Centre for Family Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia.
Centre for Burden of Disease Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia.
Int J Environ Res Public Health. 2020 Dec 29;18(1):168. doi: 10.3390/ijerph18010168.
Internet addiction (IA) among adolescents is an issue of growing concern with adverse effects on adolescents' health and social functioning. This study aims to determine the prevalence of IA among school-going adolescents in Malaysia and its associated factors-specifically, lifestyle factors. A nationwide cross-sectional school-based health survey was conducted in 2017 among 27,497 students from 212 randomly selected secondary schools. Information regarding sociodemography, lifestyle, and internet use was obtained using a self-administered questionnaire. IA was measured using the Malay Version of Internet Addiction Test (MVIAT). The prevalence of internet addiction was 29.0%. A multivariable logistic analysis revealed that inadequate fruit and vegetable intakes, consumed carbonated soft drinks at least once a day, consumed fast food at least three days/week, sedentary behavior, current E-cigarette users, and ever/current alcohol drinkers were lifestyle factors significantly associated with IA. Adolescents from urban schools, of higher school grade, and those whose parents are married but living apart were also found to have a greater risk for internet addiction. A positive association was found between IA with unhealthy dietary and lifestyle behaviors among adolescents. The modification of lifestyle factors needs to be considered while developing strategies and interventions for awareness-raising and prevention of IA among adolescents.
青少年网络成瘾（IA）是一个日益引起关注的问题，会对青少年的健康和社交功能产生不良影响。本研究旨在确定马来西亚在校青少年中网络成瘾的流行率及其相关因素，特别是生活方式因素。2017 年，在 212 所随机选择的中学中，对 27497 名学生进行了一项全国性的横断面学校健康调查。使用自我管理问卷获取有关社会人口统计学、生活方式和互联网使用的信息。使用马来语版网络成瘾测试（MVIAT）来衡量网络成瘾。网络成瘾的流行率为 29.0%。多变量逻辑分析显示，水果和蔬菜摄入量不足、每天至少喝一次碳酸软饮料、每周至少吃三次快餐、久坐行为、当前电子烟使用者以及曾经/现在饮酒者是与网络成瘾显著相关的生活方式因素。来自城市学校、较高年级的青少年，以及父母已婚但分居的青少年，也被发现有更高的网络成瘾风险。网络成瘾与青少年不健康的饮食和生活方式行为之间存在正相关关系。在制定策略和干预措施以提高青少年对网络成瘾的认识和预防网络成瘾时，需要考虑生活方式因素的改变。
