PDF(Pubmed)
Abstract：
The growing prevalence of smartphone use among college students in China has led to health concerns, including De Quervain\'s Tenosynovitis (DQT). However, the specific smartphone usage behaviors contributing to DQT remain poorly understood. This study aimed to explore the relationship between smartphone usage behaviors and DQT in college students.
A cross-sectional study was conducted with 937 students from various majors in Guangxi between September 2021 and April 2022. Participants completed an online questionnaire assessing smartphone usage behaviors and their association with DQT. The Finkelstein test was employed to diagnose DQT.
Over half of the college students (52%) tested positive for DQT via Finkelstein\'s test. Higher levels of smartphone usage time (6-8 h/day: OR = 4.454, 95%CI:1.662-12.229; ≥8 h/day: OR = 4.521, 95%CI:1.596-12.811), phone games (OR = 1.997, 95%CI:1.312-3.040), social media (OR = 2.263, 95%CI:1.795-3.833), and leisure activities (OR = 1.679, 95%CI:1.140-2.475) were significantly associated with an increased risk of DQT. Two specific gestures (Bilateral thumbs, BT: OR = 1.900, 95%CI:1.281-2.817; Bilateral thumbs-horizontal screen, BT-HS: OR = 1.872, 95%CI:1.244-2.818) and two screen sizes (5.0-5.5inch: OR = 2.064, 95%CI:1.108-3.846; 6.0-6.5inch: OR = 2.413, 95%CI:1.125-4.083) also exhibited a higher risk of DQT. Bilateral DQT was observed, with Gesture-BT identified as the primary risk factor.
Our findings suggest that increased smartphone usage time, phone games, social media, and leisure activities elevate the risk of DQT among college students. Furthermore, two specific gestures and two screen sizes were also linked to a heightened DQT risk. To mitigate DQT development, college students should reduce smartphone usage time and adopt appropriate gestures.
A cross-sectional study was conducted with 937 students from various majors in Guangxi between September 2021 and April 2022. Participants completed an online questionnaire assessing smartphone usage behaviors and their association with DQT. The Finkelstein test was employed to diagnose DQT.
Over half of the college students (52%) tested positive for DQT via Finkelstein\'s test. Higher levels of smartphone usage time (6-8 h/day: OR = 4.454, 95%CI:1.662-12.229; ≥8 h/day: OR = 4.521, 95%CI:1.596-12.811), phone games (OR = 1.997, 95%CI:1.312-3.040), social media (OR = 2.263, 95%CI:1.795-3.833), and leisure activities (OR = 1.679, 95%CI:1.140-2.475) were significantly associated with an increased risk of DQT. Two specific gestures (Bilateral thumbs, BT: OR = 1.900, 95%CI:1.281-2.817; Bilateral thumbs-horizontal screen, BT-HS: OR = 1.872, 95%CI:1.244-2.818) and two screen sizes (5.0-5.5inch: OR = 2.064, 95%CI:1.108-3.846; 6.0-6.5inch: OR = 2.413, 95%CI:1.125-4.083) also exhibited a higher risk of DQT. Bilateral DQT was observed, with Gesture-BT identified as the primary risk factor.
Our findings suggest that increased smartphone usage time, phone games, social media, and leisure activities elevate the risk of DQT among college students. Furthermore, two specific gestures and two screen sizes were also linked to a heightened DQT risk. To mitigate DQT development, college students should reduce smartphone usage time and adopt appropriate gestures.
摘要：
背景：中国大学生中智能手机使用的日益普及导致了人们对健康的担忧，包括DeQuervain的腱鞘炎（DQT）。然而,导致DQT的特定智能手机使用行为仍然知之甚少。本研究旨在探讨大学生智能手机使用行为与DQT的关系。
方法：在2021年9月至2022年4月之间，对来自广西各个专业的937名学生进行了横断面研究。参与者完成了一份在线问卷，评估了智能手机的使用行为及其与DQT的关联。Finkelstein检验用于诊断DQT。
结果：超过一半的大学生（52％）通过Finkelstein的测试对DQT呈阳性。更高水平的智能手机使用时间（6-8小时/天：OR=4.454，95CI：1.662-12.229；≥8小时/天：OR=4.521，95CI：1.596-12.811），手机游戏（OR=1.997，95CI：1.312-3.040），社交媒体（OR=2.263，95CI：1.795-3.833），休闲活动（OR=1.679，95CI：1.140-2.475）与DQT风险增加显著相关。两个特定的手势（双边拇指，BT：OR=1.900，95CI：1.281-2.817；双边拇指-水平屏幕，BT-HS：OR=1.872，95CI：1.244-2.818）和两种屏幕尺寸（5.0-5.5英寸：OR=2.064，95CI：1.108-3.846；6.0-6.5英寸：OR=2.413，95CI：1.125-4.083）也显示出较高的DQT风险。观察到双侧DQT，以Gesture-BT为主要危险因素。
结论：我们的研究结果表明，智能手机使用时间增加，手机游戏,社交媒体,休闲活动增加了大学生DQT的风险。此外，两种特定手势和两种屏幕尺寸也与DQT风险升高相关.为了缓解DQT的发展，大学生应减少智能手机的使用时间，并采取适当的手势。
方法：在2021年9月至2022年4月之间，对来自广西各个专业的937名学生进行了横断面研究。参与者完成了一份在线问卷，评估了智能手机的使用行为及其与DQT的关联。Finkelstein检验用于诊断DQT。
结果：超过一半的大学生（52％）通过Finkelstein的测试对DQT呈阳性。更高水平的智能手机使用时间（6-8小时/天：OR=4.454，95CI：1.662-12.229；≥8小时/天：OR=4.521，95CI：1.596-12.811），手机游戏（OR=1.997，95CI：1.312-3.040），社交媒体（OR=2.263，95CI：1.795-3.833），休闲活动（OR=1.679，95CI：1.140-2.475）与DQT风险增加显著相关。两个特定的手势（双边拇指，BT：OR=1.900，95CI：1.281-2.817；双边拇指-水平屏幕，BT-HS：OR=1.872，95CI：1.244-2.818）和两种屏幕尺寸（5.0-5.5英寸：OR=2.064，95CI：1.108-3.846；6.0-6.5英寸：OR=2.413，95CI：1.125-4.083）也显示出较高的DQT风险。观察到双侧DQT，以Gesture-BT为主要危险因素。
结论：我们的研究结果表明，智能手机使用时间增加，手机游戏,社交媒体,休闲活动增加了大学生DQT的风险。此外，两种特定手势和两种屏幕尺寸也与DQT风险升高相关.为了缓解DQT的发展，大学生应减少智能手机的使用时间，并采取适当的手势。
