{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T16:39:20Z","timestamp":1786639160466,"version":"build-2736575974"},"reference-count":72,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Hunan Provincial Social Science Achievement Review Committee Project","award":["XSP19YBZ177"],"award-info":[{"award-number":["XSP19YBZ177"]}]},{"name":"Hunan Provincial Social Science Achievement Review Committee Project","award":["2020TY013109ZB"],"award-info":[{"award-number":["2020TY013109ZB"]}]},{"name":"Cultural Research Center of Countries along the \u201cSouthwest Silk Road\u201d  of the Ethnic Affairs Commission of the People's Republic of China (Jishou University)","award":["XSP19YBZ177"],"award-info":[{"award-number":["XSP19YBZ177"]}]},{"name":"Cultural Research Center of Countries along the \u201cSouthwest Silk Road\u201d  of the Ethnic Affairs Commission of the People's Republic of China (Jishou University)","award":["2020TY013109ZB"],"award-info":[{"award-number":["2020TY013109ZB"]}]},{"name":"Fourth Batch of Educational Research \u201cSports and Health\u201d  Special Project of the China Education Society","award":["XSP19YBZ177"],"award-info":[{"award-number":["XSP19YBZ177"]}]},{"name":"Fourth Batch of Educational Research \u201cSports and Health\u201d  Special Project of the China Education Society","award":["2020TY013109ZB"],"award-info":[{"award-number":["2020TY013109ZB"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The direct impact of smartphones on health risk behaviors of adolescent students has been verified. However, the mediating mechanisms that underly this relationship remain largely unknown. Therefore, the aim of the study is to explore the role of family health in mediating the relationship between the frequency of smartphone use and adolescent students\u2019 health risk behaviors. A questionnaire was used to collect cross-sectional data from 693 adolescent students aged 12\u201318 in China and a structural equation model was analyzed. Among the nine health risk behaviors, the most frequent health risk behaviors in Chinese adolescent students were non-compliance walking behaviors (M=Mean; SD = Standard deviation) (M \u00b1 SD) (2.78 \u00b1 1.747), eating unhygienic food (M \u00b1 SD) (2.23 \u00b1 1.299), being subjected to physical violence (M \u00b1 SD) (2.19 \u00b1 0.645), and leaving home (M \u00b1 SD) (2.13 \u00b1 0.557). The SEM results showed that the adolescent students\u2019 smartphone use had a positive impact on delaying the age of first alcohol consumption (\u03b2 = 0.167, CI:0.067 0.287) and a negative impact on the non-compliance walking behaviors (\u03b2 = 0.176, CI:0.011 0.266). Family health plays an indirect-only mediated role (the proportions of indirect-only mediated roles are 11.2%, 12.4%, and 11.5%) in the relationship between smartphone use and adolescent students\u2019 partial health risk behaviors: (CI: \u22120.042 \u22120.002), (CI: \u22120.049 \u22120.005), and (CI: \u22120.043 \u22120.002). These findings provided a theoretical and practical basis for better interventions in adolescent health risk behaviors.<\/jats:p>","DOI":"10.3390\/ijerph192013378","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T05:08:02Z","timestamp":1665983282000},"page":"13378","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Role of Family Health in Mediating the Association between Smartphone Use and Health Risk Behaviors among Chinese Adolescent Students: A National Cross-Sectional Study"],"prefix":"10.3390","volume":"19","author":[{"given":"Fangmin","family":"Gong","sequence":"first","affiliation":[{"name":"School of Literature and Journalism Communication, Jishou University, Jishou 416000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaowen","family":"Lei","sequence":"additional","affiliation":[{"name":"School of Literature and Journalism Communication, Jishou University, Jishou 416000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9305-1103","authenticated-orcid":false,"given":"Zhuliu","family":"Gong","sequence":"additional","affiliation":[{"name":"School of Literature and Journalism Communication, Jishou University, Jishou 416000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hewei","family":"Min","sequence":"additional","affiliation":[{"name":"School of Public Health, Peking University, Beijing 100871, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pu","family":"Ge","sequence":"additional","affiliation":[{"name":"Bachelor of Pharmacy Institute of Chinese Medicinal Sciences, University of Macau, Macao 999078, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Guo","sequence":"additional","affiliation":[{"name":"School of Public Health, Peking University, Beijing 100871, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8846-7515","authenticated-orcid":false,"given":"Wai-Kit","family":"Ming","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong 999077, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinying","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Public Health, Peking University, Beijing 100871, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9607-313X","authenticated-orcid":false,"given":"Yibo","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Public Health, Peking University, Beijing 100871, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"ref_1","unstructured":"(2022, May 22). 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