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The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study
BACKGROUND: Internet addiction has emerged as a major global concern as a potential adverse impact of internet exposure on adolescents. Internet addiction is associated with many demographic variables; however, there is a lack of consensus on its relationship with health literacy. Therefore, the aim...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038306/ https://www.ncbi.nlm.nih.gov/pubmed/36961794 http://dx.doi.org/10.1371/journal.pone.0283634 |
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author | Liu, Yang Wu, Nannan Yan, Jie Yu, Junjie Liao, Liping Wang, Hong |
author_facet | Liu, Yang Wu, Nannan Yan, Jie Yu, Junjie Liao, Liping Wang, Hong |
author_sort | Liu, Yang |
collection | PubMed |
description | BACKGROUND: Internet addiction has emerged as a major global concern as a potential adverse impact of internet exposure on adolescents. Internet addiction is associated with many demographic variables; however, there is a lack of consensus on its relationship with health literacy. Therefore, the aim of the present study was to assess the rates of internet addiction and health literacy level among middle school students (grades 7 to 12) in Chongqing, China, as well as to investigate the association between them. METHODS: A cross-sectional, questionnaire-based study was conducted among 8971 students who were randomly selected by using stratified cluster sampling between November and December 2019. The Internet Addiction Diagnostic Questionnaire, Adolescent Health Literacy Scale and a self-designed basic information questionnaire were used to collect data. Chi-square tests were performed to compare the differences in the distribution of internet addiction across health literacy levels as well as some sociodemographic characteristics. Multivariate logistic regression analyses were conducted to identify the association between health literacy and internet addiction. RESULTS: The prevalence of internet addiction among middle school students in Chongqing was 6.1%. The percentage of the students who spent more than 4 hours online every day in the past week was 14.3%. In addition, 26.7%, 26.0%, 28.3% and 26.3% of the participants reported low functional, interactive, critical and total health literacy, respectively. After adjusting for the confounding effects of demographics, multivariate regression analysis showed that critical health literacy was a protective variable for internet addiction, while functional, and interactive health literacy were the risk variable (P<0.05). Furthermore, the internet addiction rates were higher among boys, students with good peer relationships, and students without parental supervision, whereas internet addiction rates were lowest among students in grade 12. CONCLUSIONS: The prevalence of internet addiction among middle school students in Chongqing is relatively high. Internet addiction is strongly negatively associated with critical health literacy, but it is positively associated with functional and interactive health literacy but not total health literacy. This study provides preliminary evidence for the predictive role of health literacy in internet addiction of adolescents. |
format | Online Article Text |
id | pubmed-10038306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-100383062023-03-25 The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study Liu, Yang Wu, Nannan Yan, Jie Yu, Junjie Liao, Liping Wang, Hong PLoS One Research Article BACKGROUND: Internet addiction has emerged as a major global concern as a potential adverse impact of internet exposure on adolescents. Internet addiction is associated with many demographic variables; however, there is a lack of consensus on its relationship with health literacy. Therefore, the aim of the present study was to assess the rates of internet addiction and health literacy level among middle school students (grades 7 to 12) in Chongqing, China, as well as to investigate the association between them. METHODS: A cross-sectional, questionnaire-based study was conducted among 8971 students who were randomly selected by using stratified cluster sampling between November and December 2019. The Internet Addiction Diagnostic Questionnaire, Adolescent Health Literacy Scale and a self-designed basic information questionnaire were used to collect data. Chi-square tests were performed to compare the differences in the distribution of internet addiction across health literacy levels as well as some sociodemographic characteristics. Multivariate logistic regression analyses were conducted to identify the association between health literacy and internet addiction. RESULTS: The prevalence of internet addiction among middle school students in Chongqing was 6.1%. The percentage of the students who spent more than 4 hours online every day in the past week was 14.3%. In addition, 26.7%, 26.0%, 28.3% and 26.3% of the participants reported low functional, interactive, critical and total health literacy, respectively. After adjusting for the confounding effects of demographics, multivariate regression analysis showed that critical health literacy was a protective variable for internet addiction, while functional, and interactive health literacy were the risk variable (P<0.05). Furthermore, the internet addiction rates were higher among boys, students with good peer relationships, and students without parental supervision, whereas internet addiction rates were lowest among students in grade 12. CONCLUSIONS: The prevalence of internet addiction among middle school students in Chongqing is relatively high. Internet addiction is strongly negatively associated with critical health literacy, but it is positively associated with functional and interactive health literacy but not total health literacy. This study provides preliminary evidence for the predictive role of health literacy in internet addiction of adolescents. Public Library of Science 2023-03-24 /pmc/articles/PMC10038306/ /pubmed/36961794 http://dx.doi.org/10.1371/journal.pone.0283634 Text en © 2023 Liu et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Liu, Yang Wu, Nannan Yan, Jie Yu, Junjie Liao, Liping Wang, Hong The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study |
title | The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study |
title_full | The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study |
title_fullStr | The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study |
title_full_unstemmed | The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study |
title_short | The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study |
title_sort | relationship between health literacy and internet addiction among middle school students in chongqing, china: a cross-sectional survey study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038306/ https://www.ncbi.nlm.nih.gov/pubmed/36961794 http://dx.doi.org/10.1371/journal.pone.0283634 |
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