title: Interactions of problematic mobile phone use and psychopathological symptoms with unintentional injuries: a school-based sample of Chinese adolescents.
abstract: BACKGROUND
  Unintentional injuries are a major contributor to morbidity and mortality in adolescents. Mobile phone use in certain circumstances (e.g., driving, cycling, walking) and mental health conditions are risk factors for unintentional injury. However, research on the interactions between problematic mobile phone use (PMPU) and psychopathological symptoms in unintentional injuries is limited. The present study aimed to determine the prevalence of unintentional injuries (road traffic injuries, pedestrian collisions, and falls) and examined interactions of PMPU and psychopathological symptoms with unintentional injuries in a school-based sample of Chinese adolescents.
  
  
  METHODS
  A total of 14,221 students (6915 middle school students and 7306 high school students) were randomly selected from 32 schools in four cities in China in 2012. The sample comprised 6712 boys and 7509 girls with a mean age of 15.12 years (standard deviation 1.89 years). PMPU, psychopathological symptoms, and unintentional injuries were measured with validated instruments. Chi-square tests and multivariable logistic regression were used to analyze the rates of unintentional injuries, the relationship with PMPU and psychopathological symptoms, and the interactions of PMPU and psychopathological symptoms with unintentional injuries.
  
  
  RESULTS
  The prevalence of road traffic injuries, pedestrian collisions, and falls were 4.9, 16.2, and 10.1 %, respectively. The rates of unintentional injuries were higher among students with PMPU and psychopathological symptoms. Interaction analysis indicated that psychopathological symptoms were associated with a greater increase in the likelihood of unintentional injuries for adolescents with PMPU than for those without PMPU.
  
  
  CONCLUSIONS
  The findings indicate that unintentional injuries in adolescents are an important public health issue in China that merit further research. Intervention programs must consider the adolescents' behavioral and psychological health.
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui Province, 230032, China.
authors.forename: Shuman
authors.initials: S
authors.lastname: Tao
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui Province, 230032, China.|Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, 230032, China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Wu
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui Province, 230032, China.
authors.forename: Yuhui
authors.initials: Y
authors.lastname: Wan
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui Province, 230032, China.|Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, 230032, China.
authors.forename: Shichen
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui Province, 230032, China.|Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, 230032, China.
authors.forename: Jiahu
authors.initials: J
authors.lastname: Hao
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui Province, 230032, China. taofangbiao@126.com.|Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, 230032, China. taofangbiao@126.com.
authors.forename: Fangbiao
authors.initials: F
authors.lastname: Tao
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D040421:Cell Phone / Q000706:statistics & numerical data*; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000523:psychology*
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