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      Prevalence and impact of the use of electronic gadgets on the health of children in secondary schools in Bangladesh: A cross‐sectional study

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          Abstract

          Background and Aims

          Use of technological gadgets has rapidly been increasing among adolescents, which may result in health issues and technology addiction. This study focuses on the prevalence of usage of technological gadgets and health‐related complications among secondary school‐going children of Bangladesh.

          Methods

          A total of 1803 secondary school students from 21 different districts of Bangladesh participated in the study. The children were asked questions relating to their access to electronic gadgets, time spent on outdoor activities, and whether they experienced any health‐complications as an after‐effect of the usage. A binary logistic regression model was adapted considering time spent on gadgets as an independent variable and health problems (physical and mental) as the dependent variable.

          Results

          Among all the gadgets, 67.11% of the participants were reported to use mobile phones on a daily basis. Due to the ongoing COVID‐19 pandemic, 24.48% of respondents used electronic gadgets for attending online classes. The participants were reported to use gadgets significantly more ( P < .05) in 2020 as compared to 2019. Children showed less tendency to spend time in outdoor activities. More than 50% of the participants spend time doing outdoor activities for less than 1 hour daily. An association between gadget use and health problems like headache, backache, visual disturbance, and sleeping disturbance has been observed in our study.

          Conclusion

          This study demonstrates that different socio‐demographic factors have influence on the use of gadgets by children, and this use has greatly been affecting both the physical and mental health of the secondary school‐going students of Bangladesh.

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          Most cited references43

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          Gender differences in factors associated with smartphone addiction: a cross-sectional study among medical college students

          Background Smartphones are becoming increasingly indispensable in everyday life for most undergraduates in China, and this has been associated with problematic use or addiction. The aim of the current study was to investigate the prevalence of smartphone addiction and the associated factors in male and female undergraduates. Methods This cross-sectional study was conducted in 2016 and included 1441 undergraduate students at Wannan Medical College, China. The Smartphone Addiction Scale short version (SAS-SV) was used to assess smartphone addiction among the students, using accepted cut-offs. Participants’ demographic, smartphone usage, and psycho-behavioral data were collected. Multivariate logistic regression models were used to seek associations between smartphone addiction and independent variables among the males and females, separately. Results The prevalence of smartphone addiction among participants was 29.8% (30.3% in males and 29.3% in females). Factors associated with smartphone addiction in male students were use of game apps, anxiety, and poor sleep quality. Significant factors for female undergraduates were use of multimedia applications, use of social networking services, depression, anxiety, and poor sleep quality. Conclusions Smartphone addiction was common among the medical college students investigated. This study identified associations between smartphone usage, psycho-behavioral factors, and smartphone addiction, and the associations differed between males and females. These results suggest the need for interventions to reduce smartphone addiction among undergraduate students.
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            Epidemiology of internet behaviors and addiction among adolescents in six Asian countries.

            Internet addiction has become a serious behavioral health problem in Asia. However, there are no up-to-date country comparisons. The Asian Adolescent Risk Behavior Survey (AARBS) screens and compares the prevalence of Internet behaviors and addiction in adolescents in six Asian countries. A total of 5,366 adolescents aged 12-18 years were recruited from six Asian countries: China, Hong Kong, Japan, South Korea, Malaysia, and the Philippines. Participants completed a structured questionnaire on their Internet use in the 2012-2013 school year. Internet addiction was assessed using the Internet Addiction Test (IAT) and the Revised Chen Internet Addiction Scale (CIAS-R). The variations in Internet behaviors and addiction across countries were examined. The overall prevalence of smartphone ownership is 62%, ranging from 41% in China to 84% in South Korea. Moreover, participation in online gaming ranges from 11% in China to 39% in Japan. Hong Kong has the highest number of adolescents reporting daily or above Internet use (68%). Internet addiction is highest in the Philippines, according to both the IAT (5%) and the CIAS-R (21%). Internet addictive behavior is common among adolescents in Asian countries. Problematic Internet use is prevalent and characterized by risky cyberbehaviors.
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              Dose–response association of screen time-based sedentary behaviour in children and adolescents and depression: a meta-analysis of observational studies

              Background Depression represents a growing public health burden. Understanding how screen time (ST) in juveniles may be associated with risk of depression is critical for the development of prevention and intervention strategies. Findings from studies addressing this question thus far have been inconsistent. Therefore, we conducted a comprehensive systematic review and meta-analysis of data related to this question. Methods The meta-analysis was conducted in accordance with the PRISMA guideline. We searched the electronic databases of PubMed, Web of Science and EBSCO systematically (up to 6 May 2015). OR was adopted as the pooled measurement of association between ST and depression risk. Dose–response was estimated by a generalised least squares trend estimation. Results Twelve cross-sectional studies and four longitudinal studies (including 1 cohort study) involving a total of 127 714 participants were included. Overall, higher ST in preadolescent children and adolescents was significantly associated with a higher risk of depression (OR=1.12; 95% CI 1.03 to 1.22). Screen type, age, population and reference category acted as significant moderators. Compared with the reference group who had no ST, there was a non-linear dose–response association of ST with a decreasing risk of depression at ST<2 h/day, with the lowest risk being observed for 1 h/day (OR=0.88; 95% CI 0.84 to 0.93). Conclusions Our meta-analysis suggests that ST in children and adolescents is associated with depression risk in a non-linear dose–response manner.
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                Author and article information

                Contributors
                adnan.mannan@cu.ac.bd
                Journal
                Health Sci Rep
                Health Sci Rep
                10.1002/(ISSN)2398-8835
                HSR2
                Health Science Reports
                John Wiley and Sons Inc. (Hoboken )
                2398-8835
                01 October 2021
                December 2021
                : 4
                : 4 ( doiID: 10.1002/hsr2.v4.4 )
                : e388
                Affiliations
                [ 1 ] Department of Genetic Engineering & Biotechnology University of Dhaka Dhaka Bangladesh
                [ 2 ] Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
                [ 3 ] Institute of Statistical Research and Training University of Dhaka Dhaka Bangladesh
                [ 4 ] Department of Endocrinology Chittagong Medical College Chattogram Bangladesh
                [ 5 ] Department of Geography and Environmental Studies, Faculty of Biological Sciences University of Chittagong Chattogram Bangladesh
                [ 6 ] Department of Genetic Engineering & Biotechnology, Faculty of Biological Sciences University of Chittagong Chattogram Bangladesh
                Author notes
                [*] [* ] Correspondence

                Adnan Mannan, Department of Genetic Engineering & Biotechnology, Faculty of Biological Sciences, University of Chittagong, Chattogram, Bangladesh.

                Email: adnan.mannan@ 123456cu.ac.bd

                Author information
                https://orcid.org/0000-0002-4488-9388
                https://orcid.org/0000-0001-5621-8365
                https://orcid.org/0000-0002-5020-2052
                https://orcid.org/0000-0003-3867-8549
                https://orcid.org/0000-0001-8420-8869
                https://orcid.org/0000-0002-6726-7960
                https://orcid.org/0000-0002-6392-779X
                https://orcid.org/0000-0001-8894-8100
                https://orcid.org/0000-0003-2606-5868
                https://orcid.org/0000-0002-7761-2297
                https://orcid.org/0000-0001-8934-8182
                https://orcid.org/0000-0003-4070-9586
                Article
                HSR2388
                10.1002/hsr2.388
                8485597
                34622022
                5594850a-c71e-4ebe-8e02-7561d0b1b3c7
                © 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 09 August 2021
                : 16 May 2021
                : 26 August 2021
                Page count
                Figures: 3, Tables: 2, Pages: 9, Words: 6332
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                December 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.8 mode:remove_FC converted:01.10.2021

                bangladesh,gadgets,health complications,secondary school students

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