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J Behav Addict. 2018 Sep 1;7(3):610-623. doi: 10.1556/2006.7.2018.53. Epub 2018 Jul 16.

Prevalence of Internet addiction disorder in Chinese university students: A comprehensive meta-analysis of observational studies.

Author information

1
1 Department of Pharmacy, The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital) , Guangzhou, China.
2
2 Unit of Psychiatry, Faculty of Health Sciences, University of Macau , Macao SAR, China.
3
3 Faculty of Sciences, Harbin University , Harbin, China.
4
4 Department of Health Education, Beijing Centers for Disease Prevention and Control , Beijing, China.
5
5 Beijing Centers for Disease Prevention Medical Research , Beijing, China.
6
6 The National Clinical Research Center for Mental Disorders and Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University , Beijing, China.
7
7 Department of Pharmacy, The First Affiliated Hospital of Zhejiang University , Hangzhou, China.
8
8 Department of Psychiatry, University of Melbourne , Melbourne, VIC, Australia.
9
9 Department of Psychiatry, University of Notre Dame Australia/Graylands Hospital , Perth, WA, Australia.
10
10 Shool of Public Health, Jilin University , Changchun, China.

Abstract

BACKGROUND AND AIMS:

Internet addiction disorder (IAD) is common in university students. A number of studies have examined the prevalence of IAD in Chinese university students, but the results have been inconsistent. This is a meta-analysis of the prevalence of IAD and its associated factors in Chinese university students.

METHODS:

Both English (PubMed, PsycINFO, and Embase) and Chinese (Wan Fang Database and Chinese National Knowledge Infrastructure) databases were systematically and independently searched from their inception until January 16, 2017.

RESULTS:

Altogether 70 studies covering 122,454 university students were included in the meta-analysis. Using the random-effects model, the pooled overall prevalence of IAD was 11.3% (95% CI: 10.1%-12.5%). When using the 8-item Young Diagnostic Questionnaire, the 10-item modified Young Diagnostic Questionnaire, the 20-item Internet Addiction Test, and the 26-item Chen Internet Addiction Scale, the pooled prevalence of IAD was 8.4% (95% CI: 6.7%-10.4%), 9.3% (95% CI: 7.6%-11.4%), 11.2% (95% CI: 8.8%-14.3%), and 14.0% (95% CI: 10.6%-18.4%), respectively. Subgroup analyses revealed that the pooled prevalence of IAD was significantly associated with the measurement instrument (Q = 9.41, p = .024). Male gender, higher grade, and urban abode were also significantly associated with IAD. The prevalence of IAD was also higher in eastern and central of China than in its northern and western regions (10.7% vs. 8.1%, Q = 4.90, p = .027).

CONCLUSIONS:

IAD is common among Chinese university students. Appropriate strategies for the prevention and treatment of IAD in this population need greater attention.

KEYWORDS:

China; Internet addiction disorder; meta-analysis; university students

PMID:
30010411
PMCID:
PMC6426360
DOI:
10.1556/2006.7.2018.53
[Indexed for MEDLINE]
Free PMC Article

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