Alkousheh Hazim, Shereer Fadel Tayseer, Abu Suilik Husam, Alkousheh Yara, Habarneh Abeer, Alfauri Yara, Ismail Waed, AlQatawneh Rahaf, Atallah Tala, Al-Baka'in Sandra, Abu Al Karsaneh Ola
Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
School of Medicine, The University of Jordan, Amman, 11942, Jordan.
J Community Health. 2025 Jun 30. doi: 10.1007/s10900-025-01495-1.
The rise in internet use among students is a growing concern about its impact on physical health. This study aimed to assess the prevalence of internet addiction and its association with musculoskeletal pain among medical students in Jordan. A national cross-sectional study was conducted from February to March 2025 across undergraduate medical students in six Jordanian universities, using an online questionnaire that included three sections: demographics, the Internet Addiction Test (IAT), and the Nordic Musculoskeletal Questionnaire-Extended (NMQ-E). Data were analysed using descriptive statistics, chi-square tests, and multivariable logistic regression for the associations between internet addiction and musculoskeletal complaints across nine body regions. Among 1100 students, 65.9% were females. Most students fell within mild (38.7%) or moderate (27.6%) internet addiction levels, while 29.5% were classified as having normal internet use, and 4.1% showed severe addiction. Gender and academic year were not significantly associated with addiction level, though university affiliation was (p = 0.017). Musculoskeletal pain was very common, especially in the neck (67.6%), shoulders (43.5%), and lower back (38.2%). Regression analysis showed that male students had higher odds of experiencing elbow (p = 0.011) and ankle/foot pain (p = 0.049), but lower odds of neck (p < 0.001), shoulder (p < 0.001), and upper back pain (p < 0.001). Internet addiction scores showed no strong link to musculoskeletal symptoms, except for elbow discomfort (p = 0.036). Internet addiction is common among medical students in Jordan, but it shows a limited association with musculoskeletal disorders. Nonetheless, the high prevalence of both conditions highlights the need for integrated strategies that promote healthy digital habits and physical well-being among students.
学生中互联网使用的增加引发了对其对身体健康影响的日益关注。本研究旨在评估约旦医科学生中网络成瘾的患病率及其与肌肉骨骼疼痛的关联。2025年2月至3月，对约旦六所大学的本科医学生进行了一项全国性横断面研究，使用了一份在线问卷，该问卷包括三个部分：人口统计学、网络成瘾测试（IAT）和北欧肌肉骨骼问卷扩展版（NMQ-E）。使用描述性统计、卡方检验和多变量逻辑回归分析了九个身体部位的网络成瘾与肌肉骨骼症状之间的关联。在1100名学生中，65.9%为女性。大多数学生处于轻度（38.7%）或中度（27.6%）网络成瘾水平，而29.5%被归类为网络使用正常，4.1%表现为重度成瘾。性别和学年与成瘾水平无显著关联，不过大学所属机构与成瘾水平有关联（p = 0.017）。肌肉骨骼疼痛非常普遍，尤其是在颈部（67.6%）、肩部（43.5%）和下背部（38.2%）。回归分析表明，男学生肘部疼痛（p = 0.011）和踝/足部疼痛（p = 0.049）的几率较高，但颈部（p < 0.001）、肩部（p < 0.001）和上背部疼痛（p < 0.001）的几率较低。除肘部不适（p = 0.036）外，网络成瘾得分与肌肉骨骼症状无紧密联系。网络成瘾在约旦医科学生中很常见，但与肌肉骨骼疾病的关联有限。尽管如此，这两种情况的高患病率凸显了制定综合策略以促进学生健康数字习惯和身体健康的必要性。
