Joseph Jaison, Varghese Abin, Vr Vijay, Dhandapani Manju, Grover Sandeep, Sharma Suresh, Khakha Deepika, Mann Sucheta, Varkey Biji P
College of Nursing, Department of Psychiatric Nursing, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India.
College of Nursing, Bhopal Memorial Hospital and Research Centre, Bhopal, India.
Gen Psychiatr. 2021 Aug 20;34(4):e100496. doi: 10.1136/gpsych-2021-100496. eCollection 2021.
The internet is an integral part of everyone's life. College going adolescents are highly vulnerable to the misuse of the internet.
To estimate the pooled prevalence of internet addiction (IA) among college students in India.
Literature databases (PubMed, Web of Science, Scopus, EMBASE, PsycINFO and Google Scholar) were searched for studies assessing IA using the Young Internet Addiction Test (Y-IAT) among adolescents from India, published in the English language up to December 2020. We included studies from 2010 to 2020 as this is the marked era of momentum in wireless internet connectivity in India. The methodological quality of each study was scored, and data were extracted from the published reports. Pooled prevalence was estimated using the fixed-effects model. Publication bias was evaluated using Egger's test and visual inspection of the symmetry in funnel plots.
Fifty studies conducted in 19 states of India estimated the prevalence of IA and the overall prevalence of IA as 19.9% (95% CI: 19.3% to 20.5%) and 40.7% (95% CI: 38.7% to 42.8%) based on the Y-IAT cut-off scores of 50 and 40, respectively. The estimated prevalence of severe IA was significantly higher in the Y-IAT cut-off points of 70 than 80 (12.7% (95% CI: 11.2% to 14.3%) vs 4.6% (95% CI: 4.1% to 5.2%)). The sampling method and quality of included studies had a significant effect on the estimation of prevalence in which studies using non-probability sampling and low risk of bias (total quality score ≥7) reported lower prevalence. The overall quality of evidence was rated as 'moderate' based on the Grading of Recommendations Assessment, Development and Evaluation criteria.
Our nationally representative data suggest that about 20% to 40% of college students in India are at risk for IA. There is a need for further research in the reconsideration of Y-IAT cut-off points among Indian college students.
CRD42020219511.
互联网是每个人生活中不可或缺的一部分。上大学的青少年极易滥用互联网。
估计印度大学生中网络成瘾（IA）的合并患病率。
检索文献数据库（PubMed、科学网、Scopus、EMBASE、PsycINFO和谷歌学术），查找截至2020年12月以英文发表的、使用青少年网络成瘾测试（Y-IAT）评估印度青少年IA的研究。我们纳入了2010年至2020年的研究，因为这是印度无线互联网连接势头显著的时代。对每项研究的方法学质量进行评分，并从已发表的报告中提取数据。使用固定效应模型估计合并患病率。使用Egger检验和漏斗图对称性的可视化检查评估发表偏倚。
在印度19个邦进行的50项研究估计，根据Y-IAT截止分数50和40，IA患病率分别为19.9%（95%CI：19.3%至20.5%）和40.7%（95%CI：38.7%至42.8%）。Y-IAT截止分数70时估计的重度IA患病率显著高于80时（12.7%（95%CI：11.2%至14.3%）对4.6%（95%CI：4.1%至5.2%））。纳入研究的抽样方法和质量对患病率估计有显著影响，其中使用非概率抽样且偏倚风险低（总质量评分≥7）的研究报告的患病率较低。根据推荐评估、制定和评价标准，总体证据质量被评为“中等”。
我们具有全国代表性的数据表明，印度约20%至40%的大学生有IA风险。有必要进一步研究重新考虑印度大学生的Y-IAT截止分数。
PROSPERO注册号：CRD42020219511。
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