Background: The Internet has revolutionized global communication while introducing concerning patterns of maladaptive use among adolescents. Internet addiction has emerged as a significant public health concern requiring robust assessment methodologies. This study employs a dual-scale approach to evaluate internet addiction among adolescents, aiming to determine prevalence rates, identify associated risk factors, and assess the concordance between two established assessment instruments. Methodology: A cross-sectional study was conducted among adolescents in the field practicing area of a tertiary care hospital over three months. Two structured assessment tools were employed: Young's diagnostic criteria and Young's Internet Addiction Test, administered through self-completed questionnaires. Demographic data and internet usage patterns were collected alongside addiction assessments. Kappa statistical analysis evaluated concordance between measurement instruments. Results: The study comprised of 1138 participants where 363(31.9%) had internet addiction according to Young`s diagnostic criteria, while Young's Internet Addiction Test classified 696(61.1%) participants with varying addiction levels (385 (33.8%) mild, 239(21%) moderate, 72(6.3%) severe). Male gender, college attendance, and increased daily internet usage were significantly associated with higher addiction rates (p<0.001). Kappa statistics revealed poor agreement (κ=0.185) between the two assessment tools. Conclusion: Male gender, higher age, college attendance, and increased daily internet usage (particularly exceeding five hours) were significantly associated with internet addiction and also slight agreement between assessment tools were found.
Dharmaraj et al. (Mon,) studied this question.
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