ea thuto ena e fumanoe ho Boto ea Setsi ea Tlhahlobo ea Setsi sa MacKay Memorial pele ho thaotho.

 

 

2.2. Mealo

Lenane la lipotso tse fumanehang marang-rang le ne le sebelisana le moralo oa ho tlola 'me le nkile metsotso e ka bang 30 ho e phethela. Palo yohle ea lintho bakeng sa moqosuoa e mong le e mong e its'etlehile ka likarabo tsa moahloli. Lintlha tse latelang li fumanoe.

 

 

2.2.1. Tlhahisoleseling ea litaba tsa sechaba le sechaba

Sena se ne se kenyelletsa sehlopha sa thuto (kaofela ba ne ba le sehlopheng sa pele sa sekolo se phahameng phuputsong ena), lilemo, bong, bolumeli, maemo a lichelete a lelapa a netefalitsoeng ka ho botsa “Na ho thata ho ba lelapa la hau ho hlokomela litlhoko tsa mantlha (mohlala, lijo, liaparo, bolulo , jj?) ”, batho bao ba dulang le bona (“ Na hajoale o lula le batsoali ba hao ka bobeli? ”), le kutloano ea lelapa (“ Na u nahana hore ho na le khohlano e kholo likamanong tsa lelapa la hau? ”).

 

 

2.2.2. Potso ea lipotso tsa ho ipolaea le SH

Tlhahisoleseling e ile ea bokelloa, ho sebelisoa lipotso tse tloaelehileng, boteng ba mohopolo oa ho ipolaea, merero ea ho ipolaea, le boits'oaro ba SH selemong se fetileng, ho kenyeletsoa palo ea liketso tsa SH, hore na ba ile ba buisana le sebaka sefe kapa sefe sa inthanete mabapi le mekhoa ea SH, hore na sepheo sa ho ipolaea se teng ha ba ba lekile ho intša kotsi ("Nakong efe kapa efe ea mananeo ana na u ne u hlile u batla ho ipolaea?"), le hore na ba kile ba pepesetsoa maikutlo a ba bang a ho ipolaea lefatšeng la nnete ("Na ho na le motho eo u mo tsebang ea kileng a bua kapa a bua ka menahano ka ba ipolaea le uena? ”) le inthaneteng (" Na o kile oa ba maemong ao motho e mong eo u kopaneng le eena marang-rang feela a ileng a bua ka maikutlo a ho ipolaea le uena? ") selemong se fetileng. Lipotso tsohle li entsoe ho latela thahasello ea rona ea lipatlisiso, mme tsa netefatsoa ka ts'ebetso ea sehlopha se tsepamisitseng maikutlo.

 

 

2.2.3. Tekanyo ea tlhatlhobo ea inthanete ea Chen

26-element Chen Internet Addiction Scale (CIAS) e sebelisitsoe ho lekola boteng ba ho lemalla ha inthanete mme e ile ea hlahlojoa ka tekanyo ea lintlha tse 'ne tsa Likert, ka lintlha tse felletseng ho tloha 26 ho 104. Melemo ea psychometric ea tekanyo e ile ea hlahlojoa mme ho ts'epahala kahare ho tloha ho 0.79 ho 0.93.14 Ho ipapisitsoe le Tekanyetso ea Tebeliso ea Bokhoba ba Marang-rang bakeng sa Bacha,9 bacha ba fang 64 kapa ho feta ho CIAS ba fumanoe ba le lekhoba la marang-rang. Ho nepahala ha tlhahlobo ea lihlahisoa e ne e le 87.6%.15

 

 

2.2.4. Potso ea Bophelo ba Bakuli

Potso ea Bophelo bo Botle ba mokuli (PHQ-9) ke lethathamo la litlaleho tse ipolelang tse thehiloeng ho Diagnostic and Statistical Manual of Mental Dis shida-Khatiso ea Bone (DSM-IV) bakeng sa ho fumana khatello ea maikutlo, ho lekola ho teba le ho lekola karabelo ea kalafo.16 Phetolelo ea China ea PHQ-9 e ne e na le botsitso bo botle ba kahare (alpha = 0.84) le ts'epo e amohelehang ea tlhahlobo ea liteko (ICC = 0.80) bathong ba lilemong tsa bocha.17 Ho sebelisa Kiddie-Schedule ea Affective Disorder le Schizophrenia (Epidemiological Version) e le tekanyetso ea litekanyetso, lintlha tsa PHQ-9 ≥ 15 li ne li na le kutloisiso ea 0.72 le ho khetholoha ha 0.95 bakeng sa ho lemoha lefu le tebileng la khatello ea maikutlo ho bacha.17

 

 

2.2.5. Multi-Dimensional Support Scale

Multi-Dimensional Support Scale (MDSS) ke mokhoa oa ho itlaleha oa ho fumaneha le ho lekana hoa tšehetso ea sechaba ho tsoa mehloling e fapaneng.18 E ka etsetsoa litlhoko tse ikhethileng tsa merero e fapaneng ea lipatlisiso. Mona re ile ra arola tšehetso ea sechaba sechabeng mehloling e mene (ke hore, batsoali, lelapa le leng, metsoalle le matichere). Phetolelo ea China ea sekala sena e ne e sa fumanehe nakong ea boithuto bona; e fetolelitsoe ho China ke sengoli, ka phetolelo e ikemetseng ea morao ke ngaka ea mafu a kelello e lipuo tse peli. Lintlha tse phahameng ho MDSS li bonts'a ts'ehetso e ntlafalitsoeng ea sechaba

 

 

2.2.6. Scale ea Rosenberg

Boemo ba Boithaopo ba Rosenberg (RSES) ke sesebelisoa sa ho itlaleha se nang le lintlha tse 10 se lekanyang boitšepo ba lefatše ba motho ka mong.19 Ho nepahala le ho ts'epahala ha mofuta oa Chaena oa RSES li thehiloe ho baahi ba Taiwan.20 Pholo e phahameng ho RSES e bonts'a boemo bo molemonyana ba ho itšepa.

 

 

2.2.7. Teko ea Boitsebiso ba ho khetholla tšebeliso ea joala

Liteko tsa tlhahlobo ea tlhahlobo ea tšebeliso ea lino tse tahang tsa joala (AUDIT-C) li na le lintho tsa pele tse tharo tsa AUDIT bakeng sa ho khetholla joala bo kotsi.21, 22 Ts'ebetso ea phetolelo ea Sechaena ea sesebelisoa sena sa tlhahlobo e nyane ea joala e netefalitsoe.23 Lintlha tsa AUDIT-C ≥ 4 li ne li na le kutlo ea 0.90 le ho khetheha ha 0.92 bakeng sa ho lemoha ts'ebeliso e mpe ea joala.23

 

 

 

2.2.8. Potso ea tlhekefetso ea lithethefatsi

Barupeluoa ba ile ba botsoa hore na ha joale ba tsuba khafetsa na ba kile ba sebelisa amphetamine, heroin, cannabis, 3,4-methylenedioxymethamphetamine, ketamine, cocaine, glue, kapa lintho life kapa life tse ling khoeling e fetileng.

 

 

 

 

2.3. Ts'ebetso le tlhahlobo ea lipalo

Lenane la lipotso tse fumanehang marang-rang, ho kenyeletsoa le lipotso tsohle tse lekanyang, le ile la fanoa ha ho ne ho kenoa thutong le ho fihlella ka li-password tsa motho ka mong tse nkang karolo. Liphetho tsohle li ile tsa fetisetsoa ho database e sirelelitsoeng ka phasewete ntle le tahlehelo ea data. Software Statistics Package for Social Science (SPSS) mofuta oa 21.0 (IBM, Armonk, New York) e sebelisitsoe bakeng sa tlhahlobo ea lipalo.

SH nakong ea selemo se fetileng e bile "sephetho" bakeng sa litlhahlobo. Re sebelisitse Chi-mraba kapa t teko ea ho bapisa phapang lipakeng tsa sehlopha boteng ba bokhoba ba inthanete le ho pepesetsoa mehopolo ea ba bang ea ho ipolaea inthaneteng selemong se fetileng, hammoho le tse ling tse ka bang teng, mohlala, lilemo, bong, boteng ba mohopolo oa ho ipolaea oa bankakarolo. le leano la ho ipolaea, ho pepesehela menahano ea ba bang ea ho ipolaea lefatšeng la 'nete, boteng ba khatello ea maikutlo, boemo ba ts'ehetso ea sechaba, le boitšepo, ts'ebeliso ea joala le lithethefatsi le lintlha tse itseng tsa lelapa. Mefuta-futa ea SH e khethiloeng e le ea bohlokoa e ile ea hlahlojoa hape ho sebelisoa mefuta e sa fetoheng ea thepa le mefuta ea tatellano ea maemo ho hlophisa lintho tse ferekanyang le tse fetolang. Ka tlhahlobo ea tlhaiso-leseling ea tatellano ea maemo, re ile ra qala ho lekola hore na liphihlelo tse peli tsa ts'ebeliso ea inthanete (bokhoba ba inthanete le ho pepesehela menahano ea ho ipolaea inthaneteng) li amana le SH ka boikemelo (Model I). Eaba re laola bong, lintlha tse ikhethileng tsa lelapa, ho pepesehela menahano ea ho ipolaea lefatšeng la 'nete, lintlha tse ikhethileng tsa motho ka mong (khatello ea maikutlo, ts'ebeliso ea joala le koae) le ho ipolaea ka nako e le ngoe, le lintlha tse ling tsohle tse khethiloeng (Mehlala II-VI).

Ho sekaseka tlhaiso-leseling e tsoang ho ba neng ba intšitse kotsi, re sebelisitse Chi-mraba kapa t teko ea ho lekola liphapang (lipakeng tsa lihlopha tse nang le temoso ea marang-rang le ho se pepesehe menahano ea ho ipolaea) palong ea liketso tsa SH, ho ba teng le sepheo sa ho ipolaea ka nako ea SH le hore na libaka tsa marang-rang li ile tsa botsoa mabapi le mokhoa oa SH.

 

 

 

3. Liphetho

Re hirile selemo sa pele sa baithuti ba sekolo se phahameng ba 3994 ho tsoa likolong tse atametsoeng. Kakaretso ea baithuti ba 2479 ba fane ka tumello ea bona e ngotsoeng le ea batsoali ba bona mme ba phethela lenane la lipotso (karabelo ea karabelo = 62.1%). Lilemo tsa bona tse bolelang e ne e le lilemo tse 15.44 (mefuta ea 14-19 lilemo; ho kheloha ho tloaelehileng 0.61); boholo e ne e le basali (n = 1494;; 60.3%) mme ntle le kamano ea bolumeli (n = 1344, 54.2%). Palo ea SH nakong ea selemo se fetileng e ne e le 10.1% (n = 250). Har'a barupeluoa, 17.1% e ne e lemalletse inthanete (n = 425) le 3.3% ba ne ba pepeselitsoe menahano ea ho ipolaea inthaneteng (n = 82) selemong se fetileng.

Litšobotsi tsa batho ba nkang karolo kapa ba se nang SH li hlahisoa ka hare Lethathamo 1. Lilemo e ne e se ntho ea bohlokoa, hobane ke baithuti ba selemo sa pele feela sekolong se phahameng ba ileng ba thaothoa. Ke moithuti a le mong feela ea tlalehileng tšebeliso e mpe ea lithethefatsi kahoo ntlha ena e ke ke ea kenyelletsoa tlhahlobisong. Bacha ba nang le SH selemong se fetileng ba ne ba le monyetla oa ho ba basali, ho se lule le batsoali ba bona ba babeli ba tlhaho, le ho tlaleha boteng ba khohlano ea lelapa. Mabapi le ho ipolaea, baithuti ba SH ba ne ba tloaetse ho ba le likhopolo tsa ho ipolaea le merero ea ho ipolaea, hape ba pepesetsoa menahano ea ba bang ea ho ipolaea lefatšeng la nnete le marang-rang. Ntle le moo, ba ne ba na le monyetla oa ho ba le khatello ea maikutlo le boemo bo tlase ba ts'ehetso ea sechaba le boitšepo, le ho tsuba, ho sebelisa joala hampe le ho lemalla inthanete.

Lethathamo la 1Sociodemographic le litleleniki tsa bacha ba nang le boits'oaro bo kotsi.
 Ho joalo (n = 250)Che (n = 2229)χ2 or t
n (%) kapa ho bolela (SD)n (%) kapa ho bolela (SD)
bong
Male82 (32.8)903 (40.5)5.58 *
Female168 (67.2)1326 (59.5)
 
Age15.45 (0.58)15.44 (0.62)0.19
 
Ho lula le batsoali ba tlhaho
Che63 (25.2)344 (15.4)15.63 ***
E187 (74.8)1885 (84.5)
 
Khohlano ea lelapa
E43 (17.2)152 (6.8)33.42 ***
Che207 (82.8)2077 (93.2)
 
Mathata a lichelete a lelapa
E30 (12.0)190 (8.5)3.36
Che220 (88.0)2039 (91.5)
 
Mehopolo ea ho ipolaea
Che91 (36.4)1916 (86.0)358.1 ***
E159 (63.6)313 (14.0)
 
Merero ea ho ipolaea
Che172 (68.8)2147 (96.3)282.0 ***
E78 (31.2)82 (3.7)
 
Ho pepesehela menahano ea ho ipolaea (lefatše la 'nete)
Che149 (59.6)1901 (85.3)103.6 ***
E101 (40.4)328 (14.7)
 
Ho pepesehela menahano ea ho ipolaea (inthanete)
Che222 (88.8)2175 (97.6)54.15 ***
E28 (11.2)54 (2.4)
 
Ho tsuba koae
Che226 (90.4)2186 (98.1)50.30 ***
E24 (9.6)43 (1.9)
 
Ts'ebeliso e kotsi ea joala (AUDIT-C ≥ 4)
E47 (18.8)116 (5.2)67.64 ***
Che203 (81.2)2113 (94.8)
 
Ho tepella maikutlo (PHQ-9 ≥ 15)
E59 (23.6)98 (4.4)139.74 ***
Che191 (76.4)2131 (95.6)
 
Ts'ehetso ea boiketlo ba sechaba ho MDSS19.26 (3.45)20.76 (3.56)−6.34 ***
 
Ho itšepa ho RSES24.71 (5.78)28.66 (5.37)−10.94 ***
 
Inthaneteng e lemalla
E77 (30.8)348 (15.6)36.50 ***
Che173 (69.2)1881 (84.4)

*p <0.05; ***p <0.001.

AUDIT-C = Tšebeliso ea joala ea ts'oaetso ea ts'oaetso ea ts'oaetso; MDSS = sekala sa tšehetso se fapaneng ka bongata; PHQ-9 = Potso ea lipotso tsa bophelo bo botle ba mokuli; RSES = sekala sa boitšepo sa Rosenberg; SD = ho kheloha ho tloaelehileng.

Liphetho tsa tlhahlobo ea melaoana ea tsamaiso e sa sebetseng e hlahisoa Lethathamo 2. Keketseho e eketsehileng ea tšehetso ea sechaba e nahanang le boitšepo bo amanang le kotsi e fokotsehileng ea SH ho bacha. Lintho tsena tse peli li ile tsa bonoa e le tse ka sirelletsang; qetellong re ba beha qetellong tlhahlobisong ea melaoana ea tataisoLethathamo 3). Joalokaha ho bontšitsoe ho Lethathamo 3, Bokhoba ba inthanete le ho pepesehela menahano ea ho ipolaea inthaneteng ka bobeli li ne li amana haholo le kotsi e eketsehang ea SH, kamora ho laola bong, lintlha tse ikhethileng tsa lelapa, ho pepeseha menahano ea ho ipolaea bophelong ba 'nete, lintlha tse ikhethileng tsa botho le ho ipolaea ka nako e le ngoe (Mehlala I –IV). Ho fetola boemo ba ts'ehetso ea sechaba, mefuta e 'meli e ile ea lula e le lisosa tse kholo tsa SH (Model V). Leha ho le joalo, kamano lipakeng tsa bokhoba ba inthanete le SH e ile ea fokola mme ea ba e sa reng letho kamora ho ikamahanya le boemo ba boitšepo (Model VI), ha marang-rang a pepesang menahano ea ho ipolaea a lula a amana haholo le kotsi e eketsehang ea SH ho bacha (odds ratio = 1.96; Nako ea ts'epo ea 95%: 1.06-3.64).

Lethathamo la 2Factors le amanang le ho intša kotsi ho bacha.
 moruOR95% CI
Inthaneteng e lemalla37.76 ***2.411.80-3.22
Ho pepesehela menahano ea ho ipolaea (marang-rang)44.63 ***5.083.15-8.18
 
Bong ba motho5.54 *1.401.06-1.84
Ha e phele le batsoali ba tlhaho15.24 ***1.851.36-2.51
Khohlano ea lelapa30.97 ***2.841.97-4.10
Ho pepesehela menahano ea ho ipolaea (lefatšeng la 'nete)92.74 ***3.932.97-5.19
tsuba40.73 ***5.403.22-9.06
Tšebeliso e mpe ea joala58.68 ***4.222.92-6.10
ho tepella maikutlo110.40 ***6.724.71-9.58
Mehopolo ea ho ipolaea267.50 ***10.708.05-14.21
Merero ea ho ipolaea195.63 ***11.878.40-16.79
Tšehetso ea sechaba38.65 ***0.890.86-0.92
Boithati106.31 ***0.880.85-0.90

CI = nako ea tšepo; KAPA = karo-karolelano ea mathata.

*p <0.05; ***p <0.001.

Lethathamo la 3Factors le amanang le ho intša kotsi ho bacha: tlhahlobo ea melao ea maemo a holimo.
 Mohlala IMohlala IIModel IIIMohlala IVMohlala VModel VI
OR95% CIOR95% CIOR95% CIOR95% CIOR95% CIOR95% CI
Inthaneteng e lemalla2.20 ***1.64-2.972.04 ***1.49-2.791.59 **1.41-2.221.50 *1.06-2.131.46 *1.03-2.071.380.97-1.96
Ho pepesehela menahano ea ho ipolaea (marang-rang)4.36 ***2.68-7.102.82 ***1.67-4.751.98 *1.12-3.492.06 *1.11-3.822.00 *1.08-3.721.96 *1.06-3.64
Bong ba motho  1.290.96-1.731.320.97-1.791.070.78-1.491.090.79-1.511.040.75-1.45
Ha e phele le batsoali ba tlhaho  1.49 *1.07-2.081.380.97-1.961.310.90-1.911.300.89-1.891.330.91-1.93
Khohlano ea lelapa  2.26 ***1.51-3.371.66 *1.08-2.561.360.85-2.161.310.82-2.081.250.78-1.99
Ho pepesehela menahano ea ho ipolaea (lefatšeng la 'nete)  3.33 ***2.48-4.473.05 ***2.25-4.151.99 ***1.43-2.772.01 ***1.44-2.802.01 ***1.44-2.81
tsuba    2.82 **1.51-5.282.45 *1.24-4.852.47 **1.26-4.852.43 *1.23-4.82
Tšebeliso e mpe ea joala    2.12 **1.37-3.301.530.95-2.471.530.95-2.481.610.99-2.60
ho tepella maikutlo    3.86 ***2.59-5.772.07 **1.33-3.211.97 **1.27-3.061.68 *1.07-2.63
Mehopolo ea ho ipolaea      5.27 ***3.72-7.475.00 ***3.52-7.104.45 ***3.11-6.35
Merero ea ho ipolaea      2.13 **1.39-3.282.12 **1.38-3.262.04 **1.32-3.15
Tšehetso ea sechaba        0.95 **0.91-0.990.96 *0.92-1.00
Boithati          0.95 **0.93-0.98

CI = nako ea tšepo; KAPA = karo-karolelano ea mathata.

* p <0.05; ** p <0.01; *** p <0.001.

Ha re bapisa lihlopha tse ling hape har'a ba nkang karolo le SH ho bona litšobotsi tsa SH tse amanang le liphihlelo tse peli tsa ts'ebeliso ea marang-rang, re fumane hore baithuti ba senotsoeng ke menahano ea ho ipolaea ba ne ba le monyetla oa ho etsa liketso tse eketsehileng tsa SH mme ba na le sepheo sa ho ipolaea ka nako ea SH (Lethathamo 4). Ha ho bapisoa le balekane ba bona, baithuti ba nang le ts'ebeliso ea ts'ebeliso ea marang-rang ba ne ba le monyetla o moholo oa ho ikemela mme ba buisane le marang-rang mabapi le mekhoa (Lethathamo 4).

Lethathamo la 4Character liketso tsa ho intša kotsi ho baithuti ba lemalloang ke inthanete kapa ho pepesetsoa marang-rang mehopolong ea ho ipolaea molemong oa sehlopha sa SH (n = 250).
 Inthaneteng e lemallaχ2 or tHo pepesetsoa marang-rang menahanong ea ho ipolaeaχ2 or t
Ho joalo (n = 77)Che (n = 173)Ho joalo (n = 33)Che (n = 217)
n (%) kapa ho bolela (SD)n (%) kapa ho bolela (SD)n (%) kapa ho bolela (SD)n (%) kapa ho bolela (SD)
Palo ea liketso tse mpe6.01 (3.85)5.21 (3.71)0.227.15 (3.69)5.20 (3.72)2.81 **
Morero oa ho ipolaea
E34 (44.2)49 (28.3)6.02 *18 (54.5)65 (30)7.81 **
Che43 (55.8)124 (71.7)15 (45.5)152 (70)
Patlisiso mekhoa ea ho ipolaea inthaneteng
E4 (5.2)1 (0.6)5.80 *2 (6.1)3 (1.4)3.20
Che73 (94.8)172 (99.4)31 (93.9)214 (98.6)

*p <0.05; **p <0.01.

SD = ho kheloha ho tloaelehileng; SH = ho intša kotsi.

 

 

4. Puisano

Ena ke e 'ngoe ea lithuto tsa pele tse etselitsoeng sechaba ho bacha ho etsa lipatlisiso mabapi le kamano lipakeng tsa ho pepesehela maikutlo a ho ipolaea a tsoang ho ba bang, le SH. Liphetho li senotse hore ho pepesehela menahano ea ba bang ea ho ipolaea ho ekelitse menyetla ea boits'oaro ba SH esita le ho pepeseha sefahleho sefahlehong inthaneteng e ka ba sesosa se matla sa SH.

Keketseho ea 10.1% ea SH har'a bacha ba Taiwan e fumanoeng selemong se fetileng e lumellana le litlaleho tsa pejana tsa tlhahlobo ea khoeli ea 12 ea SH ho bacha (3.2-9.5%).24 Tekanyo e atileng ea ts'ebeliso ea lithethefatsi tsa inthanete thutong ea rona e ne e le 17.1%, e lumellanang le tekanyo e tlalehiloeng ea 18.8% ka boroa ho Taiwan.11 Ho bacha ba hlahlobiloeng, 3.3% e ne e pepesitsoe menahano ea ho ipolaea inthaneteng selemong se fetileng. Ka lebaka la khaello ea thuto e ts'oanang le ea sechaba, ha rea ​​khona ho bapisa liphetho tsa rona le sephetho sena. Le ha ho le joalo, sekhahla sa thuto ea rona se bonts'a hore tlhahiso ena ha e ea tloaeleha har'a basebelisi ba marang-rang ba lilemong tsa bocha. Ka lebaka la ts'ebetso ea ts'ebeliso ea marang-rang bophelong ba rona ba letsatsi le letsatsi, palo ea bacha ba hlahang kotsing ena e ka ba kholo. Mesebetsi ea inthanete e sebelisang marang-rang e fa bacha menyetla ea marang-rang a sechaba e sa qobelloang ke meeli ea setso kapa ho shebeloa ke batho ba baholo, ka hona e khothaletsa boitlamo ba bona.25 Litšebelisano tse fumanehang marang-rang li ka fana ka tšehetso ea bohlokoa sechabeng bakeng sa bacha ba ikhethileng, empa hape e ka etsa hore tloaelehileng le ho khothatsa boitšoaro ba SH.26

Phuputso e fetileng e hlahlobile karolo ea ho etsa mohlala sechabeng phetisong ea ho ipolaea ka lithaka. Ba khothalelitse hore litlamorao tsa ho pepesetsoa boits'oaro ba motho ka boeena e ka ba tse hlahelletseng joalo ka tšusumetso ea mehloli ea malapa.7 Thutong ea rona, re netefalitse sephetho sa bona mme ra fumana hore ho pepesetsoa maikutlo a ba bang a ho ipolaea ho ka eketsa kotsi ea boits'oaro ba SH ho bacha. Kamora ho laola maemo a fapaneng, menyetla ea SH ho ba pepesitsoeng likhopolo tsa ho ipolaea tse tsoang ho ba bang bophelong ba nnete, hammoho le marang-rang, e eketsehile ka lekhetlo le le leng ha e bapisoa le ba sa kang ba pepesetsoa selemong se fetileng. Boiphihlelo ba ho pepeseha bo ipakile e le kotsi ea bohlokoa bakeng sa boits'oaro ba SH ba lilemong tsa bocha, bo ikemetseng ka bofokoli bo neng bo le teng joalo ka khatello ea maikutlo le maikutlo a bona a ho ipolaea. Ketsahalo ena ea "tšoaetso ea sechaba" ke lebaka le sa tsejoeng empa le lula le le kotsing ea ho intša kotsi har'a bacha.27 Patlisiso e eketsehileng mabapi le sena e lokelehile, haholoholo ka mokhoa ona kotsi ena e ka fokotsoang.

Thutong ea rona, re fumane hore temallo ea marang-rang e ne e amahanngoa le SH ho bacha lilemong ka mor'a ho feto-fetola lintho tse ka 'nang tsa baka mathata, e lumellanang le ho fumanwa ha thuto e fetileng e neng e lekola kamano pakeng tsa ho lemalla inthanete le boitšoaro bo bobe har'a bacha.28 ho fihlela boemo ba ho itšepa bo fokolisitse mokhatlo ona. Ho tlalehiloe hore har'a bacha ba nang le bothata ba ho tsepamisa maikutlo / khatello ea maikutlo, lintlha tse tlaase tsa boitšepo ho RSES li ne li amana haholo le matšoao a matla a ts'ebeliso ea inthanete.29 Hore na mokhatlo ona o ntse o le teng le har'a bacha ba nang le boitšoaro ba SH, o lebisang kamanong e fokolisitsoeng pakeng tsa ho lemalla marang-rang le SH, o hloka lipatlisiso tse ling.

Boithuto bo fetileng bo fumane lintlha tse 'maloa tsa bio-psycho-kijamii tse amanang le SH lilemong tsa bocha.30, 31 Phuputso e entsoeng ka setso ea batho ba lekang ho ipolaea ea bacha lilemong tsa Hong Kong le USA e bonts'itse hore ho tepella maikutlo, maikutlo a hona joale le bophelo bohle ba ho ipolaea, ho hloka tšepo, likamano tse mpe tsa batho, le ho pepesehela liteko tsa ho ipolaea le bathusi e bile mabaka a kotsi a ho leka ho ipolaea litsong ka bobeli.32 Thutong ea rona, litšobotsi tsa botho (ke hore, khatello ea maikutlo, ho ba teng ha menahano ea ho ipolaea le merero ea ho ipolaea, boitšepo, ho tsuba le tšebeliso e mpe ea joala) li ne li amahanngoa le mocha oa SH. Ts'ehetso ea boiketlo ba sechaba e ne e sireletsa khahlanong le boits'oaro ba bacha ba SH, e pheta liphetho tsa litlaleho tse fetileng.33, 34 Bohlokoa ba litšobotsi tse ling tsa lelapa, tse kang ho se lule le batsoali ba babeli ba tlhaho le ho se utloane ka lelapa, bo ile ba nyamela kamora ho laola maemo a botho le a mang mohlaleng oa rona. Sephetho sena se fana ka maikutlo a hore bakeng sa bacha, tšehetso ea sechaba e fumanoeng mehloling e fapaneng e ka koahela likotsi tsa malapa a bona tsa pele. Liphetho tsena tsohle li re hopotsa bohlokoa ba mokhoa o fapaneng haholo ha re sebetsana le mocha ea kenang SH.

Ha re fetisetsoa tlhahlobisong ea litšoaneleho tsa baithuti ba pepesitsoeng mehopolo ea bona ea ho ipolaea ka marang-rang ka har'a SH subsample, tlhahlobo ea rona e fumane hore ba tloaetse ho etsa liketso tsa SH mme ba ikemiselitse ho shoa. Kaha ena e ne e le patlisiso e arohaneng, re ne re sa khone ho tseba kamano e teng pakeng tsa ho pepeseha, palo ea liketso tsa SH, le sepheo sa bona sa ho ipolaea. Bacha ba kanna ba nts'etsapele kapa ba matlafatsa mohopolo oa bona oa ho ipolaea ka ho senola menahano ea ba bang ea ho ipolaea, le ho etsa boits'oaro ba bona ba SH. Ho feta moo, bacha ba ka sebelisa marang-rang ka litsela tse fapaneng le tsa batho ka kakaretso mabapi le ho ipolaea. Phuputso e fetileng e ile ea lekanya tšebetso ea enjine ea patlo ea Google bakeng sa mantsoe a amanang le ho ipolaea mme e amana le tlhaiso-leseling e fumanehang ea ho ipolaea le ho intša kotsi ka boomo. Ba fumane hore le ha ts'ebetso ea patlo ea inthanete e ne e amana hampe le sekhahla sa ho ipolaea sechabeng ka kakaretso, e ne e amana hantle le ho intša kotsi ka boomo le ho ipolaea ho bacha.35 Thutong ea rona, bacha ba lemaletseng inthanete ba ne ba tloaetse ho sheba sebaka sa marang-rang mabapi le mekhoa eo ba neng ba e sebelisa ho SH. Ho fumaneha ha sesebelisoa sena ka lehlakoreng le leng ho ka fa motho monyetla oa ho fumana tlhaiso-leseling, leha ho le joalo, ho ka thusa ho kenya ts'ebetsong ho ipolaea ke bacha ba tlokotsing.36 Ho lokela ho lebisoa tlhokomelo e khethehileng ho mekhoa eo basebelisi ba marang-rang ba bangata ba sebelisang marang-rang. Ts'ebeliso ea tataiso ea mecha ea phatlalatso ea thibelo ea ho ipolaea e hlokoa bakeng sa marang-rang, joalo ka libaka tsa ho ithusa tsa batho ba ipolaeang tse lebisitsoeng ho basebelisi ba bacha.36

Mefokolo e meng ea thuto ea rona e lokela ho tsotelloa. Bopaki bo fanoeng ke thuto ea moralo oa karolo e ha ea lekana ho hula infusions leha e le efe ea Causal. Tekanyo ea rona e ne e ipapisitse le tlaleho ea boithati, ka hona ho ka ba le leeme. Tlhahiso-leseling ka tlhekefetso e seng molaong ea lithethefatsi e seng molaong e ts'episoa feela ho potso e koetsoeng e le ngoe ho e-na le lipotso tse netefalitsoeng. Ka lebaka leo, phapang ena e ka se kenyele ho tlhahlobo e lokelang ho lokisoa bakeng sa. Leha ho na le moo ho haelloang teng, thuto ea rona e bile ea pele ho lekola kamano pakeng tsa ho pepesetsoa maikutlo a ho ipolaea le SH maemong a sechaba; re netefalitse lekhoba la inthanete le ho pepesetsoa inthanete mohopolo oa ho ipolaea o hokahaneng le SH ho bacha; mme joalo ka ha ho tšohliloe ka holimo, lintho tseo re li fumaneng li lumellana le lithuto tse 'maloa tse fetileng tšimong.

 

 

 

5. Qetello

Liphihlelo tsa inthaneteng li amahanngoa le SH lilemong tsa bocha. Maano a thibelo a ka kenyelletsa thuto ho eketsa tlhokomeliso ea sechaba, ho khetholla ba pepesitsoeng kotsi, le phano ea thuso e potlakileng.

 

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