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Zhu Y, Jin G, Shi H, Sun C, Wei H, Yang L, Hao J, Sun Y, Su P, Wu X, Tang X, Zhang Z. Mediating effect of social anxiety on the association between self-esteem and internet addiction among Chinese vocational school students. Front Public Health 2025; 13:1412480. [PMID: 40201372 PMCID: PMC11975913 DOI: 10.3389/fpubh.2025.1412480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Accepted: 03/11/2025] [Indexed: 04/10/2025] Open
Abstract
Introduction In today's digital age, concerns about internet addiction among adolescents have escalated alongside the widespread use of the internet. Simultaneously, research has spotlighted the influence of psychological factors like self-esteem and social anxiety on addictive behaviors. The aim of this study was to verify the hypothesis regarding social anxiety as a mediator in the association between self-esteem and internet addiction. Methods A total of 10,158 participants were randomly selected from five vocational schools in Anhui Province, China, with a mean age of 18.5 years. They completed a series of self-administered questionnaires, including the Young Internet Addiction Test (IATS), the Liebowitz Social Anxiety Scale (LSAS), and the Self-Esteem Scale (SES). Structural equation modeling (SEM) was employed to examine the mediating role of social anxiety between self-esteem and internet addiction, adjusting for demographic variables such as age, gender, and parental education. Results The correlation analysis revealed that self-esteem was significantly negatively correlated with internet addiction, while social anxiety was significantly positively correlated with internet addiction. The indirect effect of self-esteem on internet addiction through social anxiety was 0.11 (p < 0.01), constituting 28.35% of the total effect. Additionally, the total impact of self-esteem on internet addiction was 0.278 (p < 0.01). Subgroup analyses by age and gender confirmed the robustness of these findings, with significant total effects observed across different age groups (14-18 years: total effects = 0.637; 18-24 years: total effects = 0.744; p < 0.01) and genders (male: total effects = 0.385; female: total effects = 0.744; p < 0.01). Discussion The results indicate that social anxiety plays a significant mediating role in the relationship between self-esteem and internet addiction, affecting both directly and indirectly this association. These findings underscore the importance of addressing self-esteem and social anxiety in interventions aimed at reducing internet addiction among adolescents, suggesting that targeted psychological support could be pivotal in mitigating the risk of developing addictive behaviors online.
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Affiliation(s)
- Yunjiao Zhu
- Shangcheng District Center for Disease Control and Prevention (Shangcheng District Health Supervision Institute), Hangzhou, Zhejiang, China
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Guifang Jin
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Haiyan Shi
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Chenyu Sun
- Department of General Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Hongyuan Wei
- Anhui Provincial Center for Disease Control and Prevention, Hefei, Anhui, China
| | - Linsheng Yang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Jiahu Hao
- Department of Maternal, Child and Adolescent Health, Anhui Medical University, Hefei, China
| | - Ying Sun
- Department of Maternal, Child and Adolescent Health, Anhui Medical University, Hefei, China
| | - Puyu Su
- Department of Maternal, Child and Adolescent Health, Anhui Medical University, Hefei, China
| | - Xiaoyan Wu
- Department of Maternal, Child and Adolescent Health, Anhui Medical University, Hefei, China
| | - Xiaowu Tang
- Department of Medicine, Hefei Technology College, Chaohu, Anhui, China
| | - Zhihua Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China
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Miao S, Xu L, Gao S, Bai C, Huang Y, Peng B. The association between anxiety and internet addiction among left-behind secondary school students: the moderating effect of social support and family types. BMC Psychiatry 2024; 24:406. [PMID: 38811914 PMCID: PMC11138066 DOI: 10.1186/s12888-024-05855-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 05/17/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND The left-behind children (LBC), children and adolescents aged 0-18 whose parents have migrated for economic purposes for extended periods exceeding three months, present a unique social concern. These children remain in their place of household registration, often under the guardianship of relatives, while receiving compulsory education. LBC with growing Internet addiction (IA) have made it urgent to take a close look at the mechanisms and effective interventions for them. Anxiety has been proven to be correlated with IA in adolescents; however, the mechanisms of addiction in this population are less well-fully grasped. Based on the current theories and empirical results, the study examined whether and how social support (SS) and family types moderated the associations between anxiety and IA among left-behind secondary students. METHODS Stratified cluster sampling survey. A questionnaire was administered to 5290 secondary school children (2553 classified as left-behind) to explore the relationships between anxiety, IA, left-behind types, family types, and social support. This cross-sectional study employed a stratified cluster sampling survey of students in the ethnic areas of southeast Chongqing. The study sought to appraise the relationships between anxiety and IA in different types of left-behind children and to assess the potential moderating effect of SS on the relationship among the population and its family types differences. RESULTS The relationship between anxiety and IA was moderated significantly by social support and family types. Notably, the impact of social support on the moderating effect between IA and anxiety varied among students from both family types. For students from families where both parents had migrated, social support weakened the association between IA and anxiety. Conversely, for students from single-parent families where the parent had migrated, social support seemed to strengthen the relationships between these two issues. CONCLUSIONS The moderating effects of SS on the relationship between anxiety and IA differs based on family type among various groups of left-behind secondary students. Gaining insights into the IA mechanisms can guide the development of targeted intervention strategies aimed at minimizing IA among diverse groups of left-behind students.
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Affiliation(s)
- Siwei Miao
- Centre for Medical Big Data and Artificial Intelligence, Southwest Hospital of Third Military Medical University, Chongqing, 400038, China
| | - Lu Xu
- School of Pharmacy, Chongqing Medical and Pharmaceutical College, Chongqing, 401331, China
| | - Sihong Gao
- Chongqing Fuling District Center for Disease Control and Prevention, Chongqing, 408000, China
| | - Cuiping Bai
- Xiushan Traditional Chinese Medicine Hospital, Chongqing, 409900, China
| | - Yan Huang
- Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China.
| | - Bin Peng
- Department of Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
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Zhihao D, Tao W, Yingjie S, Feng Z. The influence of physical activity on internet addiction among Chinese college students: the mediating role of self-esteem and the moderating role of gender. BMC Public Health 2024; 24:935. [PMID: 38561700 PMCID: PMC10986089 DOI: 10.1186/s12889-024-18474-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 03/28/2024] [Indexed: 04/04/2024] Open
Abstract
OBJECTIVES The significance of self-esteem in the relationship between physical activity and Internet addiction among college students cannot be over, as it lays a solid foundation for the prevention and control of Internet addiction. METHODS A total of 950 college students were surveyed using the Physical Activity Rating Scale (PARS-3), Rosenberg Self-Esteem Scale (SES), and Chinese Internet Addiction Scale (CIAS-R) through a cluster random sampling method. Descriptive statistics, independent sample t-test, partial correlation analysis, mediation effect, moderation effect, and Bootstrap testing were conducted on the collected data to analyze and interpret the results. RESULTS (1) Significant gender differences were found in the amount of physical activity and the degree of Internet addiction among college students(P&& lt;0.001); (2) Physical activity was significantly and positively correlated with self-esteem (r = 0.26, P < 0.001), but significantly and negatively correlated with Internet addiction (r=-0.23, P < 0.001); Meanwhile, self-esteem and Internet addiction were significantly and negatively related to self-esteem (r=-0.22, P < 0.001). (3) Mediating effect analyses showed that self-esteem played a partial mediating role in physical activity and Internet addiction among college students, accounting for a portion of 78.95%. (4) A moderating effect of gender on the relationship between physical activity and Internet addiction was discovered. CONCLUSION The physical activity level of male students is significantly higher than that of female students, while the degree of internet addiction among female students is notably higher than that of male students. Physical activity can not only directly improve the issue of internet addiction among college students, but also indirectly improve it through self-esteem, with gender playing a moderating role in this process. This conclusion has practical reference significance for preventing and controlling internet addiction among college students, and provides evidence support for using physical activity as a reference solution in clinical applications. Additionally, it suggests that gender should be taken into account when preventing and intervening in internet addiction among college students, and different strategies and methods should be adopted for male and female students. Male students should be encouraged to participate more in physical activities, gradually increasing the frequency, duration, and intensity of their participation, in order to divert their attention and enhance their sense of achievement in sports, thereby reducing their use of mobile phones. For female students, on the other hand, it is important to strengthen real-life communication, change the form of sports participation, engage in group, collaborative, and different situational sports activities, and enhance their focus and attention in sports, in order to reduce their internet dependency, better guide them to use the internet reasonably, and enable them to achieve emotional release through sports.
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Affiliation(s)
- Du Zhihao
- Jishou University, 416000, Jishou, Hunan, China
- College of Physical Education, China University of Mining and Technology, 221116, Xuzhou, Jiangsu, China
| | - Wang Tao
- College of Physical Education, Zhengzhou University, 451000, Zhengzhou, Henan, China
| | - Sun Yingjie
- College of Physical Education, China University of Mining and Technology, 221116, Xuzhou, Jiangsu, China
| | - Zhai Feng
- College of Physical Education, China University of Mining and Technology, 221116, Xuzhou, Jiangsu, China.
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Wang D, Liu X, Chen K, Gu C, Zhao H, Zhang Y, Luo Y. Risks and protection: a qualitative study on the factors for internet addiction among elderly residents in Southwest China communities. BMC Public Health 2024; 24:531. [PMID: 38378524 PMCID: PMC10880227 DOI: 10.1186/s12889-024-17980-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 02/04/2024] [Indexed: 02/22/2024] Open
Abstract
BACKGROUND In the global trend of actively promoting the participation of older adults in the digital age, the relevant negative issues featuring potential Internet Addiction (IA) among them has risen to be a new challenge facing the global public health. However, there is a severe lack of related research. This study aimed to gain a comprehensive understanding of the phenomenon and process of IA among the elderly. The purpose of this paper is to introduce factors that may influence IA in the demographic. METHODS This study employed qualitative descriptive research methods to investigate older adults' perceptions and experiences of IA. Semi-structured in-depth personal interviews were conducted between March and June 2023 with 36 senior citizens from urban communities in Chongqing, Southwest China. Data were analyzed via inductive content analysis methods. RESULTS Through data analysis, 2 main categories concerning IA in older adults were identified: risk factors and protective factors. The risk factor categories include 5 individual factors (e.g., Internet as the major avenue for pursuing personal hobbies and interests, etc.), 3 family factors (e.g., household WIFI increasing the risk of prolonged Internet use indoors, etc.), 2 peer factors (e.g., peer recommendation and guidance as catalysts for intensified Internet engagement, etc.), 2 socio-environmental factors (e.g., the widespread daily Internet use spurs offline intolerance, etc.), and 3 Internet platform factors (e.g., the plenitude of online content triggers endless viewing/browsing behaviors, etc.). The category of protective factors encompasses 2 individual factors (e.g., a higher level of perceived risk regarding internet health hazards, etc.) and 2 family factors (e.g., more family commitment, etc.). CONCLUSIONS Older adults' Internet addictive behaviors are shaped by multiple and complex internal and external factors. A higher level of online health risk perception is a key protective factor to effectively avoid the occurrence and deterioration of IA among the aged, a distinct finding from this study. It is believed that the "individual-family-peer-community" synergy strategy is expected to become an essential direction for IA intervention for older adults, in order to promote healthy Internet use among older adults.
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Affiliation(s)
- Dan Wang
- School of Nursing, Army Medical University, Third Military Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing, 400038, China
| | - Xinyi Liu
- School of Nursing, Army Medical University, Third Military Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing, 400038, China
| | - Kun Chen
- School of Nursing, Army Medical University, Third Military Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing, 400038, China
| | - Chunyan Gu
- Shuangbei Community Health Service Center, No.14 Shuangbei Street, Shapingba District, Chongqing, 400030, China
| | - Hongyan Zhao
- Xiaolongkan Community Health Service Center, No.4 Xiaolongkan Street, Shapingba District, Chongqing, 400030, China
| | - Yong Zhang
- Shuangbei Community Health Service Center, No.14 Shuangbei Street, Shapingba District, Chongqing, 400030, China
| | - Yu Luo
- School of Nursing, Army Medical University, Third Military Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing, 400038, China.
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