【摘要】 目的 探讨我国老年人群问题性网络使用（problematic internet use,PIU）现状，分析人口社会学因素及心理因素对其影响。方法 基于《中国居民心理与行为调查研究（2022）》公开数据库，筛选≥60岁及以上参与者4 316人作为研究对象。采用潜在剖面分析对研究对象的PIU状况进行潜在类别等级划分；利用ROC曲线得出适用我国老年人群PIUQ-SF-6量表的推荐截断值。多元Logistic回归分析人口社会学及心理因素与PIU状况是否存在关联。结果 我国老年人群PIU流行率为13.4%，适用我国老年人群PIUQ-SF-6量表的最佳截断值为15分（总分30分）。年龄、城乡分布（常住地）、受教育程度、是否独居均具有统计学意义（P<0.001），年龄越小、常住地为农村及受教育程度越高的人群PIU等级越高；心理因素主要研究孤独感、领悟社会支持及一般自我效能感，孤独感（高PIU组对无PIU组OR=1.619,95%CI:1.520～1.725）与PIU状况呈正相关，而领悟社会支持（高PIU组对无PIU组OR=0.855,95%CI:0.832～0.888）则呈负相关。一般自我效能感在低PIU组与无PIU组具有统计学意义（OR=0.913,95%CI:0.871～0.958），在高PIU组与无PIU组的比较中无统计学意义（P=0.281）。结论 年龄越小、常住地为农村、受教育程度越高及孤独感越强烈与较高的PIU等级关联显著；领悟社会支持及一般自我效能感与PIU负相关。干预时提高社会支持和自我效能感及降低孤独感的方法应被考虑。更多还原

【Abstract】 Objective To explore the status of Problematic Internet Use(PIU)among the elderly in China,and analyze the impact of demographic,social,and psychological factors on it.Methods Based on the PBICR-2022 public database,4 316 individuals aged 60 years and above were selected as research subjects.Latent Profile Analysis was used to group the PIU status of the research subjects into potential categories and used ROC curves to obtain recommended cutoff values for the PIUQ-SF-6 scale applicable to the elderly in China.Multiple logistic regression was used to analyze whether there was a correlation between demographic,sociological,and psychological factors and PIU.Results The prevalence rate of PIU among the elderly in China was 13.4%,and the optimal cutoff value for the PIUQ-SF-6 scale for the elderly in China was 15(out of a total of 30 points).Age,urban-rural distribution(permanent residence),education level,and whether living alone all had statistical significance(P<0.001).People with younger age,the more rural the permanent residence,and higher the education level were with the higher PIU level;Psychological factors mainly studied loneliness,perceived social support,and general self-efficacy,loneliness(high risk to risk-free group OR=1.619,95%CI:1.520-1.725)was positively correlated with PIU risk,while perceived social support(high risk to risk-free group OR= 0.855,95%CI:0.832-0.888)was negatively correlated.The general self-efficacy was statistically significant in the low PIU risk group and the risk-free group(OR=0.913,95%CI:0.871-0.958),but not statistically significant in the comparison between the high-risk and risk-free groups(P=0.281).Conclusion The younger the age,the more rural the permanent residence,the higher the education level,and the stronger the sense of loneliness and the higher the PIU level are significantly correlated.Perceived social support and general self-efficacy is negatively correlated with PIU.Methods to increase social support,self-efficacy,and reduce loneliness during intervention should be considered.更多还原