Problematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia

Abstract Background Problematic Internet use (PIU) is a growing concern in modern society. There is a limitation of epidemiologic data related to PIU. This is due to a lack of consensus on the definition and variability of assessment tools of PIU. PIU has been linked to a range of negative outcomes...

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Main Authors: Yiknashewa Solomon Mekonnen, Selamawit Alemayehu Tessema, Solomon Dhabi Bedane, Askalemariam Bikiss Ali
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Psychiatry
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Online Access:https://doi.org/10.1186/s12888-024-06390-y
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author Yiknashewa Solomon Mekonnen
Selamawit Alemayehu Tessema
Solomon Dhabi Bedane
Askalemariam Bikiss Ali
author_facet Yiknashewa Solomon Mekonnen
Selamawit Alemayehu Tessema
Solomon Dhabi Bedane
Askalemariam Bikiss Ali
author_sort Yiknashewa Solomon Mekonnen
collection DOAJ
description Abstract Background Problematic Internet use (PIU) is a growing concern in modern society. There is a limitation of epidemiologic data related to PIU. This is due to a lack of consensus on the definition and variability of assessment tools of PIU. PIU has been linked to a range of negative outcomes including depression, anxiety, social isolation, and poor academic or work performance. Resident physicians are at risk of exhibiting problematic internet use due to the high stress of academic demands, social isolation, long working hours, busy schedules, and internet access. There is limited research on this topic and targeting resident physicians in Ethiopia. This study aimed to determine the PIU prevalence and associated factors among resident physicians in SPHMMC, Ethiopia. Methods An institutional-based cross-sectional study was conducted from September 1, 2023, to November 25, 2023, at St. Paul’s Hospital Millennium Medical College (SPHMMC). This study included 417 physician residents who were selected using multistage sampling techniques, and Young’s Internet addiction test was used to assess PIU. To look for associations, logistic regression analysis, both binary and multivariable, was performed, and a p-value of < 0.05 was used to determine statistical significance. Results 414 participants were included in this study, with a response rate of 99.3%. The prevalence of PIU was 46.6%, with a 95% CI of 41.7–51.6%. The multivariable logistic regression model revealed that using the Internet for five or more hours per day (AOR: 1.84, 95% CI = 1.14, 2.99), having less than 7 h of actual sleep per night (AOR: 2.16, 95% CI = 1.03, 4.53), and having depression (AOR: 7.98, 95% CI = 2.47, 25.78) were significantly positively associated with PIU. In addition, factors such as being married (AOR: 0.42, 95% CI = 0.19, 0.91) and residents of the obstetrics and gynecology department (AOR: 0.32, 95% CI = 0.13, 0.81) were negatively associated with PIU. Conclusion This study revealed high PIU use among resident physicians at SPHMMC. Factors such as using the Internet for five or more hours per day, having less than seven hours of actual sleep per night, and having depression were found to be risk factors for PIU. On the other hand, being married and residents of the obstetrics and gynecology department were protective factors. Thus, creating awareness among medical residents about healthy tech habits and involving policymakers to develop guidelines for healthy internet use and awareness campaigns to reduce the impact of PIU is recommended.
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spelling doaj-art-51349be3b6cc4a08b9b127c4ad7dc1302025-01-05T12:42:52ZengBMCBMC Psychiatry1471-244X2024-12-0124111010.1186/s12888-024-06390-yProblematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, EthiopiaYiknashewa Solomon Mekonnen0Selamawit Alemayehu Tessema1Solomon Dhabi Bedane2Askalemariam Bikiss Ali3Department of Psychiatry, St. Paul’s Hospital Millennium Medical CollegeDepartment of Psychiatry, St. Paul’s Hospital Millennium Medical CollegeDepartment of Psychiatry, St. Paul’s Hospital Millennium Medical CollegeDepartment of Psychiatry, St. Paul’s Hospital Millennium Medical CollegeAbstract Background Problematic Internet use (PIU) is a growing concern in modern society. There is a limitation of epidemiologic data related to PIU. This is due to a lack of consensus on the definition and variability of assessment tools of PIU. PIU has been linked to a range of negative outcomes including depression, anxiety, social isolation, and poor academic or work performance. Resident physicians are at risk of exhibiting problematic internet use due to the high stress of academic demands, social isolation, long working hours, busy schedules, and internet access. There is limited research on this topic and targeting resident physicians in Ethiopia. This study aimed to determine the PIU prevalence and associated factors among resident physicians in SPHMMC, Ethiopia. Methods An institutional-based cross-sectional study was conducted from September 1, 2023, to November 25, 2023, at St. Paul’s Hospital Millennium Medical College (SPHMMC). This study included 417 physician residents who were selected using multistage sampling techniques, and Young’s Internet addiction test was used to assess PIU. To look for associations, logistic regression analysis, both binary and multivariable, was performed, and a p-value of < 0.05 was used to determine statistical significance. Results 414 participants were included in this study, with a response rate of 99.3%. The prevalence of PIU was 46.6%, with a 95% CI of 41.7–51.6%. The multivariable logistic regression model revealed that using the Internet for five or more hours per day (AOR: 1.84, 95% CI = 1.14, 2.99), having less than 7 h of actual sleep per night (AOR: 2.16, 95% CI = 1.03, 4.53), and having depression (AOR: 7.98, 95% CI = 2.47, 25.78) were significantly positively associated with PIU. In addition, factors such as being married (AOR: 0.42, 95% CI = 0.19, 0.91) and residents of the obstetrics and gynecology department (AOR: 0.32, 95% CI = 0.13, 0.81) were negatively associated with PIU. Conclusion This study revealed high PIU use among resident physicians at SPHMMC. Factors such as using the Internet for five or more hours per day, having less than seven hours of actual sleep per night, and having depression were found to be risk factors for PIU. On the other hand, being married and residents of the obstetrics and gynecology department were protective factors. Thus, creating awareness among medical residents about healthy tech habits and involving policymakers to develop guidelines for healthy internet use and awareness campaigns to reduce the impact of PIU is recommended.https://doi.org/10.1186/s12888-024-06390-yProblematic internet use (PIU)PrevalenceRisk factorsResident PhysiciansEthiopia
spellingShingle Yiknashewa Solomon Mekonnen
Selamawit Alemayehu Tessema
Solomon Dhabi Bedane
Askalemariam Bikiss Ali
Problematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia
BMC Psychiatry
Problematic internet use (PIU)
Prevalence
Risk factors
Resident Physicians
Ethiopia
title Problematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia
title_full Problematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia
title_fullStr Problematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia
title_full_unstemmed Problematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia
title_short Problematic Internet use among resident physicians at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia
title_sort problematic internet use among resident physicians at st paul s hospital millennium medical college in addis ababa ethiopia
topic Problematic internet use (PIU)
Prevalence
Risk factors
Resident Physicians
Ethiopia
url https://doi.org/10.1186/s12888-024-06390-y
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