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By
Sanaa M. Ahmed
Lecture of Pediatric Nursing
Faculty of Nursing
Minia University
(2016)
2
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My lover Country Egypt

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My best City Minia

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 Our Egyptians Kids

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 The internet has become an important tool for social
interaction, information, and entertainment (Tsitsika,
et al., 2009). However, as the internet has moved into
homes, schools, internet cafes, and businesses, there
has been a rapidly growing public awareness of the
potential adverse effects arising from excessive, mal-
adaptive or addictive internet usage.

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• In Egypt, more than 80% of Internet Café clients were

young people, 60% of the youth surveyed spent their

time chatting, 20% browsing pornography sites, 12%

conducting business or scientific work and 8% visiting

political sites (United Nations Development Programme

(UNDP) & Institute of National Planning (INP), (2010).7

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• According to Beard and Wolf (2001), excessive internet

use is defined as use of internet that creates psychological,

social, school, and / or work difficulties in a person's life.

It is characterized as a distinct pattern of internet related

cognitions and behaviors that result in negative life

outcomes.
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• The prevalence of excessive internet use (internet
addiction) was reported to be between 1.5% and 8.2%
(Peterson, 2009). The prevalence of internet addiction was

found to be 1.98% in a study made in Norway on 3237

adolescents between 12 and 18 years of age who used and
did not use the internet by employing Young’s
‘Diagnostic Questionnaire for Internet Addiction – YDQ’
(Johansson & Gotestam, 2004).
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• The prevalence of pathological internet use was found to be

8.1% in a study carried out in the USA on 277 college

students including six participants who had not previously

used the internet by employing a ‘Pathological Internet Use

Scale –PIUS’ (Morahan-Martin and Schumacher, 2000).

• .
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• The prevalence of internet addiction was observed to be

17.9% in another study made in Taiwan on 4710 university

freshmen who agreed to take part in the study by

employing the ‘Chinese Internet Addiction Scale- Revision

– CIAS-R’ (Tsai et al., 2009).

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 •Excessive internet use was also associated with other
potential addictive personal habits of smoking, drinking
alcohol or coffee, and taking drugs (Frangos
&Sotiropoulos, 2011). Internet use in adolescents was
associated with more severe psychiatric symptoms,
(Kelleci & Inal 2010) and interpersonal problems (Seo,
Kang, & Yom, 2009).

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 To assess excessive internet uses among

adolescents’ students in Minia and Assuit

city.

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 What are the difference levels of internet

use among adolescents’ students?

Is male more using internet than female

among adolescents’ students?

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 Research design: Descriptive research design was
utilized in this study.
 Settings: The present study was conducted at some
(preparatory and secondary schools and faculties )
of Minia and Assuit City -Egypt.

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Subject: Randomly sample from the
previous mentioned settings were included
in the study by stratified method. Their total
number was 905 adolescents’ after receiving
their consents for participation in this study.
study

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Criteria of inclusion
Adolescent who are using the internet.
Adolescents who are willing to participate
in the study.

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Tool for data collection:
1.A structured socio demographic
questionnaire: includes characteristics of
students as faculty, age, residence, gender,
mother education, mother work, father
education, ……….etc.
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2. The Young's Internet Addiction Test (YIAT)
was applied in order to assess problematic internet
use (PIU). The YIAT consists of 20 items for the
evaluation of the degree of preoccupation,
compulsive use, behavioral problems, emotional
changes, and diminished functionality associated with
internet use.
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• The Internet Addiction Test is a validated
and reliable measure of addictive use of the
internet developed by Young (1998), the
IAT, and these 20-item questionnaire
measures mild, moderate, and severe levels
of internet uses.
uses
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 Procedure: Prior to embarking on the study,
Official permission was obtained from the vise of
ministry of education and from the head of
education administration of Minia Governorate
and from the administration of preparatory and
secondary education and from the Manager of
each school before data collection.
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  Also official permission was obtained from
Deans of the selected faculties. In addition,
informed consent was secured from each
participant.
 The purpose of the study was explained to all
the participants and was ensured strict
confidentiality and anonymity before
proceeding in the interview.

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• During this phase the researcher reviewed related
literature, both local and international to acquire in-
depth knowledge about the subject, and to be able
to design the data collection forms. Then, this tool
was prepared and reviewed by 3 experts in nursing
and medicine to ascertain their content validity &
reliability of YIAT was 0.85.
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Data collection was done by the researcher
during the period from the beginning of
March until the end of May 2014. The
researcher interviewed each participated
adolescent individually to obtain the necessary
information.
• .
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Results
Table 1: Socio-demographic characteristic of adolescents’ students
sample (n= 905).
Total ( n= 905)
Socio-demographic characteristic
% n
  Faculty
21.5 195 Nursing (Male &Female)
5.3 47 Secondary school (Female)
21.2 192 Prep school (Male &Female)
47.5 430 Science (Male)
4.5 41 Dentistry (male)
Age (year)
20.7 187 11- 14
17.0 154 15- 18
62.3 564 19- 21
17.86 + 2.45 Mean + SD
Residence
49.5 448 Urban
50.5 457 Rural
Gender
69.8 632 Male
 45 39.1 40.9
40
35
30
25
20 14.3
15
10 5.7

5
0
Normal range Mild Moderate Severe

Fig. 1 Percentage distribution of total score of internet addiction among

adolescents’ students
Table (2): relation between socio demographic data and total

score of internet addiction (n= 905)

    Total score about internet  
P- 2 addiction Socio
value Severe Moderat Mild (N= Normal demographic
(N= 52) e (N= 354) (N= 129) data
370)
% n % n % n % n

Gender
    63.5 33 73.2 271 72.6 257 55 71  Male
0.0001 17.73 36.5 19 26.8 99 27.4 97 45 58  Female
* 3
Residence
0.655 1.617 55. 29 50. 188 47.7 196 48.1 62  Urban
NS 8 8
44.2 23 49.2 182 52. 185 51. 67  Rural
3 9
Table (3): relationship between subjects' gender and their mean scores

of internet uses (n= 905)

    Female Male Internet addiction
P t (273) (632) scale
Mean + Mean +
SD SD
*026. 2.224 4.9 ± 8.9 4.3 ± 9.6
1. Compulsive use
**004. 2.906 4.7 ± 9.6 3.9 ± 10.5
1. Pre occupation
*041. 2.043 4.8 ± 9.1 4.3 ± 9.7
1. Diminished
functionally
**000. 3.706 4.6 ± 8.2 ±4.3 9.4
1. Behavioral
changes
NS 230. 1.201 5.1 ± 11.2 4.7 ± 10.8
1. Emotional
Table (4): relationship between subjects' residence and their mean

scores of internet uses (n= 905)

    Rural Urban Internet addiction
P t (457) (448) scale
Mean + Mean +
SD SD
*037. 2.094 4.3 ± 9.1 4.4 ± 9.7
Compulsive use
621. 494. 4.0 ± 10.1 4.3 ± 10.3
Pre occupation
NS
795. 259. 4.4 ± 9.5 4.6 ± 9.6
Diminished
NS
functionally
245. 1.162- 4.2 ± 9.2 4.6 ± 8.9
Behavioral changes
NS
 The mild, moderate, and severe internet
use were common among male than
female adolescents’ students and age
ranged between 19 - 21 years in this
study.

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• Adolescents’ students need to be aware about
levels of internet use and problematic
behaviors associated with excessive internet
use. Effective measures needed to prevent this
problem. Future research should concentrate
on the effect of internet use in family& social
relationships and academic performances.
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