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Zhang S, Wang W, Wu S, Ye H, Dong L, Wang J, Ning X, Cui H. Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students' mental health literacy. BMC Nurs 2024; 23:264. [PMID: 38654311 PMCID: PMC11036711 DOI: 10.1186/s12912-024-01920-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 04/07/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Good health self-management positively affects the health of healthcare providers and their ability to manage their patients' health. This study explored the relationship between ehealth literacy, health self-management skills, and mental health literacy among undergraduate nursing students. Some studies have confirmed the correlation between e-health literacy and health self-management skills, while mental health literacy may be correlated with both, and this study aims to explore the relationship between the three. METHODS A descriptive cross-sectional survey was conducted at a medical university in northwestern China among 385 Chinese undergraduate nursing students. Participants completed the General Information Questionnaire, the Adult Health Self-Management Skills Rating Scale, the Mental Health Literacy Rating Scale, and the eHealth Literacy Scale, and provided valid responses. The IBM SPSS 27.0 statistical software was used for data entry and descriptive analysis, t-test, ANOVA, and Pearson correlation analysis. The IBM Amos 26.0 was used to construct the mediation effect model, and the Bootstrap method was employed to test mediating effects. RESULTS Mental health literacy, ehealth literacy, and health self-management skills of undergraduate nursing students were at a moderate to high level. Mental health literacy, ehealth literacy, and health self-management were positively correlated. Mental health literacy, particularly, played a partial mediating role of 31.1% ( 95% CI [0.307-1.418] ) between ehealth literacy and health self-management. CONCLUSIONS Undergraduate nursing students' mental health literacy partially mediates the link between eHealth literacy and health self-management skills. Schools should emphasize the development of nursing students' e-health literacy and mental health literacy in order to improve their health self-management skills, which will not only bring about a better health outcome for the students, but will also benefit the health of the social population.
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Affiliation(s)
- Shuang Zhang
- School of Nursing, JinZhou Medical University, Jinzhou, Liaoning Province, China
| | - WeiWei Wang
- Medical College, Nanchang Institute of Technology, Nanchang, Jiangxi Province, China
| | - Shan Wu
- The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning Province, China
| | - Hong Ye
- The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning Province, China
| | - LiXiao Dong
- School of Nursing, JinZhou Medical University, Jinzhou, Liaoning Province, China
| | - JingRu Wang
- School of Nursing, JinZhou Medical University, Jinzhou, Liaoning Province, China
| | - XiaoTong Ning
- School of Nursing, JinZhou Medical University, Jinzhou, Liaoning Province, China
| | - HuiXia Cui
- School of Nursing, Wannan Medical College, Wuhu, Anhui Province, China.
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Duc TQ, Chi VTQ, Huyen NTH, Quang PN, Thuy BT, Nguyen Di K. Growing propensity of internet addiction among Asian college students: meta-analysis of pooled prevalence from 39 studies with over 50,000 participants. Public Health 2024; 227:250-258. [PMID: 38262230 DOI: 10.1016/j.puhe.2023.11.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 10/15/2023] [Accepted: 11/30/2023] [Indexed: 01/25/2024]
Abstract
OBJECTIVES Rapid internet penetration and technological advancements have facilitated accessibility to internet-enabled devices globally. Since Asia lacks comprehensive data on internet addiction among college students, this review aims to estimate its pooled prevalence. STUDY DESIGN This was a systematic review and meta-analysis. METHODS Searches were conducted in PubMed, Scopus, CINAHL, and MEDLINE from their inception through August 2022 using terms appropriate to internet addiction and Asian countries/territorial for publications in English peer-reviewed journals. The studies included those done on current college students and provided unambiguous indicators of the threshold of internet addiction. The pooled prevalence was calculated through a random-effects meta-analysis by RStudio software, and I2 statistic was used to assess heterogeneity. The Joanna Briggs Institute critical appraisal checklist was used for quality assessment. RESULTS Overall, between 2007 and 2021, 39 papers comprising 45 effect sizes and totaling 58,058 participants met the inclusion criteria. The pooled prevalence of internet addiction among Asian college students was 24.3% (95% confidence interval: 19.8%-29.5%, Q = 6234, df = 44, τ2 = 0.79, I2 = 99.29%), and strikingly, this percentage increased over time. A high degree of heterogeneity was seen, and no publication bias was found. CONCLUSIONS To our knowledge, this is the first comprehensive review report on Asian college students, which found that one-fifth suffer from internet addiction. The findings emphasize the significance of multidisciplinary prevention and management strategies to mitigate the harmful effects of internet addiction. Further research is warranted to develop a standardized diagnostic tool for a more precise estimation of internet addiction among this population.
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Affiliation(s)
- Tran Quang Duc
- College of Health Sciences, VinUniversity, Vinhomes Ocean Park, Gia Lam District, Hanoi, Vietnam.
| | - Vu Thi Quynh Chi
- School of Medicine and Pharmacy, The University of Danang, 41 Le Duan, Hai Chau, Da Nang, 550000, Vietnam.
| | - Nguyen Thi Hoa Huyen
- College of Health Sciences, VinUniversity, Vinhomes Ocean Park, Gia Lam District, Hanoi, Vietnam.
| | - Phan Ngoc Quang
- The Center Service for Technology Science of Medi-Phar, Thai Binh University of Medicine and Pharmacy, 373 Ly Bon Street, Thai Binh City, Vietnam.
| | - Bui Thi Thuy
- National Institute of Nutrition, 48B Tang Bat Ho Street, Hanoi, 100000, Vietnam.
| | - Khanh Nguyen Di
- Faculty of Health Sciences, Dong Nai Technology University, Nguyen Khuyen Street, Trang Dai Ward, Bien Hoa City, Vietnam.
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Rouvinen H, Turunen H, Lindfors P, Kinnunen JM, Rimpelä A, Koivusilta L, Kulmala M, Dadaczynski K, Okan O, Sormunen M. Online health information-seeking behaviour and mental well-being among Finnish higher education students during COVID-19. Health Promot Int 2023; 38:daad143. [PMID: 37935171 PMCID: PMC10635413 DOI: 10.1093/heapro/daad143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2023] Open
Abstract
Online health information-seeking behaviour has increased since the World Health Organization declared COVID-19 a global pandemic in March 2020. This study examined whether health-related information on COVID-19 searched on the internet was associated with mental well-being among higher education students. A cross-sectional internet survey was conducted among 18- to 34-year-old students in Finland (N = 2976; mean age 24.61 years and median 24) in the spring of 2020. The data were analysed using descriptive statistics, Pearson's chi-square tests, Kruskal-Wallis nonparametric H tests, and a two-way ANOVA. The results indicated that most students (86% of females, 82% of males) used the internet to search for information on COVID-19. Students' self-perceived abilities to determine the relevance of online information on COVID-19 were associated with mental well-being.
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Affiliation(s)
- Hanna Rouvinen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Yliopistonrinne 3, Canthia Building, PO Box 1627, FI-70211 Kuopio, Finland
| | - Hannele Turunen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Yliopistonrinne 3, Canthia Building, PO Box 1627, FI-70211 Kuopio, Finland
- Wellbeing Services County of North Savo, PO Box 1711, FI-70211 Kuopio, Finland
| | - Pirjo Lindfors
- Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Arvo Ylpön katu 34, FI-33014 Tampere, Finland
| | - Jaana M Kinnunen
- Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Arvo Ylpön katu 34, FI-33014 Tampere, Finland
| | - Arja Rimpelä
- Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Arvo Ylpön katu 34, FI-33014 Tampere, Finland
- Department of Adolescent Psychiatry, Tampere University Hospital, Elämänaukio 2, FI-33520 Tampere, Finland
| | - Leena Koivusilta
- Department of Social Research, Faculty of Social Sciences, University of Turku, FI-20014, Turku, Finland
| | - Markus Kulmala
- Research Centre for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Keskussairaalankatu 4, Building Liikunta (L), PO Box 35, FI-40014 Jyväskylä, Finland
| | - Kevin Dadaczynski
- Department of Health Science, Fulda University of Applied Sciences, Fulda, Germany
- Centre for Applied Health Science, Leuphana University, Lueneburg, Germany
| | - Orkan Okan
- Center for Health and Medicine in Society and Center for Health Promotion and Prevention Childhood and Adolescence, Department of Health and Sport Sciences, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
| | - Marjorita Sormunen
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Yliopistonrinne 3, Canthia building, PO Box 1627, FI-70211 Kuopio, Finland
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Vasil S, Xinxo S, Alia A, Muça K, Tresa E, Burazeri G. Digital applications as a means for promotion of healthy behaviours among Albanian children. Health Promot Int 2023; 38:daad083. [PMID: 37562042 DOI: 10.1093/heapro/daad083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/12/2023] Open
Abstract
Digital applications can be effective tools for strengthening school-based health education programs as they can provide valuable health information to children through interactive videos, quizzes and games. We aimed at assessing the change in the prevalence of healthy behaviours among children exposed to digital applications (intervention) employed for promoting healthy behaviours. We conducted a cross-sectional study before the intervention in March 2022 including a representative sample of 1500 Albanian schoolchildren (≈54% girls) aged 12-15 years. In June 2022, after 4-month exposure to digital applications aimed at promoting healthy behaviours (intervention), we carried out a second cross-sectional study in the same sample of schoolchildren. In both survey rounds, an anonymous and structured self-administered questionnaire inquired children about a range of behavioural practices including nutrition, oral health, physical activity and hygiene practices. After the intervention, overall, there was evidence of a significant increase in the prevalence of all healthy behavioural practices measured: ~9% for breakfast consumption and/or environmental protection, 12% for toothbrushing, 14% for handwashing, 15% for leisure time physical exercise and 24% for adequate fruit and vegetable intake (all p < 0.001). Engagement in healthy behaviours only after the intervention was higher among rural children (from 18% for breakfast consumption to 37% for handwashing and/or adequate fruit and vegetable intake) and especially those pertinent to Roma/Egyptian communities (from 18% for breakfast consumption to 46% for adequate fruit and vegetable intake), except for engagement in safe environmental protection which was more prevalent among urban residents (28% vs. 15% among rural children) and ethnic Albanian children (24% vs. 13% among Roma/Egyptian children). Our findings from Albania indicate that digital applications can be useful for strengthening school-based health promotion programs.
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Affiliation(s)
- Suela Vasil
- 'Schools for Health', a project of the Swiss Development and Cooperation (SDC) Agency, Rr. "Mihal Popi", 8185 Tirana, Albania
- Faculty of Natural Sciences, University of Tirana, Bulevardi Zogu I, 1001 Tirana, Albania
| | - Sonela Xinxo
- 'Schools for Health', a project of the Swiss Development and Cooperation (SDC) Agency, Rr. "Mihal Popi", 8185 Tirana, Albania
| | - Albano Alia
- 'Schools for Health', a project of the Swiss Development and Cooperation (SDC) Agency, Rr. "Mihal Popi", 8185 Tirana, Albania
| | - Kliton Muça
- 'Schools for Health', a project of the Swiss Development and Cooperation (SDC) Agency, Rr. "Mihal Popi", 8185 Tirana, Albania
| | - Eni Tresa
- 'Schools for Health', a project of the Swiss Development and Cooperation (SDC) Agency, Rr. "Mihal Popi", 8185 Tirana, Albania
- Department of Public Health, Faculty of Medicine, University of Medicine, Rr. "Dibres", No. 371, 8185 Tirana, Albania
| | - Genc Burazeri
- 'Schools for Health', a project of the Swiss Development and Cooperation (SDC) Agency, Rr. "Mihal Popi", 8185 Tirana, Albania
- Department of Public Health, Faculty of Medicine, University of Medicine, Rr. "Dibres", No. 371, 8185 Tirana, Albania
- Department of International Health, School CAPHRI (Care and Public Health Research Institute), Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
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Benjet C, Orozco R, Albor YC, Contreras EV, Monroy-Velasco IR, Hernández Uribe PC, Báez Mansur PM, Covarrubias Díaz Couder MA, Quevedo Chávez GE, Gutierrez-García RA, Machado N, Andersson C, Borges G. A longitudinal study on the impact of Internet gaming disorder on self-perceived health, academic performance, and social life of first-year college students. Am J Addict 2023; 32:343-351. [PMID: 36645268 DOI: 10.1111/ajad.13386] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 12/14/2022] [Accepted: 12/03/2022] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Internet gaming disorder (IGD) is associated with health, social, and academic problems but whether these are consequences of the disorder rather than precursors or correlates is unclear. We aimed to evaluate whether IGD in the 1st year of university predicts health, academic and social problems 1 year later, controlling for baseline health, academic and social problems, demographics, and mental health symptoms. METHODS In a prospective cohort study, 1741 university students completed both a baseline online survey in their 1st year and a follow-up survey 1 year later. Log-binomial models examined the strength of prospective associations between baseline predictor variables (IGD, baseline health, academic and social problems, sex, age, and mental health symptoms) and occurrence of health, academic and social problems at follow-up. RESULTS When extensively adjusted by the corresponding outcome at baseline, any mental disorder symptoms, sex, and age, baseline IGD was associated only with severe school impairment and poor social life (risk ratio [RR] = 1.77; 95% confidence interval [CI] = 1.14-2.75, p = .011; RR = 1.22; 95% CI = 1.07-1.38, p = .002, respectively). CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE University authorities and counselors should consider that incoming 1st-year students that meet criteria for IGD are likely to have increased academic and social impairments during their 1st year for which they may want to intervene. This study adds to the existing literature by longitudinally examining a greater array of negative outcomes of IGD than previously documented.
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Affiliation(s)
- Corina Benjet
- Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Ricardo Orozco
- Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Yesica C Albor
- Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Eunice V Contreras
- Facultad de Ciencias Administrativas y Sociales, Universidad Autónoma de Baja California, Ensenada, Mexico
| | | | | | - Patricia M Báez Mansur
- Coordinación de Desarrollo Académico y Servicios Educativos, Universidad la Salle Ciudad Victoria
| | | | | | - Raúl A Gutierrez-García
- Facultad de Ciencias Sociales y Humanidades, Universidad De La Salle Bajío, Salamanca, Mexico
| | - Nydia Machado
- Departamento de Psicología, Instituto Tecnológico de Sonora, Ciudad Obregón, Mexico
| | | | - Guilherme Borges
- Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
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Wang QL, Liu LL, Liu CR, Zhu QS, Ren ZY, Gang TT, Zhou CY, Li QP, Chen X, Han BR. 'Internet+' comprehensive nursing training course in the post-epidemic era-an exploration of the mixed teaching mode: a randomized trial. Front Med (Lausanne) 2023; 10:1152732. [PMID: 37448807 PMCID: PMC10336544 DOI: 10.3389/fmed.2023.1152732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 05/22/2023] [Indexed: 07/15/2023] Open
Abstract
Objective To explore the effect of the application of the 'Internet+' nursing teaching mode on the comprehensive teaching 'Fundamentals of Nursing'. Trial design Parallel design and convenient sampling were used to select vocational nursing students from the Nursing College of Capital Medical University. Methods Selected students were randomly divided into two groups. The control group consisted of 30 students in Grade 2020 higher vocational nursing education (traditional teaching mode). The observation group consisted of 30 students in Grade 2021 higher vocational nursing education (Internet+ mixed teaching mode). Training assessment results, automatic learning ability, professional identity, and satisfaction were compared between the two groups. Results Compared with the control group, the students in the observation group scored higher in the following operation practices: venous blood sampling, intradermal injection, cardiopulmonary resuscitation (CPR), sputum aspiration, and putting on and taking off robes (84.01 ± 0.87 vs. 92.14 ± 1.23; 91.41 ± 0.82 vs. 96.86 ± 0.27; 87.56 ± 0.31 vs. 93.91 ± 2.79; 88.11 ± 0.51 vs. 93.75 ± 0.29; and 82.29 ± 0.29 vs. 90.96 ± 0.34, respectively, with p < 0.05 for all scores). The total scores for autonomous learning ability and subjective satisfaction were also higher in the observation group compared with the control group (82.98 ± 4.72 vs. 93.17 ± 5.01 and 96.67% vs. 90.00%, respectively, with p < 0.05 for all scores). Conclusion In the post-epidemic era, the 'Internet+ hybrid teaching mode' was applied to comprehensive nursing teaching. This changed the traditional education mode, which focuses only on professional knowledge. The 'Internet+' teaching mode results showed that the professional, ideological, and political courses exhibited the same value guidance, which improved students' independent learning ability, practical operation ability, professional identity, and satisfaction.
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Affiliation(s)
- Qing-Ling Wang
- Department of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Lan-Lan Liu
- Department of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Cheng-Rui Liu
- School of Economics and Management, Beijing University of Technology, Beijing, China
| | - Qing-Shuang Zhu
- Education Division, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Zhi-Ying Ren
- Education Division, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Ting-Ting Gang
- Education Division, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Chun-Yan Zhou
- Education Division, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Qiu-Ping Li
- Department of Nursing, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Xi Chen
- Department of Nursing, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Bin-Ru Han
- Department of Nursing, Xuanwu Hospital, Capital Medical University, Beijing, China
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7
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Abad Santos PMT, Cleofas JV, Austria AGO, de Guzman AKB, Sarile BAF. The double-edged impact of Internet use on mental health outcomes among Filipino university students: the mediating role of online social support. FRONTIERS IN SOCIOLOGY 2023; 8:1132523. [PMID: 37188151 PMCID: PMC10175574 DOI: 10.3389/fsoc.2023.1132523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Accepted: 04/05/2023] [Indexed: 05/17/2023]
Abstract
Introduction Evidence supports both the positive and negative effects of Internet use on mental health outcomes, but it remains unclear on the role of online social support in this relationship. This study examined the link between daily hours of general Internet use and bidimensional mental health (BMMH) through the pathway of online social support (OSSS). Methods Drawing from a sample of 247 Filipino university students, this cross-sectional study tested two simple mediation models that considered mental wellbeing and psychological distress as outcome variables. Results Findings show that the total effect of Internet use is positive and negative for mental wellbeing and psychological distress, respectively. Online social support mediated the favorable effects of Internet use on BMMH outcomes. However, the introduction of OSSS as a mediator yielded residual direct effects with opposing signs for both models. The resultant inconsistent mediation in the models signifies the double-edged impact of Internet use on mental health, with favorable effects transmitted through online social support. Discussion Findings highlight the importance of online social support as a pathway to harness the positive effects of Internet on mental health. Recommendations to improve online social support for students are discussed herein.
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8
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Rouvinen H, Sormunen M, Kunttu K, Turunen H. Internet, studying and daily rhythm: health symptoms among higher education students. Int J Adolesc Med Health 2023; 35:219-226. [PMID: 36947850 DOI: 10.1515/ijamh-2022-0109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 03/01/2023] [Indexed: 03/24/2023]
Abstract
OBJECTIVES Excessive Internet use is a health concern among higher education students leading to reduced academic performance and problems in everyday life. This study aimed to explore the relationship between health and problems of studying and daily rhythm caused by time spent online among students (n=3,050). METHODS A cross-sectional survey was carried out. The data were analyzed using descriptive and chi-square tests and logistic regression analyses. RESULTS Findings indicated that one fifth of students reported having problems of studying and daily rhythm caused by time spent online. Psychological health symptoms such as anxiety (p<0.001) and physical health symptoms including lower back problems (p<0.001) were associated with these problems. According to the logistic regression analyses, problems of studying and daily rhythm caused by time spent online and higher amount of Internet use by time were associated with psychological and physical health symptoms. CONCLUSIONS The findings suggest that problems of studying and daily rhythm and spending more time online are related to health symptoms among the students. The study's findings can be used from a prevention standpoint for early identification and further to identify the need for seeking professional treatment.
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Affiliation(s)
- Hanna Rouvinen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Marjorita Sormunen
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | | | - Hannele Turunen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
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Internet addiction and loneliness among school-going adolescents in Bangladesh in the context of the COVID-19 pandemic: Findings from a cross-sectional study. Heliyon 2023; 9:e13340. [PMID: 36743850 PMCID: PMC9889277 DOI: 10.1016/j.heliyon.2023.e13340] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 01/16/2023] [Accepted: 01/26/2023] [Indexed: 02/04/2023] Open
Abstract
Internet addiction (IA) by children and adolescents is a concern for parents. The intensity of this problem has increased in the context of COVID-19 pandemic across the world. Here we aimed to evaluate internet usage patterns, addiction to internet use, and mental health among Bangladeshi school-going adolescents during the COVID-19 pandemic. We conducted this cross-sectional study among 502 school-going adolescents. Pre-structured questionnaire was used to collect information related to demographics and the internet usage pattern. We assessed the prevalence of IA and loneliness using the internet addiction test (IAT) scale and UCLA-3 loneliness scale. The prevalence of IA and loneliness among Bangladeshi school-going adolescents were 88.25% and 72.51%, respectively. Individuals with English-medium education, higher classes, high economic status, mobile internet connection, online gaming habits, and living without family showed significantly higher levels of IA. Moreover, a high proportion of loneliness was observed among individuals with high financial conditions, mobile internet connection, and who watch movies on the internet. The present study findings suggest a strong association between demographics, internet usage patterns, IA, and the mental health of adolescents. These results would have practical inferences in clinical psychology, psychotherapy, and related fields. Based on this finding, the healthcare authorities and professionals can develop an inclusive interventional approach for adolescents who suffer from IA and mental health disorders.
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10
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Matsuo M, Sesoko S, Kosa A, Noda S, Koura S, Miyabara H, Higuchi T. Factors affecting the mental health of medical students during the COVID-19 pandemic: A cross-sectional study. Medicine (Baltimore) 2022; 101:e31897. [PMID: 36451497 PMCID: PMC9704896 DOI: 10.1097/md.0000000000031897] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
The coronavirus disease 2019 outbreak has impacted many educational institutions by imposing restrictions on offline or in-person lessons. Many students were stressed by "the loss of everyday life" due to the pandemic, and it is important to examine the impact of this loss on adolescents' mental health. This study aimed to investigate the factors that affect students' mental health during the pandemic from various perspectives. A total of 166 medical students participated in this study. Participants completed questionnaires about their demographics, life stress, mental health, and stress factors during in-person and online lecture days. Participants were divided into 2 groups, those with low and high mental health. The researchers compared independent variables between the groups using the χ2 test or Fisher's exact test. Multiple logistic regression analysis was performed, with mental health as the dependent variable. The multiple logistic regression analysis indicated that increased time spent online was significantly associated with mental health (P < .05). Human relations and the inability to meet/talk with friends trended toward a significant association with mental health (P < .1). The students who were not stressed about the increased time spent online were at a risk of low mental health. The students who appreciated interacting with others experienced more stress during the lockdown. To reduce students' stress on online days, teachers should devise a lecture style with frequent breaks and introduce active learning. The findings of this study will contribute to addressing students' low mental health and reducing their stress during the coronavirus disease 2019 pandemic.
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Affiliation(s)
- Moemi Matsuo
- Major of Occupational Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki, Saga, Japan
- * Correspondence: Moemi Matsuo, Major of Occupational Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, 4490-9 Ozaki, Kanzaki, Saga 842-8585, Japan (e-mail: )
| | - Sayaka Sesoko
- Major of Occupational Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki, Saga, Japan
| | - Ayumu Kosa
- Major of Occupational Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki, Saga, Japan
| | - Sakuya Noda
- Major of Occupational Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki, Saga, Japan
| | - Seigo Koura
- Major of Occupational Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki, Saga, Japan
| | - Hiroya Miyabara
- Major of Physical Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki, Saga, Japan
| | - Takashi Higuchi
- Department of Physical Therapy, Osaka University of Human Sciences, Settsu, Osaka, Japan
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11
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Chua BS, Siau CS, Bono SA, Low WY, Samy AL, Fitriana M, Cheah WL, Law LS, Vighnarajah S. Concerns About COVID-19 in Malaysia: Lifestyle and Its Impact on Well-Being. Asia Pac J Public Health 2022; 34:430-431. [PMID: 35184599 DOI: 10.1177/10105395221077879] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- B S Chua
- Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
| | - C S Siau
- Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - S A Bono
- Universiti Sains Malaysia, Penang, Malaysia
| | - W Y Low
- Universiti Malaya, Kuala Lumpur, Malaysia
| | - A L Samy
- Universiti Malaya, Kuala Lumpur, Malaysia
| | - M Fitriana
- International University of Malaya-Wales, Kuala Lumpur, Malaysia
| | - W L Cheah
- Universiti Malaysia Sarawak, Kota Samarahan, Malaysia
| | - L S Law
- Universiti Malaysia Sarawak, Kota Samarahan, Malaysia
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Electronic Health Literacy in Individuals with Chronic Pain and Its Association with Psychological Function. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312528. [PMID: 34886254 PMCID: PMC8656597 DOI: 10.3390/ijerph182312528] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Revised: 11/20/2021] [Accepted: 11/25/2021] [Indexed: 11/17/2022]
Abstract
Electronic health literacy skills and competences are important for empowering people to have an active role in making appropriate health care decisions. The aims of this cross-sectional study were to (1) examine the frequency of use of the Internet for seeking online information about chronic pain, (2) determine the level of eHealth literacy skills in the study sample, (3) identify the factors most closely associated with higher levels of eHealth literacy, and (4) examine self-efficacy as a potential mediator of the association between eHealth literacy and measures of pain and function in a sample of adults with chronic pain. One-hundred and sixty-one adults with chronic pain completed measures assessing internet use, eHealth literacy, pain interference, anxiety, depression, and pain-related self-efficacy. Results indicated that 70% of the participants are active users of the Internet for seeking information related to their health. The level of eHealth literacy skills was not statistically significantly associated with participants’ age or pain interference but was significantly negatively associated with both anxiety and depression. In addition, the findings showed that self-efficacy fully explained the relationship between eHealth literacy and depression and partially explained the relationship between eHealth literacy and anxiety. Self-efficacy should be considered as a treatment target in eHealth literacy interventions, due to its role in explaining the potential benefits of eHealth literacy.
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