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Mehmood K, Suhail A, Kautish P, Hakeem MM, Rashid M. Turning Lemons into Lemonade: Social Support as a Moderator of the Relationship Between Technostress and Quality of Life Among University Students. Psychol Res Behav Manag 2024; 17:989-1006. [PMID: 38495088 PMCID: PMC10941796 DOI: 10.2147/prbm.s448989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 02/21/2024] [Indexed: 03/19/2024] Open
Abstract
Purpose The overuse of internet-based technologies as a means of coping with the stress they generate has resulted in an alarming level of addiction, adversely impacting the quality of life and overall health of younger individuals. This social detachment, in turn, contributes to both physical and mental health deterioration. The potential remedy for this predicament lies in the application of social support as an antidote to internet addiction. In this context, our present study employs the Stress-Strain-Outcome model to explore the indirect effects of internet addiction and the moderating role of social support in relation to the influence of technostress on the quality of life of adults. Methods We adopted a time-lagged design to collect data from university graduates and evaluated our study hypotheses using Mplus. Results Our empirical findings highlight the significant influence of technostress on internet addiction, with the latter significantly mediating the relationship between technostress and quality of life. Furthermore, our results reveal that social support effectively moderates the indirect effects of technostress on quality of life through its impact on internet addiction. Conclusion These findings can help researchers and educators better understand the underlying mechanisms between technostress and quality of life with social support as the silver lining. This form of social support holds the potential not only to alleviate internet addiction but also to positively enhance the quality of life and overall wellbeing of individuals facing these challenges. The implications of these findings and avenues for future research are also discussed.
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Affiliation(s)
- Khalid Mehmood
- Research Center of Hubei Micro & Small Enterprises Development, School of Economics and Management, Hubei Engineering University, Xiaogan, People’s Republic of China
| | - Aamir Suhail
- Department of Management and Leadership, Business School, Tecnologico de Monterrey, Guadalajara, Mexico
| | - Pradeep Kautish
- Department of Marketing, Institute of Management, Nirma University, Ahmedabad, India
| | | | - Md Rashid
- Department of Civil Engineering, Indian Institute of Technology, Kharagpur, India
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Chen X, Ma Q, Peng X, Yang H, Ye Z, Yang C, He C. Mediating effect of self-concealment between non-suicidal self-injury and internet addiction in college students: a cross-sectional study. BMC Psychol 2023; 11:406. [PMID: 37990280 PMCID: PMC10664551 DOI: 10.1186/s40359-023-01393-y] [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: 05/25/2023] [Accepted: 10/12/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Internet addiction, defined as uncontrolled behaviour resulting from the use of the Internet without the influence of addictive substances, which can seriously impair academic, occupational and social functioning. Non-suicidal self-injury, defined as self-injurious behaviour without the intent to die, and its addictive characteristics are similar to those of Internet addiction. Currently, there is a lack of research on the relationship between non-suicidal self-injury and Internet addiction. The purpose of this study was to examine the relationship between non-suicidal self-injury and internet addiction among college students and the role of self-concealment in this relationship. METHODS In this study, data were collected online between December 2022 and January 2023 from 600 university students in Chengdu, Sichuan Province, China, using purposive sampling. The questionnaires included the Non-Suicidal Self-Injury Inventory (NSSI), the Self-Concealment Scale (SCS) and the Internet Addiction Test (IAT). RESULTS A total of 573 valid questionnaires were recovered, with a valid recovery rate of 95.50%. CONCLUTION The results suggest that self-concealment plays a partial mediating role between non-suicidal self-injury and internet addiction among college students. The authors emphasized the importance of internet addiction. In order to reduce the occurrence of internet addiction, schools should provide targeted interventions to promote the psychological health of college students' internet addictive behaviours.
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Affiliation(s)
- Xushu Chen
- School of Nursing, Chengdu Medical College, Chengdu, China
| | - Qin Ma
- The Fourth People's Hospital of Chengdu, Chengdu, China
| | - Xueping Peng
- School of Nursing, Chengdu Medical College, Chengdu, China
| | - Haijun Yang
- The Fourth People's Hospital of Chengdu, Chengdu, China
| | - Zixiang Ye
- The Fourth People's Hospital of Chengdu, Chengdu, China
| | - Cui Yang
- Zigong Fourth People's Hospital, Zigong, China
| | - Changjiu He
- The Fourth People's Hospital of Chengdu, Chengdu, China.
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Tong X, Gao MM, Zhang L, Song JG, Feng Y, Tao Y, Zhu LJ, Wen LY, Jin YL, Chang WW. Chronotypes and their association with sleep quality among Chinese college students of Anhui Province: a cross-sectional study. BMJ Open 2023; 13:e076782. [PMID: 37984950 PMCID: PMC10660650 DOI: 10.1136/bmjopen-2023-076782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 10/25/2023] [Indexed: 11/22/2023] Open
Abstract
OBJECTIVES To describe the prevalence of chronotype and sleep quality among Chinese college students and explore the relationship between chronotype and sleep quality. DESIGN A cross-sectional study. SETTING Four colleges and universities in Anhui, China, between November and December 2020. PARTICIPANTS A total of 4768 college students were recruited using a stratified, multistage, cluster sampling survey. OUTCOME MEASURES Morningness-Eveningness Questionnaire 19 was used to determine the chronotype of the students and the Pittsburgh Sleep Quality Index (PSQI) was used to measure their sleep quality. The multiple logistic regression model was used to explore the potential association between chronotype and sleep quality. RESULTS The self-reported proportions of evening-type (E-type), neutral-type and morning-type among college students were 51.17%, 45.14% and 3.69%, respectively. The mean PSQI score was 4.97±2.82 and the prevalence of poor sleep quality was 18.2%. After adjusting the covariates by multiple logistic regression analysis, E-type was positively associated with subjective sleep quality (OR=1.671, 95% CI 1.414 to 1.975), sleep latency (OR=1.436, 95% CI 1.252 to 1.647), sleep duration (OR=2.149, 95% CI 1.506 to 3.067), habitual sleep efficiency (OR=1.702, 95% CI 1.329 to 2.180), daytime dysfunction (OR=1.602, 95% CI 1.412 to 1.818) and overall poor sleep quality (OR=1.866, 95% CI 1.586 to 2.196). CONCLUSIONS College students mainly exhibited E-type, and an elevated prevalence of poor sleep quality existed among these students. The E-type was positively associated with poor sleep quality.
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Affiliation(s)
- Xin Tong
- Department of Epidemiology and Health statistics,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
| | - Mei-Mei Gao
- Department of Ideological and Political Education, Anhui Medical College, Hefei, Anhui, China
| | - Liu Zhang
- Department of Hospital Infection Management Office, Wuhu Hospital of Traditional Chinese Medicine, Wuhu, China
| | - Jian-Gen Song
- Department of Nutrition and Food Hygiene,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
| | - Ying Feng
- Department of Epidemiology and Health statistics,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
| | - Yujing Tao
- Department of Epidemiology and Health statistics,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
| | - Li-Jun Zhu
- Department of Epidemiology and Health statistics,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
| | - Li-Ying Wen
- Department of Epidemiology and Health statistics,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
| | - Yue-Long Jin
- Department of Epidemiology and Health statistics,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
| | - Wei-Wei Chang
- Department of Epidemiology and Health statistics,School of Public Health, Wannan Medical College, Wuhu, Anhui, China
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Binjabr MA, Alalawi IS, Alzahrani RA, Albalawi OS, Hamzah RH, Ibrahim YS, Buali F, Husni M, BaHammam AS, Vitiello MV, Jahrami H. The Worldwide Prevalence of Sleep Problems Among Medical Students by Problem, Country, and COVID-19 Status: a Systematic Review, Meta-analysis, and Meta-regression of 109 Studies Involving 59427 Participants. CURRENT SLEEP MEDICINE REPORTS 2023; 9:1-19. [PMID: 37359215 PMCID: PMC10238781 DOI: 10.1007/s40675-023-00258-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2023] [Indexed: 06/28/2023]
Abstract
Abstract Purpose of Review Several studies have found that medical students have a significant prevalence of sleep issues, such as poor sleep quality, excessive daytime sleepiness, and inadequate sleep duration. The purpose of this review is to carefully evaluate the current research on sleep problems among medical students and, as a result, estimate the prevalence of these disturbances. The EMBASE, PsychINFO, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science and retrieved article reference lists were rigorously searched and rated for quality. Random effects meta-analysis was performed to compute estimates. Recent Findings The current meta-analysis revealed an alarming estimated pooled prevalence of poor sleep quality (K = 95, N = 54894) of 55.64% [95%CI 51.45%; 59.74%]. A total of 33.32% [95%CI 26.52%; 40.91%] of the students (K = 28, N = 10122) experienced excessive sleepiness during the day. The average sleep duration for medical students (K = 35, N = 18052) is only 6.5 h per night [95%CI 6.24; 6.64], which suggests that at least 30% of them get less sleep than the recommended 7-9 h per night. Summary Sleep issues are common among medical students, making them a genuine problem. Future research should focus on prevention and intervention initiatives aimed at these groups. Supplementary Information The online version contains supplementary material available at 10.1007/s40675-023-00258-5.
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Affiliation(s)
- Mohammed A. Binjabr
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Idrees S. Alalawi
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Rayan A. Alzahrani
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Othub S. Albalawi
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Rakan H. Hamzah
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Yazed S. Ibrahim
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Fatima Buali
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Mariwan Husni
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Ahmed S. BaHammam
- Department of Medicine, University Sleep Disorders Center and Pulmonary Service, King Saud University, KSA, Riyadh, Saudi Arabia
- The Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the Kingdom of Saudi Arabia, Riyadh, Saudi Arabia
| | - Michael V. Vitiello
- Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, USA
| | - Haitham Jahrami
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
- Government Hospitals, Manama, Bahrain
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Investigating Internet Addiction and Sleep Quality Correlation Among Students of Isfahan University of Medical Sciences in 2021. HEALTH SCOPE 2022. [DOI: 10.5812/jhealthscope-127242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: The quality of sleep plays an important role in physical development, as well as maintaining physical and mental health. Approximately 20% of Iranian students suffer from Internet addiction, and 56% suffer from insomnia. Objectives: This study aimed to investigate the relevance of Internet addiction and sleep quality among Isfahan University of medical sciences students. Methods: This cross-sectional study was conducted as a questionnaire at the Medical Sciences University of Isfahan. The collected data had three components: (1) Demographic information, (2) sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and (3) amount of internet use with a questionnaire of 20 Internet Addiction Tests (IAT). Logistic regression was used to find any association between Internet Addiction and Sleep quality. Results: A total of 562 female and male students participated in the study, with a mean age of 21.41 ± 1.87. Internet users with moderate and mild addiction had poorer sleep quality than those with normal and severe Internet addiction. Logistic regression analysis showed an association between Internet addiction scores and sleep quality (OR = 1.035: 1.02, 1.04, P < 0.001). In addition, poor sleep quality was also predicted by the subgroups "excessive internet use" and "anticipation". Conclusions: The relationship between internet addiction and sleep quality was significantly negative. Universities and all educational institutions can use it to control the effects of Internet abuse and the quality of sleep of students.
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Zhao Y, Zhang K, Griffiths MD. Serial Mediation Roles of Alexithymia and Loneliness in the Association Between Family Function and Internet Addiction Among Chinese College Students. Front Psychol 2022; 13:874031. [PMID: 35602724 PMCID: PMC9114475 DOI: 10.3389/fpsyg.2022.874031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 04/19/2022] [Indexed: 11/18/2022] Open
Abstract
A lot of previous research has highlighted the negative consequences of Internet addiction. However, relatively few is known about the underlying mechanism for Internet addiction among college students in relation to family function. The present study explored the relationship between family function and Internet addiction among college students, as well as the mediating effects of alexithymia and loneliness. A sample of 783 Chinese college students were administered a number of psychometric scales including the “General Function” subscale of the Chinese version of the Family Assessment Device, Toronto Alexithymia Scale, UCLA Loneliness Scale, and Revised Chinese Internet Addiction Scale. The results showed that family function was negatively associated with Internet addiction; the association was significantly mediated by alexithymia; the association was significantly mediated by loneliness; and alexithymia and loneliness sequentially mediated the association. The total mediating effect was 63.96%. The results of the present study are of great significance to the prevention and intervention of Internet addiction among college students.
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Affiliation(s)
- Ying Zhao
- Mental Health Education Center, Yangzhou University, Yangzhou, China
| | - Kuo Zhang
- Zhou Enlai School of Government, Department of Social Psychology, Nankai University, Tianjin, China
| | - Mark D Griffiths
- International Gaming Research Unit, Psychology Division, Nottingham Trent University, Nottingham, United Kingdom
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Sun Y, Wang H, Jin T, Qiu F, Wang X. Prevalence of Sleep Problems Among Chinese Medical Students: A Systematic Review and Meta-Analysis. Front Psychiatry 2022; 13:753419. [PMID: 35356717 PMCID: PMC8959348 DOI: 10.3389/fpsyt.2022.753419] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 02/02/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Sleep is a necessary physiological process, which is closely related to cognitive function, emotion, memory, endocrine balance, and immunity. The prevalence of sleep problems continues to rise in Chinese medical students, which has a potential influence on living and work. OBJECTIVE This study aimed to observe the prevalence of sleep problems among medical students in China. METHOD The included cross-sectional studies on the prevalence of sleep problems of medical students in China were retrieved from PubMed, Embase, the Cochrane Database of Systematic Reviews, CNKI, and Wanfang database. An 11-item checklist recommended by the Agency for Healthcare Research and Quality was adopted to evaluate the methodological quality of the included studies. Software Stata 12.0, SPSS 26.0, and R were used to analyze the data. Registration: PROSPERO, CRD 42021237303. RESULT The prevalence of sleep problems among Chinese medical students was 27.38%. The subgroup analysis showed significant differences in the prevalence of sleep problems among different regions, educational backgrounds, grades, and University types. The region, latitude, and gross domestic product (GDP) were significant heterogeneous sources of sleep problems. The prevalence is positively correlated with latitude and negatively correlated with GDP per capita. Regular screening and appropriate intervention are recommended for these mental health problems. SYSTEMATIC REVIEW REGISTRATION https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021237303, identifier: CRD42021237303.
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Affiliation(s)
- Yuanlong Sun
- Department of Internal Medicine, Shuguang Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai, China.,Cardiovascular Department, Cardiovascular Research Institute of Traditional Chinese Medicine, Shuguang Hospital Affiliated With Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Huiying Wang
- Cardiovascular Department, Cardiovascular Research Institute of Traditional Chinese Medicine, Shuguang Hospital Affiliated With Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Tao Jin
- Department of Internal Medicine, Shuguang Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai, China.,Cardiovascular Department, Cardiovascular Research Institute of Traditional Chinese Medicine, Shuguang Hospital Affiliated With Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Fei Qiu
- Department of Internal Medicine, Shuguang Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Xiaolong Wang
- Cardiovascular Department, Cardiovascular Research Institute of Traditional Chinese Medicine, Shuguang Hospital Affiliated With Shanghai University of Traditional Chinese Medicine, Shanghai, China
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How Have Researchers Acknowledged and Controlled for Academic Work Activity When Measuring Medical Students' Internet Addiction? A Systematic Literature Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147681. [PMID: 34300132 PMCID: PMC8306379 DOI: 10.3390/ijerph18147681] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 07/15/2021] [Accepted: 07/16/2021] [Indexed: 12/18/2022]
Abstract
Internationally, medical students' Internet Addiction (IA) is widely studied. As medical students use the Internet extensively for work, we asked how researchers control for work-related Internet activity, and the extent to which this influences interpretations of "addiction" rates. A search of PubMed, CINAHL, Web of Science, Scopus, and Google Scholar was conducted on the search phrase of "medical students" and "internet addiction" in March 2020. In total, 98 studies met our criteria, 88 (90%) used Young's Internet Addiction Test, and the studies' IA rates ranged widely. Little note was taken of work-related activity, and, when discussed, had little to no impact on the interpretation of Internet "addiction". Studies seldom accounted for work-related activities, researcher bias appears to influence their position, "usage" appears conflated with "addiction", and correlations between "addiction" and negative behaviours are frequently confused with one-way causation. In spite of IA's not being officially recognised, few researchers questioned its validity. While IA may exist among medical students, its measurement is flawed; given the use of the Internet as a crucial medical education tool, there is the risk that conscientious students will be labelled "addicted", and poor academic performance may be attributed to this "addiction".
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Karki K, Singh DR, Maharjan D, K. C. S, Shrestha S, Thapa DK. Internet addiction and sleep quality among adolescents in a peri-urban setting in Nepal: A cross-sectional school-based survey. PLoS One 2021; 16:e0246940. [PMID: 33600410 PMCID: PMC7891762 DOI: 10.1371/journal.pone.0246940] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 01/29/2021] [Indexed: 11/18/2022] Open
Abstract
Background Excessive use of the internet among adolescents often led to later bedtimes and poor sleep quality. This study assessed the relationship between internet addiction and sleep quality among adolescents in a peri-urban setting in Nepal. Method This cross-sectional study employed a questionnaire survey among 390 adolescent students recruited from two schools in Kirtipur Municipality in Nepal. The Internet Addiction Test and the Pittsburgh Sleep Quality Index were used to assess internet addiction and poor sleep quality respectively. The association between internet addiction and sleep quality was analysed by logistic regression. Results One-fifth (21.5%) of the participants were identified with borderline internet addiction and 13.3% with possible internet addiction. Poor sleep quality was found among 31% of the participants. Internet addiction was significantly associated with poor sleep quality (OR = 1.85, p = 0.022 for borderline, and OR = 3.98, p = <0.001 for possible internet addiction compared to no internet addiction). Conclusion Adolescents with internet addiction were more vulnerable to suffer from poor sleep quality. It is recommended that municipalities and schools should aware the adolescent students on the adverse effects of excessive internet use including poor sleep quality. The findings have implications for adolescents, parents, school authorities and researchers.
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Affiliation(s)
- Kshitij Karki
- Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal
- Group for Technical Assistance, Program and Research, Lalitpur, Nepal
- * E-mail:
| | - Devendra Raj Singh
- Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal
- Southeast Asia Development Actions Network (SADAN), Innovation, Research and Program, Lalitpur, Nepal
| | - Dikshya Maharjan
- Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal
| | - Sushmita K. C.
- Faculty of Humanities and Social Sciences, Tribhuvan University, Kathmandu, Nepal
| | - Shreesha Shrestha
- Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal
| | - Deependra Kaji Thapa
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
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