Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal
BMJ Open. 2024 Nov 9;14(11):e083967. doi: 10.1136/bmjopen-2024-083967.
To estimate the prevalence of internet addiction and its associated factors among secondary-level private school students in an urban municipality in Nepal.
Cross sectional.
Private schools in Budhanilkantha Municipality, Kathmandu District in Nepal.
376 secondary-level (grades 9-12) school students.
Internet addiction prevalence was the primary outcome measure. We conducted a cross-sectional survey using a self-administered structured questionnaire containing information on participants' sociodemographic profile, technological factors associated with internet use along with Young's internet addiction test, insomnia severity index and depression anxiety stress scales to assess internet addiction and associated factors. Pearson's χ2 tests and binary logistic regression were performed to examine the association between dependent and independent variables at a 5% level of significance.
The prevalence of internet addiction was 51.10% (95% CI 46 to 55.60). Students who lived alone or with friends in an apartment had a higher likelihood of internet addiction compared with those living with their parents (adjusted odds ratio (AOR) 2.89, 95% CI 1.03 to 8.11). On the other hand, students residing in hostels were less likely to be affected (AOR 0.21, 95% CI 0.06 to 0.76). Additionally, spending 2 or more hours online per day was associated with a higher risk of internet addiction (AOR 2.09, 95% CI 1.20 to 3.63) compared with those who spent less than 2 hours per day online. Individuals with severe to extremely severe depression were more likely to have internet addiction (AOR 2.99, 95% CI 1.03 to 8.66) compared with individuals without depressive symptoms. Furthermore, a notable association was observed between internet addiction and insomnia. Individuals who experienced mild to moderate insomnia (AOR 5.19, 95% CI 2.93 to 9.19) and severe insomnia (AOR 21.09, 95% CI 2.09 to 212.91) were at significantly higher risk of internet addiction compared with those without clinically significant insomnia.
Prevalence of internet addiction among school-going adolescents in urban Nepal is high. Living situations, average time spent online, depression and insomnia are potential drivers of internet addiction.
估计尼泊尔一个城市自治市私立学校中学生网络成瘾的流行率及其相关因素。
横断面研究。
尼泊尔加德满都县布丹尼勒坎塔自治市的私立学校。
376 名中学（9-12 年级）学生。
网络成瘾的流行率是主要的结果测量。我们使用包含参与者社会人口特征、与互联网使用相关的技术因素以及杨的网络成瘾测试、失眠严重指数和抑郁焦虑压力量表的自我管理结构问卷进行了横断面调查，以评估网络成瘾和相关因素。在 5%的显著性水平上，采用 Pearson χ2 检验和二项逻辑回归检验了因变量和自变量之间的关系。
网络成瘾的流行率为 51.10%（95%CI 46 至 55.60）。与与父母同住的学生相比，独自或与朋友一起居住在公寓里的学生更有可能网络成瘾（调整后的优势比（AOR）2.89，95%CI 1.03 至 8.11）。另一方面，住在宿舍的学生受影响的可能性较小（AOR 0.21，95%CI 0.06 至 0.76）。此外，与每天上网时间少于 2 小时的学生相比，每天上网 2 小时或以上的学生患网络成瘾的风险更高（AOR 2.09，95%CI 1.20 至 3.63）。与没有抑郁症状的个体相比，严重到极度严重的抑郁个体更有可能出现网络成瘾（AOR 2.99，95%CI 1.03 至 8.66）。此外，网络成瘾与失眠之间存在显著关联。与没有临床显著失眠的个体相比，轻度至中度失眠（AOR 5.19，95%CI 2.93 至 9.19）和严重失眠（AOR 21.09，95%CI 2.09 至 212.91）的个体患网络成瘾的风险显著更高。
尼泊尔城市地区上学青少年网络成瘾的流行率较高。生活环境、平均上网时间、抑郁和失眠是网络成瘾的潜在驱动因素。
