Umbutho weZiyobisi ze-Intanethi kunye nokuzilimaza kwe-Nonsuicidal phakathi kwabaFikisayo eTshayina (2020)

IJAMA Netw Vula. I-2020 Jun 1; 3 (6): e206863.

doi: 10.1001 / jamanetworkopen.2020.6863.

Jie Tang  1   2 , Ngu-Ma Ma  3 , UStephen P Lewis  4 , Ukutshutshisa u-Chen  2 , U-Angela Clifford  2 , UBrooke uAmerman  5 , UMarufu Martin Gazimbi  6 , UAdrian Byrne  7 , Yu Wu  8 , UXinchuan Lu  9 , I-Hongjuan Chang  10 , UChun Kang  10 , I-Henning Tiemeier  11   12 , Yizhen Yu  10

Abstract

Ukubaluleka: Zombini iindlela zokuzenzakalisa (NSSI), ezichazwe njengokuthe ngqo, ukonakalisa ngabom izicwili zomzimba ngaphandle kwenjongo yokuzibulala, kunye nokulutha kwi-intanethi phakathi kolutsha kukukhathazeka ngempilo yoluntu. Nangona kunjalo, unxibelelwano olunokwenzeka lwe-NSSI kunye nokulutha kwi-intanethi akuqondwa kakuhle.

Injongo: Ukuvavanya ukubakho kokulutha kwe-Intanethi kunye ne-NSSI kunye nayiphi na umahluko wesini phakathi kolutsha lwaseTshayina.

Uyilo, ucwangciso, kunye nabathathi-nxaxheba: I-multicenter, esecaleni, yophando, yaqhutywa ngoFebruwari 18 ukuya nge-15 ka-Okthobha ka-2015, phakathi kwabakwishumi elivisayo abaneminyaka eli-11 ukuya kwengama-20 kwizikolo ezingama-343 kwizikolo eziphakamileyo ezingama-45 kumaphondo angama-5 e-China. Uhlalutyo lwedatha lwenziwa ukusuka nge-1 Agasti, 2018, ukuya nge-1 kaMatshi ngo-2019.

Ingcaciso: Unokuba ngumlutha we-Intanethi kunye nokuba ngumlutha we-intanethi.

Iziphumo eziphambili kunye nemilinganiselo: Amaxesha aphantsi (okuphindaphindiweyo) Amaxesha e-NSSI kunye nokuphindaphindiweyo (amaxesha angama-≥1) i-NSSI yavavanywa kusetyenziswa inguqulelo yesiTshayina yoVavanyo loMsebenzi.

iziphumo: Inani lilonke labafundi abayi-15 623 (abangama-8043 abangamadoda [51.5%] kunye nabasetyhini abangama-7580 [48.5%]) abaneminyaka eli-11 ukuya kwengama-20 (kuthetha [SD] ubudala, iminyaka eli-15.1 [1.8]) abathathe inxaxheba. Kwezi zinto, abangama-4670 abathathi-nxaxheba (29.9%) bafezekisa iikhrayitheriya zokulutha ngokuqinisekileyo kwi-intanethi kwaye abathathi-nxaxheba abangama-509 (3.3%) bayifezekisa imilinganiselo yokulutha kwi-intanethi. Inani lilonke labafundi abangama-2667 (17.1%) ababandakanyeka kwi-NSSI engaqhelekanga, ngelixa abafundi abayi-1798 (11.5%) bezibandakanya kwi-NSSI rhoqo kwiinyanga ezili-12 ezidlulileyo kuphando. Zombini ezinakho ukuba likhoboka le-Intanethi kunye nokuba likhoboka le-Intanethi kwakudityaniswa ne-NSSI ephindaphindiweyo okanye ethe rhoqo. Imilinganiselo yokulinganisa ukungalinganiyo yayiyi-1.29 (95% CI, 1.17-1.42) yokulutha okunokwenzeka kwe-intanethi kunye ne-1.41 (95% CI, 1.11-1.80) yokulutha kwi-intanethi ngenxa ye-NSSI engaqhelekanga; ye-NSSI eqhubeka rhoqo, umda wokulinganisa ongalunganga yayingu-1.75 (95% CI, 1.56-1.96) malunga nokuba likhoboka le-Intanethi kunye 2.66 (95% CI, 2.10-3.38). Le mibutho yaqwalaselwa ngokufanayo phakathi kweminyaka yobudala eli-11 ukuya kweli-14, eli-15 ukuya kweli-17, nakwiminyaka eli-18 ukuya kwengama-20. Akukho ukwahluka ngokwesini kwafunyanwa kwimibutho yeziyobisi ze-Intanethi kunye ne-NSSI, ngaphandle kwabafikisayo abaneminyaka eli-11 ukuya kweli-14 ubudala, apho umaleko ongalinganiyo wokufumana umlutha we-Intanethi kunye ne-NSSI engaqhelekanga rhoqo wawuphakamileyo kulutsha lwamadoda (1.53; 95% CI, 1.25- I-1.88) kunabafikisayo abakwishumi elivisayo (1.13; 95% CI, 0.90-1.47).

Ukuqukumbela nokubaluleka: Iziyobisi ezifumaneka kwi-Intanethi zibonakala zinxulunyaniswa ne-NSSI, kwaye iziphumo zolu phando zibonisa ukuba unxibelelwano lwalunjalo phakathi kwabakwishumi elivisayo ababhinqileyo. Ezi datha zibonisa ukuba uvandlakanyo lomngcipheko we-NSSI kulutsha olunxulumana nesiyobisi kwi-intanethi kunokunceda iingcali zononophelo lwezempilo ekuphuhliseni ungenelelo lwe-NSSI.