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Article

Association of Internet Addiction with Adolescents’ Lifestyle: A National School-Based Survey

by
Chan Ying Ying
1,*,
S Maria Awaluddin
2,
Lim Kuang Kuay
3,
Cheong Siew Man
4,
Azli Baharudin
4,
Ling Miaw Yn
5,
Norhafizah Sahril
1,
Mohd Azahadi Omar
6,
Noor Ani Ahmad
7 and
Normala Ibrahim
8
1
Centre for Family Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia
2
Centre for Burden of Disease Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia
3
Centre for Occupational Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia
4
Centre for Nutrition Epidemiology Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia
5
Centre for Non Communicable Diseases Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia
6
Sector for Biostatistics & Data Repository, Research Policy and Planning Division, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia
7
Director Office, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia
8
Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(1), 168; https://doi.org/10.3390/ijerph18010168
Submission received: 28 September 2020 / Revised: 26 October 2020 / Accepted: 6 November 2020 / Published: 29 December 2020
(This article belongs to the Special Issue Adolescent and Young People's Health Issues and Challenges)
Versions Notes

Abstract

Internet addiction (IA) among adolescents is an issue of growing concern with adverse effects on adolescents’ health and social functioning. This study aims to determine the prevalence of IA among school-going adolescents in Malaysia and its associated factors—specifically, lifestyle factors. A nationwide cross-sectional school-based health survey was conducted in 2017 among 27,497 students from 212 randomly selected secondary schools. Information regarding sociodemography, lifestyle, and internet use was obtained using a self-administered questionnaire. IA was measured using the Malay Version of Internet Addiction Test (MVIAT). The prevalence of internet addiction was 29.0%. A multivariable logistic analysis revealed that inadequate fruit and vegetable intakes, consumed carbonated soft drinks at least once a day, consumed fast food at least three days/week, sedentary behavior, current E-cigarette users, and ever/current alcohol drinkers were lifestyle factors significantly associated with IA. Adolescents from urban schools, of higher school grade, and those whose parents are married but living apart were also found to have a greater risk for internet addiction. A positive association was found between IA with unhealthy dietary and lifestyle behaviors among adolescents. The modification of lifestyle factors needs to be considered while developing strategies and interventions for awareness-raising and prevention of IA among adolescents.
Keywords: internet addiction; adolescents; lifestyle; prevalence; Malaysia internet addiction; adolescents; lifestyle; prevalence; Malaysia

Share and Cite

MDPI and ACS Style

Ying Ying, C.; Awaluddin, S.M.; Kuang Kuay, L.; Siew Man, C.; Baharudin, A.; Miaw Yn, L.; Sahril, N.; Omar, M.A.; Ahmad, N.A.; Ibrahim, N. Association of Internet Addiction with Adolescents’ Lifestyle: A National School-Based Survey. Int. J. Environ. Res. Public Health 2021, 18, 168. https://doi.org/10.3390/ijerph18010168

AMA Style

Ying Ying C, Awaluddin SM, Kuang Kuay L, Siew Man C, Baharudin A, Miaw Yn L, Sahril N, Omar MA, Ahmad NA, Ibrahim N. Association of Internet Addiction with Adolescents’ Lifestyle: A National School-Based Survey. International Journal of Environmental Research and Public Health. 2021; 18(1):168. https://doi.org/10.3390/ijerph18010168

Chicago/Turabian Style

Ying Ying, Chan, S Maria Awaluddin, Lim Kuang Kuay, Cheong Siew Man, Azli Baharudin, Ling Miaw Yn, Norhafizah Sahril, Mohd Azahadi Omar, Noor Ani Ahmad, and Normala Ibrahim. 2021. "Association of Internet Addiction with Adolescents’ Lifestyle: A National School-Based Survey" International Journal of Environmental Research and Public Health 18, no. 1: 168. https://doi.org/10.3390/ijerph18010168

APA Style

Ying Ying, C., Awaluddin, S. M., Kuang Kuay, L., Siew Man, C., Baharudin, A., Miaw Yn, L., Sahril, N., Omar, M. A., Ahmad, N. A., & Ibrahim, N. (2021). Association of Internet Addiction with Adolescents’ Lifestyle: A National School-Based Survey. International Journal of Environmental Research and Public Health, 18(1), 168. https://doi.org/10.3390/ijerph18010168

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