Vol. 144 No. 4950 (2014)
Is internet use unhealthy? A cross-sectional study of adolescent internet overuse
- Joan-Carles Suris
- Christina Akre
- Claire Piguet
- Anne-Emmanuelle Ambresin
- Grégoire Zimmermann
- André Berchtold
OBJECTIVE: To assess whether problematic internet use is associated with somatic complaints and whether this association remains when checking for internet activity among a random sample of adolescents living in the canton of Vaud, Switzerland.
METHODS: Cross-sectional survey of 3,067 8th graders (50.3% females) divided into average (n = 2,708) and problematic (n = 359) Internet users and compared for somatic complaints (backache, overweight, headaches, musculoskeletal pain, sleep problems and sight problems) controlling for sociodemographic and internet-related variables. Logistic regressions were performed for each complaint and for all of them simultaneously controlling variables significant at the bivariate level.
RESULTS: At the multivariate level, when taken separately, problematic internet users were more likely to have a chronic condition (adjusted odds ratio [aOR] with 95% CI: 1.58 [1.11:2.23]) and to report back pain (aOR: 1.46 [1.04:2.05]), overweight (aOR: 1.74 [1.03:2.93]), musculoskeletal pain (aOR: 1.36 [1.00:1.84]) and sleep problems (aOR: 2.16 [1.62:2.88]). When considered in the full model, only sleep problems remained significant (aOR: 2.03 [1.50:2.74]).
CONCLUSIONS: Our results confirm that problematic internet users report health problems more frequently, with lack of sleep being the most strongly associated and seeming to act as mediator regarding the other ones. Clinicians should remember to screen for excessive internet use their patients complaining of sleep-related problems, back or musculoskeletal pain or overweight. Clinicians should advise parents to limit the amount of time their adolescent children can spend online for leisure activities. Furthermore, limiting the number of devices used to connect to the internet could help warrant enough sleeping time.
- Kim JY. The nonlinear association between Internet using time for non-educational purposes and adolescent health. Journal of preventive medicine and public health = Yebang Uihakhoe chi. 2012;45(1):37–46.
- Cao F, Su L. Internet addiction among Chinese adolescents: prevalence and psychological features. Child Care Health Dev. 2007;33(3):275–81.
- Cheung LM, Wong WS. The effects of insomnia and internet addiction on depression in Hong Kong Chinese adolescents: an exploratory cross-sectional analysis. J Sleep Res. 2011;20(2):311–7.
- Kim JH, Lau CH, Cheuk KK, Kan P, Hui HL, Griffiths SM. Brief report: Predictors of heavy Internet use and associations with health-promoting and health risk behaviors among Hong Kong university students. J Adolesc. 2010;33(1):215–20.
- Liu TC, Desai RA, Krishnan-Sarin S, Cavallo DA, Potenza MN. Problematic Internet use and health in adolescents: data from a high school survey in Connecticut. J Clin Psychiatry. 2011;72(6):836–45.
- Morrison CM, Gore H. The relationship between excessive Internet use and depression: a questionnaire-based study of 1,319 young people and adults. Psychopathology. 2010;43(2):121–6.
- Berkey CS, Rockett HR, Colditz GA. Weight gain in older adolescent females: the internet, sleep, coffee, and alcohol. J Pediatr. 2008;153(5):635–9, 9 e1.
- Burke V, Beilin LJ, Durkin K, Stritzke WG, Houghton S, Cameron CA. Television, computer use, physical activity, diet and fatness in Australian adolescents. Int J Pediatr Obes. 2006;1(4):248–55.
- Do YK, Shin E, Bautista MA, Foo K. The associations between self-reported sleep duration and adolescent health outcomes: what is the role of time spent on Internet use? Sleep medicine. 2013;14(2):195–200.
- Russ SA, Larson K, Franke TM, Halfon N. Associations between media use and health in US children. Academic pediatrics. 2009;9(5):300–6.
- Yen CF, Ko CH, Yen JY, Cheng CP. The multidimensional correlates associated with short nocturnal sleep duration and subjective insomnia among Taiwanese adolescents. Sleep. 2008;31(11):1515–25.
- Hakala PT, Rimpela AH, Saarni LA, Salminen JJ. Frequent computer-related activities increase the risk of neck-shoulder and low back pain in adolescents. Eur J Public Health. 2006;16(5):536–41.
- Hakala PT, Saarni LA, Punamaki RL, Wallenius MA, Nygard CH, Rimpela AH. Musculoskeletal symptoms and computer use among Finnish adolescents – pain intensity and inconvenience to everyday life: a cross-sectional study. BMC musculoskeletal disorders. 2012;13:41.
- Belanger RE, Akre C, Berchtold A, Michaud PA. A U-shaped association between intensity of Internet use and adolescent health. Pediatrics. 2011;127(2):e330–5.
- Chou C. Internet heavy use and addiction among Taiwanese college students: an online interview study. Cyberpsychol Behav. 2001;4(5):573–85.
- Khazaal Y, Billieux J, Thorens G, Khan R, Louati Y, Scarlatti E, et al. French validation of the internet addiction test. Cyberpsychol Behav. 2008;11(6):703–6.
- Sinkkonen HM, Puhakka H, Merilainen M. Internet use and addiction among Finnish adolescents (15–19 years). J Adolesc. 2014;37(2):123–31.
- Lai CM, Mak KK, Watanabe H, Ang RP, Pang JS, Ho RC. Psychometric properties of the internet addiction test in Chinese adolescents. J Pediatr Psychol. 2013;38(7):794–807.
- Cao H, Sun Y, Wan Y, Hao J, Tao F. Problematic Internet use in Chinese adolescents and its relation to psychosomatic symptoms and life satisfaction. BMC public health. 2011;11:802.
- Lam LT, Peng Z, Mai J, Jing J. The association between internet addiction and self-injurious behaviour among adolescents. Injury prevention: journal of the International Society for Child and Adolescent Injury Prevention. 2009;15(6):403–8.
- Mejia D, Berchtold A, Belanger RE, Kuntsche EN, Michaud PA, Suris JC. Frequency and effects of meeting health behaviour guidelines among adolescents. Eur J Public Health. 2013;23(1):8–13.
- Durkee T, Kaess M, Carli V, Parzer P, Wasserman C, Floderus B, et al. Prevalence of pathological internet use among adolescents in Europe: demographic and social factors. Addiction. 2012 May 23.
- Yen CF, Ko CH, Yen JY, Chang YP, Cheng CP. Multi-dimensional discriminative factors for Internet addiction among adolescents regarding gender and age. Psychiatry Clin Neurosci. 2009;63(3):357–64.
- Bonfadelli H, Bucher P, Piga A. Use of old and new media by ethnic minority youth in Europe with a special emphasis on Switzerland. 2007;Communications(32):141–70.
- Sun P, Unger JB, Palmer PH, Gallaher P, Chou CP, Baezconde-Garbanati L, et al. Internet accessibility and usage among urban adolescents in Southern California: implications for web-based health research. Cyberpsychol Behav. 2005;8(5):441–53.
- Melkevik O, Torsheim T, Iannotti RJ, Wold B. Is spending time in screen-based sedentary behaviors associated with less physical activity: a cross national investigation. Int J Behav Nutr Phys Act. 2010;7:46.
- Barnett TA, O’Loughlin J, Sabiston CM, Karp I, Belanger M, Van Hulst A, et al. Teens and screens: the influence of screen time on adiposity in adolescents. Am J Epidemiol. 2010;172(3):255–62.
- Suris JC, Akre C, Berchtold A, Belanger RE, Michaud PA. Chronically connected? Internet use among adolescents with chronic conditions. J Adolesc Health. 2010;46(2):200–2.
- van der Aa N, Overbeek G, Engels RC, Scholte RH, Meerkerk GJ, Van den Eijnden RJ. Daily and compulsive internet use and well-being in adolescence: a diathesis-stress model based on big five personality traits. J Youth Adolesc. 2009;38(6):765–76.
- Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240–3.
- Moller Leimkuhler AM, Heller J, Paulus NC. Subjective well-being and “male depression” in male adolescents. JAffectDisord. 2007;98(1–2):65–72.
- Pea R, Nass C, Meheula L, Rance M, Kumar A, Bamford H, et al. Media use, face-to-face communication, media multitasking, and social well-being among 8– to 12–year-old girls. Dev Psychol. 2012;48(2):327–36.
- Chahal H, Fung C, Kuhle S, Veugelers PJ. Availability and night-time use of electronic entertainment and communication devices are associated with short sleep duration and obesity among Canadian children. Pediatric obesity. 2013;8(1):42–51.
- Lam LT, Peng ZW, Mai JC, Jing J. Factors associated with Internet addiction among adolescents. Cyberpsychology & behavior: the impact of the Internet, multimedia and virtual reality on behavior and society. 2009;12(5):551–5.
- Lam LT, Peng ZW. Effect of pathological use of the internet on adolescent mental health: a prospective study. Arch Pediatr Adolesc Med. 2010;164(10):901–6.
- Choi K, Son H, Park M, Han J, Kim K, Lee B, et al. Internet overuse and excessive daytime sleepiness in adolescents. Psychiatry Clin Neurosci. 2009;63(4):455–62.
- Park S. The association between Internet use and depressive symptoms among South Korean adolescents. Journal for specialists in pediatric nursing: JSPN. 2009;14(4):230–8.
- Chen SY, Tzeng JY. College female and male heavy internet users’ profiles of practices and their academic grades and psychosocial adjustment. Cyberpsychology, behavior and social networking. 2010;13(3):257–62.
- Ariza C, Nebot M, Tomas Z, Gimenez E, Valmayor S, Tarilonte V, et al. Longitudinal effects of the European smoking prevention framework approach (ESFA) project in Spanish adolescents. Eur J Public Health. 2008;18(5):491–7.
- Punamaki RL, Wallenius M, Nygard CH, Saarni L, Rimpela A. Use of information and communication technology (ICT) and perceived health in adolescence: the role of sleeping habits and waking-time tiredness. J Adolesc. 2007;30(4):569–85.
- Shochat T, Flint-Bretler O, Tzischinsky O. Sleep patterns, electronic media exposure and daytime sleep-related behaviours among Israeli adolescents. Acta Paediatr. 2010;99(9):1396–400.