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. 2020 Mar;41(2):98-104.
doi: 10.4082/kjfm.18.0108. Epub 2020 Mar 19.

Association between Smartphone Usage and Mental Health in South Korean Adolescents: The 2017 Korea Youth Risk Behavior Web-Based Survey

Hyunjeong Kim  1 , Min-Kyoung Cho  1 , Hyeonyoung Ko  1 , Jung Eun Yoo  1 , Yun-Mi Song  1
Affiliations

Association between Smartphone Usage and Mental Health in South Korean Adolescents: The 2017 Korea Youth Risk Behavior Web-Based Survey

Hyunjeong Kim et al. Korean J Fam Med. 2020 Mar.

Abstract

Background: Smartphone usage is indispensably beneficial to people's everyday lives. However, excessive smartphone usage has been associated with physical and mental health problems. This study aimed to evaluate the association of smartphone usage with depressive symptoms, suicidal thoughts, and suicide attempts in Korean adolescents.

Methods: This cross-sectional study was conducted in 54,603 Korean adolescent participants (26,930 male and 27,673 female) in the Korea Youth Risk Behavior Survey in 2017 who reported their smartphone use. We performed multiple logistic regression analysis to evaluate the association of smartphone use with mental health after adjusting for relevant covariates.

Results: Among the participants, 25.6% of male students and 38.4% of female students reported using their smartphone for at least 30 hours per week. As time duration of smartphone usage increased, the risk of experiencing depressive symptoms, suicidal thoughts, and suicide attempt tended to increase, with odds ratios (95% confidence interval) of 1.18 (1.10-1.26), 1.18 (1.08-1.29), and 1.34 (1.11-1.60), respectively, for high smartphone usage compared with low smartphone usage. These associations remained significant with only slight change in odds ratios after consideration of problems that may be caused by smartphone usage, such as conflicts with family members or peers, or disturbance in school work.

Conclusion: Smartphone overuse was independently associated with an increased risk of mental health problems, which did not seem to be mediated by the problems caused by smartphone usage.

Keywords: Adolescent; Depression; Republic of Korea; Smartphone; Suicidal Ideation; Suicide, Attempted.

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Conflict of interest statement

CONFLICT OF INTEREST

No potential conflict of interest relevant to this article was reported.

Figures

Figure. 1.
Figure. 1.
Distribution of smartphone usage time by sex.
Figure. 2.
Figure. 2.
Distribution of smartphone usage time by age.
See this image and copyright information in PMC

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