Department of Epidemiology, National Institute of Mental Health And Neuro Sciences, Bangalore 560029, India.
Health and Family Welfare Department, Government of Karnataka, Karnataka, Ballari 583212, India.
J Public Health (Oxf). 2022 Jun 27;44(2):286-295. doi: 10.1093/pubmed/fdaa257.
There is limited evidence on technology addiction among adolescents in low- and middle-income countries where 90% of global adolescents live. We aimed to investigate the prevalence and correlates of technology addiction (Internet, gaming, smartphone, television) among school-going adolescents in India.
A cross-sectional survey covering the entire district (administrative unit for health) of India was conducted among representative sample of school-going adolescents using stratified cluster sampling. A total of 1729 adolescents completed the survey (age M = 12.58; SD = 0.97) by responding to Internet Addiction Test-Adolescents, Game Addiction Scale, Smartphone Addiction Scale and Television Addiction Scale. Associated factors were analyzed using binomial logistic regression analysis.
Almost all the participants (99.59%; 95% confidence interval (CI): 99.28-99.91%) were using technology in one or other form. Prevalence of technology addiction among the users was 10.69% (95% CI: 5.26-16.11%). Phone addiction (8.91%; 95% CI: 3.31-14.52%) was the most common type followed by gaming addiction (2.55%; 95% CI: 1.16-3.95%). Technology addiction among adolescents was significantly associated with several risk factors at individual, family and school levels.
Technology addiction emerges as an important public health problem among adolescents in India. An integrated socio-ecological framework with multi-level approach that targets risk factors at various levels is required to promote healthy behaviors towards technology.
全球 90%的青少年生活在中低收入国家，这些国家针对青少年网络成瘾的研究证据有限。本研究旨在调查印度在校青少年网络成瘾（互联网、游戏、智能手机、电视）的流行率及其相关因素。
采用分层整群抽样，在印度具有代表性的在校青少年样本中进行了一项横断面调查。共有 1729 名青少年（年龄 M=12.58；SD=0.97）通过回答网络成瘾测试-青少年版、游戏成瘾量表、智能手机成瘾量表和电视成瘾量表完成了调查。采用二项逻辑回归分析对相关因素进行分析。
几乎所有的参与者（99.59%；95%置信区间（CI）：99.28-99.91%）都以一种或另一种形式使用技术。在使用者中，技术成瘾的患病率为 10.69%（95% CI：5.26-16.11%）。手机成瘾（8.91%；95% CI：3.31-14.52%）是最常见的类型，其次是游戏成瘾（2.55%；95% CI：1.16-3.95%）。青少年的技术成瘾与个体、家庭和学校层面的几个风险因素显著相关。
技术成瘾已成为印度青少年面临的一个重要公共卫生问题。需要采用多层面的综合社会生态框架，针对各个层面的风险因素，促进青少年对技术的健康使用。
