Personal Factors, Internet Characteristics, and Environmental Factors Contributing to Adolescent Internet Addiction: A Public Health Perspective

Individual characteristics, family- and school-related variables, and environmental variables have equal importance in understanding Internet addiction. Most previous studies on Internet addiction have focused on individual factors; those that considered environmental influence typically only examined the proximal environment. Effective prevention and intervention of Internet addiction require a framework that integrates individual- and environmental-level factors. This study examined the relationships between personal factors, family/school factors, perceived Internet characteristics, and environmental variables as they contribute to Internet addiction among adolescents based on the public health model. A representative sample of 1628 junior high school students from 56 regions in Seoul and Gyeonggi-do participated in the study via questionnaires with the cooperation of the Ministry of Health and Welfare and the district office of education. The study analyzed psychological factors, family cohesion, attitudes toward academic activities, Internet characteristics, accessibility to PC cafés, and exposure to Internet game advertising. About 6% of the adolescents were categorized as being in the severely addicted group. Between-group comparisons showed that the addicted group had started using the Internet earlier; had higher levels of depression, compulsivity, and aggressiveness as well as lower family cohesion; and reported higher accessibility to PC cafés and exposure to Internet game advertising. Multiple logistic regression indicated that for adolescents, environmental factors had a greater influence than family or school-related factors. Policy implications for prevention and intervention are discussed.

[1]  Chih-Hung Ko,et al.  The associations between aggressive behaviors and internet addiction and online activities in adolescents. , 2009, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[2]  Mann Hyung Hur,et al.  Demographic, Habitual, and Socioeconomic Determinants of Internet Addiction Disorder: An Empirical Study of Korean Teenagers , 2006, Cyberpsychology Behav. Soc. Netw..

[3]  P. Lachenbruch Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[4]  Young-Chul Shin,et al.  Impulsivity in Internet Addiction: A Comparison with Pathological Gambling , 2012, Cyberpsychology Behav. Soc. Netw..

[5]  Robert LaRose,et al.  Internet Gratifications and Internet Addiction: On the Uses and Abuses of New Media , 2004, Cyberpsychology Behav. Soc. Netw..

[6]  J. Flora,et al.  Seventh graders' self-reported exposure to cigarette marketing and its relationship to their smoking behavior. , 1996, American journal of public health.

[7]  Louis Leung,et al.  Net-Generation Attributes and Seductive Properties of the Internet as Predictors of Online Activities and Internet Addiction , 2004, Cyberpsychology Behav. Soc. Netw..

[8]  Hoon Jung Koo,et al.  Risk and Protective Factors of Internet Addiction: A Meta-Analysis of Empirical Studies in Korea , 2014, Yonsei medical journal.

[9]  Clive Richardson,et al.  Internet Addictive Behavior in Adolescence: A Cross-Sectional Study in Seven European Countries , 2014, Cyberpsychology Behav. Soc. Netw..

[10]  Jennifer B. Unger,et al.  Alcohol Advertising Exposure and Adolescent Alcohol Use: A Comparison of Exposure Measures , 2003 .

[11]  L. Lam Risk Factors of Internet Addiction and the Health Effect of Internet Addiction on Adolescents: A Systematic Review of Longitudinal and Prospective Studies , 2014, Current Psychiatry Reports.

[12]  M. Kim Relationship of Multicultural Adolescents' Stress, Depression, Family Resilience and Internet Game Addiction , 2016 .

[13]  Jung-Seok Choi,et al.  The Relationship between Impulsivity and Internet Gaming Disorder in Young Adults: Mediating Effects of Interpersonal Relationships and Depression , 2018, International journal of environmental research and public health.

[14]  Amandeep Dhir,et al.  Predicting adolescent Internet addiction: The roles of demographics, technology accessibility, unwillingness to communicate and sought Internet gratifications , 2015, Comput. Hum. Behav..

[15]  Jongil Yuh Aggression, social environment, and internet gaming addiction among Korean adolescents , 2018 .

[16]  Cheol-Soon Lee,et al.  Socioeconomic and Geographic Inequalities of Internet Addiction in Korean Adolescents , 2015, Psychiatry investigation.

[17]  Ssu-Kuang Chen,et al.  Impulsivity as a precedent factor for problematic Internet use: How can we be sure? , 2017, International journal of psychology : Journal international de psychologie.

[18]  Ronald Pies,et al.  Should DSM-V Designate "Internet Addiction" a Mental Disorder? , 2009, Psychiatry (Edgmont (Pa. : Township)).

[19]  Mohammad-Rafi Bazrafshan,et al.  The Relationship between Depression and Internet Addiction among Paramedical Students in Larestan, Iran , 2019, JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH.

[20]  Cecilia Cheng,et al.  Internet Addiction Prevalence and Quality of (Real) Life: A Meta-Analysis of 31 Nations Across Seven World Regions , 2014, Cyberpsychology Behav. Soc. Netw..

[21]  F. Cao,et al.  The relationship between impulsivity and Internet addiction in a sample of Chinese adolescents , 2007, European Psychiatry.

[22]  H. Sacre,et al.  Internet Addiction Among Lebanese Adolescents: The Role of Self-Esteem, Anger, Depression, Anxiety, Social Anxiety and Fear, Impulsivity, and Aggression-A Cross-Sectional Study. , 2019, The Journal of nervous and mental disease.

[23]  P. Reed,et al.  Differential physiological changes following internet exposure in higher and lower problematic internet users , 2017, PloS one.

[24]  Stefan Stieger,et al.  Implicit and Explicit Self-Esteem in the Context of Internet Addiction , 2010, Cyberpsychology Behav. Soc. Netw..

[25]  Paul J. Gruenewald,et al.  Regulating Availability: How Access to Alcohol Affects Drinking and Problems in Youth and Adults , 2011, Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism.

[26]  Silke M. Mueller,et al.  Facets of impulsivity and related aspects differentiate among recreational and unregulated use of Internet pornography , 2019, Journal of behavioral addictions.

[27]  J. Schulze Internet Addiction A Handbook And Guide To Evaluation And Treatment , 2016 .

[28]  M. Kaess,et al.  Prevalence of pathological internet use among adolescents in Europe: demographic and social factors. , 2012, Addiction.

[29]  T. Lobstein,et al.  Alcohol marketing and youth alcohol consumption: a systematic review of longitudinal studies published since 2008 , 2017, Addiction.

[30]  Kimberly Young,et al.  Internet Addiction: The Emergence of a New Clinical Disorder , 1998, Cyberpsychology Behav. Soc. Netw..

[31]  M. Brand,et al.  Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model , 2016, Neuroscience & Biobehavioral Reviews.

[32]  Agata Blachnio,et al.  The role of depression, personality, and future time perspective in internet addiction in adolescents and emerging adults , 2019, Psychiatry Research.

[33]  Kimberly S. Young,et al.  Clinical Assessment of Internet‐Addicted Clients , 2012 .

[34]  S. Andersen,et al.  Sensitive periods of substance abuse: Early risk for the transition to dependence , 2016, Developmental Cognitive Neuroscience.

[35]  Kimberly Young,et al.  The Relationship Between Depression and Internet Addiction , 1998, Cyberpsychology Behav. Soc. Netw..

[36]  Lu Yu,et al.  Internet addiction in Hong Kong adolescents: a three-year longitudinal study. , 2013, Journal of pediatric and adolescent gynecology.

[37]  H. Nakayama,et al.  Treatment and risk factors of Internet use disorders , 2017, Psychiatry and clinical neurosciences.

[38]  A. Gori,et al.  Do Attachment Styles and Family Functioning Predict Adolescents’ Problematic Internet Use? A Relative Weight Analysis , 2019, Journal of Child and Family Studies.

[39]  Wan-Sen Yan,et al.  Profiles of Impulsivity in Problematic Internet Users and Cigarette Smokers , 2019, Front. Psychol..

[40]  Cecilia Cheng,et al.  The association between internet addiction and psychiatric co-morbidity: a meta-analysis , 2014, BMC Psychiatry.

[41]  Dong Yang,et al.  Relationship between anxiety, depression, sex, obesity, and internet addiction in Chinese adolescents: A short-term longitudinal study. , 2019, Addictive behaviors.

[42]  Huei-Chen Ko,et al.  Prevalence and Psychosocial Risk Factors Associated with Internet Addiction in a Nationally Representative Sample of College Students in Taiwan , 2011, Cyberpsychology Behav. Soc. Netw..

[43]  Chih-Hung Ko,et al.  Bidirectional associations between family factors and Internet addiction among adolescents in a prospective investigation , 2015, Psychiatry and clinical neurosciences.

[44]  K. Young Internet Addiction: Diagnosis and Treatment Considerations , 2009, Journal of Contemporary Psychotherapy.

[45]  Hyekyung Choo,et al.  Typology of Internet gaming disorder and its clinical implications , 2017, Psychiatry and clinical neurosciences.

[46]  C. Ko,et al.  Associations Among Resilience, Stress, Depression, and Internet Gaming Disorder in Young Adults , 2019, International journal of environmental research and public health.

[47]  D. Jernigan,et al.  Policy Approaches for Regulating Alcohol Marketing in a Global Context: A Public Health Perspective. , 2018, Annual review of public health.

[48]  A. Caspi,et al.  Is It Important to Prevent Early Exposure to Drugs and Alcohol Among Adolescents? , 2008, Psychological science.

[49]  C. Broman The Availability of Substances in Adolescence: Influences in Emerging Adulthood , 2016, Journal of child & adolescent substance abuse.

[50]  Hsuan-Ting Chen,et al.  Problematic Use of Social Network Sites: The Interactive Relationship Between Gratifications Sought and Privacy Concerns , 2013, Cyberpsychology Behav. Soc. Netw..

[51]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[52]  Control Program. Tobacco COntrol in California: Who's winning the war? An evaluation of the Tobacco Control Program, 1989-1996. Final Report. A report to the California Department of Health Services. , 1998 .

[53]  Z. Lv,et al.  The association between attention deficit/hyperactivity disorder and internet addiction: a systematic review and meta-analysis , 2017, BMC Psychiatry.

[54]  Jung-Seok Choi,et al.  Application of Diagnostic Interview for Internet Addiction (DIA) in Clinical Practice for Korean Adolescents , 2019, Journal of clinical medicine.

[55]  Seung Min Bae,et al.  Psychometric Properties of the Internet Addiction Test: A Systematic Review and Meta-Analysis , 2018, Cyberpsychology Behav. Soc. Netw..

[56]  Donghwan Lee,et al.  Effects of Internet and Smartphone Addictions on Depression and Anxiety Based on Propensity Score Matching Analysis , 2018, International journal of environmental research and public health.

[57]  J. Grube,et al.  Relationships between local enforcement, alcohol availability, drinking norms, and adolescent alcohol use in 50 California cities. , 2012, Journal of studies on alcohol and drugs.

[58]  Internet addiction and its associated factors: Study among the students of a public health school of Kolkata , 2019 .

[59]  Wan Ismail,et al.  Internet Addiction among Secondary School Students in Klang Valley, Malaysia: What is the Association with Depressive Symptoms, Anxiety Symptoms, and Self- Esteem? , 2018 .

[60]  D. Greenfield,et al.  The Addictive Properties of Internet Usage , 2012 .