Association between 24-Hour Movement Behaviors and Smartphone Addiction among Adolescents in Foshan City, Southern China: Compositional Data Analysis

Zhiqiang Ren, Jianyi Tan, Baoying Huang, Jinqun Cheng, Yanhong Huang, Peng Xu, Xuanbi Fang, Hongjuan Li, Dongmei Zhang () and Yanhui Gao ()
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Zhiqiang Ren: Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
Jianyi Tan: Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
Baoying Huang: Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
Jinqun Cheng: Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
Yanhong Huang: Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
Peng Xu: Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
Xuanbi Fang: Department of Medical Statistics, School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China
Hongjuan Li: School of Sport Science, Beijing Sport University, Beijing 100084, China
Dongmei Zhang: Department of Public Health Management and Social Medicine, School of Public Health, Guangdong Pharmaceutical University, No. 283, Jianghai Road, Haizhu District, Guangzhou 510315, China
Yanhui Gao: Department of Epidemiology and Health Statistics, School of Basic Medicine and Public Health, Jinan University, No. 601, Huangpu Avenue West, Tianhe District, Guangzhou 510632, China

IJERPH, 2022, vol. 19, issue 16, 1-13

Abstract: Smartphone addiction has become a public health issue. To help reduce smartphone addiction, we assessed the combined effect of 24-Hour Movement Behaviors on smartphone addiction during Corona Virus Disease 2019 (COVID-19) home confinement in Foshan, China. Data were collected in a sample of 1323 senior middle school students ((mean age ± standard deviation): 16.4 ± 0.9 years; 43.46% males) during the COVID-19 lockdown. Their 24-Hour movement behaviors were assessed by a self-reported questionnaire, The Smartphone Addiction Scale-Short Version (SAS-SV). The compositional multiple linear regression model and compositional isotemporal substitution model were used to examine the association between the time budget composition of the day and smartphone addiction. Smartphone addiction occurred in 671 (50.72%) of the 1323 students. Compared with smartphone-addicted adolescents, non-smartphone-addicted adolescents had more moderate-to-vigorous physical activity (MVPA) and sleep duration (SLP), and less sedentary behavior (SB). The distribution of time spent in 24-Hour movement behaviors was significantly associated with smartphone addiction. The negative effect was found for the proportion of time spent in MVPA or SLP ( ilr 1-MVPA = −0.453, p < 0.001. ilr 1-SLP = −3.641, p < 0.001, respectively) relative to the other three behaviors. Conversely, SB was positively associated with the score of smartphone addiction ( ilr 1-SB = 2.641, p < 0.001). Reallocating one behavior to remaining behaviors was associated with smartphone addiction. Noticeably, the effects of one behavior replacing another behavior and of one behavior being displaced by another behavior were asymmetric. The 24-Hour movement behaviors of adolescents are closely related to smartphone addiction, and future intervention studies should focus on the compositional attribute of 24-Hour movement behaviors.

Keywords: 24-Hour movement behaviors; smartphone addiction; COVID-19; compositional analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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