Mekonnen Yiknashewa Solomon, Tessema Selamawit Alemayehu, Bedane Solomon Dhabi, Ali Askalemariam Bikiss
Department of Psychiatry, St. Paul's Hospital Millennium Medical College, Addis Ababa, Addis Ababa, Ethiopia.
Department of Psychiatry, St. Peter's Specialized Hospital, Addis Ababa, Ethiopia.
BMC Psychiatry. 2024 Dec 31;24(1):960. doi: 10.1186/s12888-024-06390-y.
Problematic Internet use (PIU) is a growing concern in modern society. There is a limitation of epidemiologic data related to PIU. This is due to a lack of consensus on the definition and variability of assessment tools of PIU. PIU has been linked to a range of negative outcomes including depression, anxiety, social isolation, and poor academic or work performance. Resident physicians are at risk of exhibiting problematic internet use due to the high stress of academic demands, social isolation, long working hours, busy schedules, and internet access. There is limited research on this topic and targeting resident physicians in Ethiopia. This study aimed to determine the PIU prevalence and associated factors among resident physicians in SPHMMC, Ethiopia.
An institutional-based cross-sectional study was conducted from September 1, 2023, to November 25, 2023, at St. Paul's Hospital Millennium Medical College (SPHMMC). This study included 417 physician residents who were selected using multistage sampling techniques, and Young's Internet addiction test was used to assess PIU. To look for associations, logistic regression analysis, both binary and multivariable, was performed, and a p-value of < 0.05 was used to determine statistical significance.
414 participants were included in this study, with a response rate of 99.3%. The prevalence of PIU was 46.6%, with a 95% CI of 41.7-51.6%. The multivariable logistic regression model revealed that using the Internet for five or more hours per day (AOR: 1.84, 95% CI = 1.14, 2.99), having less than 7 h of actual sleep per night (AOR: 2.16, 95% CI = 1.03, 4.53), and having depression (AOR: 7.98, 95% CI = 2.47, 25.78) were significantly positively associated with PIU. In addition, factors such as being married (AOR: 0.42, 95% CI = 0.19, 0.91) and residents of the obstetrics and gynecology department (AOR: 0.32, 95% CI = 0.13, 0.81) were negatively associated with PIU.
This study revealed high PIU use among resident physicians at SPHMMC. Factors such as using the Internet for five or more hours per day, having less than seven hours of actual sleep per night, and having depression were found to be risk factors for PIU. On the other hand, being married and residents of the obstetrics and gynecology department were protective factors. Thus, creating awareness among medical residents about healthy tech habits and involving policymakers to develop guidelines for healthy internet use and awareness campaigns to reduce the impact of PIU is recommended.
网络使用问题（PIU）在现代社会中日益受到关注。与PIU相关的流行病学数据存在局限性。这是由于对PIU的定义和评估工具的变异性缺乏共识。PIU与一系列负面结果有关，包括抑郁、焦虑、社交隔离以及学业或工作表现不佳。住院医师由于学术要求高、社交隔离、工作时间长、日程繁忙以及可上网等因素，存在网络使用问题的风险。针对这一主题且以埃塞俄比亚住院医师为对象的研究有限。本研究旨在确定埃塞俄比亚圣保禄医院千禧医学院（SPHMMC）住院医师中PIU的患病率及相关因素。
于2023年9月1日至2023年11月25日在圣保禄医院千禧医学院开展了一项基于机构的横断面研究。本研究纳入了417名使用多阶段抽样技术选取的医师住院医师，并使用杨氏网络成瘾测试来评估PIU。为寻找关联因素，进行了二元和多变量逻辑回归分析，以p值<0.05来确定统计学意义。
本研究纳入了414名参与者，应答率为99.3%。PIU的患病率为46.6%，95%置信区间为41.7 - 51.6%。多变量逻辑回归模型显示，每天上网5小时或更长时间（调整后比值比[AOR]：1.84，95%置信区间 = 1.14，2.99）、每晚实际睡眠时间少于7小时（AOR：2.16，95%置信区间 = 1.03，4.53）以及患有抑郁症（AOR：7.98，95%置信区间 = 2.47，25.78）与PIU显著正相关。此外，已婚（AOR：0.42，95%置信区间 = 0.19，0.91）和妇产科住院医师（AOR：0.32，95%置信区间 = 0.13，0.81）等因素与PIU呈负相关。
本研究揭示了SPHMMC住院医师中PIU的高使用率。发现每天上网5小时或更长时间、每晚实际睡眠时间少于7小时以及患有抑郁症等因素是PIU的危险因素。另一方面，已婚和妇产科住院医师是保护因素。因此，建议提高住院医师对健康科技习惯的认识，并让政策制定者参与制定健康网络使用指南和开展提高认识活动，以减少PIU的影响。
