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. 2022 Mar 3;17(3):e0264716. doi: 10.1371/journal.pone.0264716

Table 4. Gender-stratified Poisson regression analysis of the associations of internet addiction with poor sleep quality, self-rated health, and psychological distress.

Poor sleep quality
Exposure/s Female (n = 335) Male (n = 290)
No. of cases RR (95% CI) & No. of cases RR (95% CI) &
Problematic internet use
    No 93 1.00 57 1.00
    Yes 34 1.17 (0.86, 1.58) 36 1.63 (1.17, 2.26)
P for interaction! .122
Level of internet addiction
    Lowest quintile (ref) 23 1.00 11 1.00
    2nd quintile 24 1.08 (0.69, 1.71) 18 1.56 (0.80, 3.02)
    3rd quintile 26 1.10 (0.70, 1.72) 18 1.53 (0.79, 2.97)
    4th quintile 25 1.08 (0.69, 1.70) 17 1.86 (0.96, 3.59)
    Highest quintile 29 1.40 (0.91, 2.15) 29 2.83 (1.51, 4.95)
P for heterogeneity* .542 .004
P for trend# .176 .001
P for interaction! .478
Internet addiction z-scores (per std. deviation) 1.14 (1.01, 1.30) 1.32 (1.14, 1.54)
P for interaction! 0.115
Psychological distress
Problematic internet use
    No 132 1.00 62 1.00
    Yes 56 1.32 (1.09, 1.59) 47 1.93 (1.46, 2.56)
P for interaction! .025
Level of Internet addiction
    Lowest quintile (ref) 25 1.00 9 1.00
    2nd quintile 34 1.39 (0.91, 3.62) 19 197 (0.97, 4.02)
    3rd quintile 39 1.55 (1.15, 4.55) 19 1.94 (0.96, 3.94)
    4th quintile 47 1.85 (1.81, 7.44) 28 3.72 (1.94, 7.12)
    Highest quintile 43 1.83 (1.74, 7.44) 34 3.81 (2.01, 7.21)
P for heterogeneity* .004 .001
P for trend# .001 .001
P for interaction! .153
Internet addiction z-scores (per std. deviation) 1.20 (1.11, 1.30) 1.41 (1.24, 1.61)
P for interaction# .040
Poor/fair self-rated health
Problematic internet use
    No 143 1.00 86 1.00
    Yes 46 1.01 (0.81, 1.25) 37 1.09 (0.82, 1.45)
P for interaction! .607
Level of Internet addiction
    Lowest quintile (ref) 27 1.00 16 1.00
    2nd quintile 37 1.41 (0.98, 2.03) 28 1.62 (0.98, 2.68)
    3rd quintile 43 1.58 (1.12, 2.23) 30 1.71 (1.05, 2.80)
    4th quintile 49 1.79 (1.28, 2.48) 23 1.71 (1.02, 2.87)
    Highest quintile 33 1.31 (0.90, 1.90) 26 1.62 (0.98, 2.68)
P for heterogeneity* .006 .263
P for trend# .035 .076
P for interaction! .684
Internet addiction z-scores (per std. deviation) 1.07 (0.98, 1.18) 1.09 (0.96, 1.24)
P for interaction! .720

Note: RR: Risk Ratio, CI: Confidence Interval.

&The estimates were minimally adjusted for age.

!P-value for interaction was obtained from the pooled sample by fitting an exposure*gender interaction term in the age-adjusted Poisson model.

*P-value for heterogeneity to test the overall association between quintiles of IA and the outcome.

#P-value for trend to test whether the quintiles of IA are linearly associated with the outcome.