Tsimtsiou Zoi, Haidich Anna-Bettina, Drontsos Anastasios, Dantsi Fotini, Sekeri Zafiria, Drosos Evangelos, Trikilis Nikolaos, Dardavesis Theodoros, Nanos Panagiotis, Arvanitidou Malamatenia
Department of Hygiene, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece.
Urban Health Center of Evosmos, Thessaloniki, Greece.
Int J Adolesc Med Health. 2017 Apr 22;30(6):/j/ijamh.2018.30.issue-6/ijamh-2016-0115/ijamh-2016-0115.xml. doi: 10.1515/ijamh-2016-0115.
Purpose This study investigated the prevalence of Internet addiction (IA) and cyberbullying and examined profiles of adolescents with increased risk to develop pathological behaviors. Methods In this cross-sectional, school-based study, 8053 students of 30 middle and 21 high schools (12-18 years old) were invited to participate, based on a multistage stratified random sampling technique. The Internet aiddiction test (IAT) was used along with information on socio-demographics, Internet activities and cyberbullying experience. Results Five thousand five hundred and ninety students participated (response rate 69.4%). Pathological Internet use (IAT ≥50) was found in 526 (10.1%), while 403 (7.3%) experienced cyberbullying as victims and 367 (6.6%) as perpetrators during the last year. In multivariable models, the odds of IA increased with online hours on mobile phones and Internet use during weekends, Internet café visits, chatrooms usage and engagement in cyberbullying. Cyberbullying victims were more likely to be older, female, Facebook and chatrooms users, while perpetrators were more likely to be male, older Internet users and fans of pornographic sites. A perpetrator was significantly more likely to have also been a victim [odds ratio (OR) = 5.51, confidence interval (CI): 3.92-7.74]. Hours of daily Internet use on a mobile phone was independently associated with IA and cyberbullying (OR) 1.41, 95% CI 1.30, 1.53 and OR 1.11, 95% CI 1.01, 1.21, respectively. Conclusions Cyberbullying is associated with IA and the hours spent online on a mobile phone affected both conditions. The increasing Internet access through mobile phones or other devices should be accompanied by the appropriate education of both parents and adolescents on safe Internet use.
目的 本研究调查了网络成瘾（IA）和网络欺凌的患病率，并探讨了具有发展成病理行为高风险的青少年的特征。方法 在这项基于学校的横断面研究中，采用多阶段分层随机抽样技术，邀请了30所初中和21所高中的8053名学生（12 - 18岁）参与。使用网络成瘾测试（IAT）以及社会人口统计学、网络活动和网络欺凌经历等信息。结果 5590名学生参与了研究（应答率69.4%）。发现526名学生（10.1%）存在病理性网络使用（IAT≥50），在过去一年中，403名学生（7.3%）曾是网络欺凌的受害者，367名学生（6.6%）曾是网络欺凌的实施者。在多变量模型中，IA的几率随着周末使用手机上网的时长、在网吧上网、使用聊天室以及参与网络欺凌而增加。网络欺凌的受害者更可能年龄较大、为女性、使用Facebook和聊天室，而实施者更可能为男性、年龄较大的网络使用者且是色情网站的粉丝。实施者同时也是受害者的可能性显著更高[优势比（OR）=5.51，置信区间（CI）：3.92 - 7.74]。每天使用手机上网的时长分别与IA和网络欺凌独立相关（OR分别为1.41，95%CI 1.30，1.53；OR为1.11，95%CI 1.01，1.21）。结论 网络欺凌与IA相关，且在手机上上网的时长对这两种情况均有影响。通过手机或其他设备增加互联网接入的同时，应伴随对家长和青少年进行安全使用互联网的适当教育。
