Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional Survey
Introduction: Internet addiction (IA) is a modern problem. IA in the occupational population needs to be taken seriously. This study aims to investigate the prevalence of IA and explore the relationship between IA and anxiety, depression, and suicidal ideation and among aircrew members. Methods: Fro...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Asian Journal of Social Health and Behavior |
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| Online Access: | https://journals.lww.com/10.4103/shb.shb_302_24 |
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| author | Jie Zhang Erliang Zhang Shuheng Cui Lin Zhang Bin Ren Qingqing Jin Huilun Li Minzhi Chen Ruihan Li Yan Xu Mudan Liu Jiamei Zhu Ya Su Fangyuan Wu Mi Xiang |
| author_facet | Jie Zhang Erliang Zhang Shuheng Cui Lin Zhang Bin Ren Qingqing Jin Huilun Li Minzhi Chen Ruihan Li Yan Xu Mudan Liu Jiamei Zhu Ya Su Fangyuan Wu Mi Xiang |
| author_sort | Jie Zhang |
| collection | DOAJ |
| description | Introduction:
Internet addiction (IA) is a modern problem. IA in the occupational population needs to be taken seriously. This study aims to investigate the prevalence of IA and explore the relationship between IA and anxiety, depression, and suicidal ideation and among aircrew members.
Methods:
From December 2022 to March 2023, a cross-sectional survey among all current aircrew members from 10 airlines that agreed to collaborate in China, including pilots, flight attendants, and aviation security officers. IA, anxiety, and depression were assessed using Young’s Internet Addiction Test, Generalized Anxiety Disorder-7, and Patient Health Questionnaire-9, respectively, along with the collection of other possible confounders.
Results:
This study included a total of 22,617 aircrew members, with a median age (interquartile range) of 30 years (27–34), including 13,712 (60.6%) males and 8,905 (39.4%) females. The increased severity of IA was associated with higher adjusted odds ratios for anxiety (mild: 1.46, 95% confidence interval [CI] [1.26–1.70]; moderate: 3.90, 95% CI [3.34–4.55]; severe: 7.24, 95% CI [5.43–9.67]; Ptrend <0.001), depression (mild: 1.74, 95% CI [1.54–1.96]; moderate: 3.64, 95% CI [3.18–4.16]; severe: 4.97, 95% CI [3.72–6.65]; Ptrend <0.001), and suicidal ideation (mild: 1.66, 95% CI [1.30–2.12]; moderate: 2.95, 95% CI [2.29-3.81]; and severe: 4.03, 95% CI [2.74–5.88]; Ptrend <0.001).
Conclusion:
IA is prevalent among Chinese aircrew members and associated mental health issues, with a dose–response relationship between IA severity and poor mental health odds. It is important to address IA and its mental link to aircrew for the sake of public safety and flight safety. |
| format | Article |
| id | doaj-art-9aadd756667a45eaa8184b5b2a7c9fa0 |
| institution | OA Journals |
| issn | 2772-4204 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Social Health and Behavior |
| spelling | doaj-art-9aadd756667a45eaa8184b5b2a7c9fa02025-08-20T02:32:00ZengWolters Kluwer Medknow PublicationsAsian Journal of Social Health and Behavior2772-42042025-07-018311612410.4103/shb.shb_302_24Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional SurveyJie ZhangErliang ZhangShuheng CuiLin ZhangBin RenQingqing JinHuilun LiMinzhi ChenRuihan LiYan XuMudan LiuJiamei ZhuYa SuFangyuan WuMi XiangIntroduction: Internet addiction (IA) is a modern problem. IA in the occupational population needs to be taken seriously. This study aims to investigate the prevalence of IA and explore the relationship between IA and anxiety, depression, and suicidal ideation and among aircrew members. Methods: From December 2022 to March 2023, a cross-sectional survey among all current aircrew members from 10 airlines that agreed to collaborate in China, including pilots, flight attendants, and aviation security officers. IA, anxiety, and depression were assessed using Young’s Internet Addiction Test, Generalized Anxiety Disorder-7, and Patient Health Questionnaire-9, respectively, along with the collection of other possible confounders. Results: This study included a total of 22,617 aircrew members, with a median age (interquartile range) of 30 years (27–34), including 13,712 (60.6%) males and 8,905 (39.4%) females. The increased severity of IA was associated with higher adjusted odds ratios for anxiety (mild: 1.46, 95% confidence interval [CI] [1.26–1.70]; moderate: 3.90, 95% CI [3.34–4.55]; severe: 7.24, 95% CI [5.43–9.67]; Ptrend <0.001), depression (mild: 1.74, 95% CI [1.54–1.96]; moderate: 3.64, 95% CI [3.18–4.16]; severe: 4.97, 95% CI [3.72–6.65]; Ptrend <0.001), and suicidal ideation (mild: 1.66, 95% CI [1.30–2.12]; moderate: 2.95, 95% CI [2.29-3.81]; and severe: 4.03, 95% CI [2.74–5.88]; Ptrend <0.001). Conclusion: IA is prevalent among Chinese aircrew members and associated mental health issues, with a dose–response relationship between IA severity and poor mental health odds. It is important to address IA and its mental link to aircrew for the sake of public safety and flight safety.https://journals.lww.com/10.4103/shb.shb_302_24anxietycivil aircrew membersdepressioninternet addictionsuicidal ideation |
| spellingShingle | Jie Zhang Erliang Zhang Shuheng Cui Lin Zhang Bin Ren Qingqing Jin Huilun Li Minzhi Chen Ruihan Li Yan Xu Mudan Liu Jiamei Zhu Ya Su Fangyuan Wu Mi Xiang Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional Survey Asian Journal of Social Health and Behavior anxiety civil aircrew members depression internet addiction suicidal ideation |
| title | Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional Survey |
| title_full | Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional Survey |
| title_fullStr | Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional Survey |
| title_full_unstemmed | Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional Survey |
| title_short | Association of Internet Addiction Severity with Anxiety, Depression, and Suicidal Ideation among Civil Aircrew Members: A Nationwide Cross-Sectional Survey |
| title_sort | association of internet addiction severity with anxiety depression and suicidal ideation among civil aircrew members a nationwide cross sectional survey |
| topic | anxiety civil aircrew members depression internet addiction suicidal ideation |
| url | https://journals.lww.com/10.4103/shb.shb_302_24 |
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