Abstract

BackgroundThe Coronavirus disease 2019 (COVID-19) is an infectious disease presenting a major threat to public health. This study aims to assess Internet use characteristics and objectively examine the potential psychological factors associated with Internet addiction (IA) during the COVID-19 epidemic.MethodsA cross-sectional, anonymized, self-reported survey was conducted among Chinese children and adolescents aged 6 to 18 years old. Participants completed questionnaires containing Young’s Internet Addiction Test (IAT) and the Depression, Anxiety, and Stress Scale (DASS-21), and questions regarding demographic information and Internet use characteristics.ResultsA total of 2050 participants (mean age:12.34 ± 4.67 years old, female: 48.44%) were enrolled. Fifty-five (2.68%) participants met the criterion for addictive Internet use (IAT≥70), while 684 (33.37%) participants were classified as problematic Internet users (69≥IAT≥40). Internet usage had grown during the COVID-19 epidemic, including the frequency and duration of recreational Internet use, and the frequency of stay-up Internet use. A linear regression analysis showed female gender (β=-0.091, p<0.001), age (β=0.066, p=0.001), depression (β=0.257, p<0.001), and stress (β=0.323, p<0.001) were significantly correlated with the IAT total scores (R=0.539, R2 = 0.291, p<0.001).ConclusionsWe observed excessive Internet use among Chinese children and adolescents during the outbreak of COVID-19. Age, gender, depression, and stress were the potential key factors affecting IA. Extended family and professional support should be considered for vulnerable individuals during these unprecedented times.

Highlights

  • In December 2019, the Coronavirus disease 2019 (COVID-19) was first reported in Wuhan city, Hubei province, China [1]

  • Of the 2270 surveys administered, 39 surveys were interrupted because they did not agree to participate in this research, and 181 surveys were removed, belonging to respondents who were less than 6 years old or more than 18 years old

  • Gender, and education status were significantly different among addictive Internet users (AIU), problematic Internet users (PIU), and normal Internet users (NIU) (p

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Summary

Introduction

In December 2019, the Coronavirus disease 2019 (COVID-19) was first reported in Wuhan city, Hubei province, China [1]. The COVID-19 is an extremely contagious disease with high infectivity, fast transmitting speed, susceptibility of all-age groups, and damage to public health. The emergency response and massive vigorous actions taken by the Chinese government have slowed down the epidemic. Nationwide, even worldwide public health emergency, the epidemic of COVID-19 is bound to have a corresponding impact on the psychology and behaviors of school-age children and adolescents, who deserves more attention. The Coronavirus disease 2019 (COVID-19) is an infectious disease presenting a major threat to public health. This study aims to assess Internet use characteristics and objectively examine the potential psychological factors associated with Internet addiction (IA) during the COVID-19 epidemic

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