Association between Transition Patterns of Problematic Internet Use and Non-suicidal Self-injury in Nursing Undergraduates
Objective To identify the transition patterns of problematic internet use(PIU)and analyze its relationship with non-suicidal self-injury(NSSI)in nursing undergraduates.Methods A total of 901 nurs-ing undergraduates were selected by convenience sampling method for 2 surveys in September of 2022 and 2023.General information questionnaire,Davis Online Cognition and Adolescent Non-suicidal Self-injury Assessment Questionnaire were used for investigation.Latent class analysis and latent transition analysis were used to explore the classes and transition patterns of PIU,and multivariable Logistic regression was used to analyze the association between transition patterns of PIU and NSSI.Results The undergraduates were divided into 3 latent classes at T1 and T2,namely low PIU(26.97%/36.07%),middle PIU(41.95%/39.96%)and high PIU(31.08%/23.97%).The whole PIU showed a mitigating trend,while approximately 13.54%maintain high PIU,namely the high-level continuous group;the percentage of low PIU converted to middle PIU and high PIU were 4.44%and 1.89%,and middle PIU converted to high PIU was 8.55%,namely the progress group.Both the progress group(OR=2.73,95%CI:1.62~4.26)and high-level contin-uous group(OR=3.80,95%CI:2.25~6.12)had significantly higher risk in NSSI(all P<0.01).Conclu-sions There are 3 latent classes of PIU that change over time and have different effects on NSSI in nursing undergraduates.Nursing educators should focus on those with high PIU and a tendency to higher PIU,thus providing relevant intervention to reduce NSSI.
problematic internet usenon-suicidal self-injurylatent transition analysisnursing undergraduate