Hasan Huseyin Cam, PhD, Yusuf Şerefoğlu Faculty of Health Sciences, Department of Public Health Nursing, Kilis 7 Aralik University, Turkey, ORCID ID: 0000-0002-1722-4727. Fadime Ustuner Top, PhD, Faculty of Health Sciences, Department of Child Health and Disease Nursing, Giresun University, Turkey, ORCID ID: 0000-0002-7341-5704.
J Addict Nurs. 2020 Oct/Dec;31(4):253-260. doi: 10.1097/JAN.0000000000000365.
This study aimed to investigate the prevalence of problematic internet use (PIU) among high school students, to evaluate its potential risk factors, and to investigate its relation to self-esteem and health-related quality of life.
This cross-sectional study included 1,558 high school students in Turkey. Participants completed the Internet Addiction Test as well as the Rosenberg Self-Esteem Scale and 12-item Short Form Health Survey. Demographics and internet usage patterns were also collected. Data analysis was conducted by descriptive and analytical statistics (Pearson chi-square tests, independent-samples t test, and binary logistic regression).
The mean age of the participants was 16.20 ± 1.05 years. Nearly 21.1% of the participants exhibited PIU (Internet Addiction Test score ≥ 50). The findings indicated that PIU was associated with poor self-esteem and poor physical and mental health. The PIU was significantly higher among students using the internet for social networking. The chi-square analysis showed a significant correlation between the severities of PIU and the students' type of school, residence, perceived academic performance, and relationship with parents (p < .05). No significant correlation was found between PIU severity and age group, gender, number of siblings, paternal or maternal educational levels, self-reported family income, sleep duration, or whether or not they resided with parents (p > .05).
PIU was found to be a common problem among high school students, and it was significantly correlated with self-esteem and health-related quality of life. To alleviate this public health problem, at-risk groups should be identified and timely management strategies and effective prevention programs should be established.
本研究旨在调查高中生中网络成瘾问题（PIU）的流行情况，评估其潜在的危险因素，并探讨其与自尊和健康相关生活质量的关系。
这是一项在土耳其进行的横断面研究，共纳入 1558 名高中生。参与者完成了网络成瘾测试、罗森伯格自尊量表和 12 项简短健康调查。还收集了人口统计学和互联网使用模式的数据。数据分析采用描述性和分析性统计（皮尔逊卡方检验、独立样本 t 检验和二元逻辑回归）。
参与者的平均年龄为 16.20 ± 1.05 岁。近 21.1%的参与者存在 PIU（网络成瘾测试得分≥50）。研究结果表明，PIU 与自尊低下和身心健康状况不佳有关。在使用互联网进行社交网络的学生中，PIU 明显更高。卡方分析显示，PIU 的严重程度与学生的学校类型、居住地、感知学业成绩以及与父母的关系之间存在显著相关性（p<0.05）。然而，PIU 的严重程度与年龄组、性别、兄弟姐妹数量、父母的教育水平、自我报告的家庭收入、睡眠时间以及是否与父母同住之间无显著相关性（p>0.05）。
PIU 在高中生中是一个普遍存在的问题，与自尊和健康相关生活质量显著相关。为了缓解这一公共卫生问题，应确定高危人群，并制定及时的管理策略和有效的预防计划。
