Table_1_Assessing the Association Between Internet Addiction Disorder and Health Risk Behaviors Among Adolescents and Young Adults: A Systematic Review and Meta-Analysis.DOCX

BackgroundInternet addiction disorder (IAD) is a global issue that has resulted in a slew of physical and emotional consequences. Studies have indicated that health risk behaviors might be the risk factors for IAD. The published literature on the correlation between the two is lacking. Therefore, we conducted a comprehensive analysis to understand better the link between IAD and health risk behaviors among adolescents and young adults.MethodsWe searched ten electronic databases for relevant articles. Data were extracted based on IAD and health risk behaviors ( alcohol, smoking, suicidal, gambling and drug abuse). We calculated odds ratios (ORs), a pooled correlation coefficient (r) and 95% confidence intervals (CIs). A fixed-effect model was applied to summarize the pooled effects. Heterogeneity was examined using I2 statistics and Cochran's Q statistics. All analyses were conducted by using Stata version 15.0.ResultsA total of 16 studies and 61,823 participants were included in this study. Meta-analysis showed that IAD was positively correlated with drinking (r = 0.35; 95% CI 0.32–0.37) and smoking (r = 0.12; 95%CI 0.10–0.15), and was associated with an increased risk of suicidal behavior (OR= 1.95; 95% CI 1.65–2.30), drinking (OR= 1.75; 95% CI 1.65–1.85), and smoking (OR= 1.63; 95% CI 1.54–1.72) among adolescents.ConclusionWe found significantly increased risks of suicidal behavior, drinking, and smoking in adolescents and young adults with IAD. These findings are important to expand our understanding of IAD and have great guiding significance for preventing health risk behaviors of adolescents and young adults.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021257729, identifier: PROSPERO CRD42021257729.

背景：网络成瘾障碍（IAD）已成为全球性的问题，其引发了众多身体与情感层面的后果。研究指出，健康风险行为可能成为IAD的潜在风险因素。然而，关于两者之间关联的已有文献尚显不足。鉴于此，我们开展了一项全面分析，旨在深入理解网络成瘾障碍与青少年及年轻成人健康风险行为之间的关联。方法：我们对十个电子数据库中的相关文献进行了检索。数据提取基于IAD与健康风险行为（包括饮酒、吸烟、自杀、赌博及药物滥用）。通过计算优势比（ORs）、汇总相关系数（r）及95%置信区间（CIs）进行统计分析。采用固定效应模型对汇总效应进行总结。异质性检验通过I2统计量和Cochran's Q统计量进行。所有分析均使用Stata 15.0版本软件完成。结果：本研究共纳入16项研究及61,823名参与者。meta分析显示，IAD与饮酒（r = 0.35；95% CI 0.32–0.37）和吸烟（r = 0.12；95%CI 0.10–0.15）呈正相关，且与青少年自杀行为（OR= 1.95；95% CI 1.65–2.30）、饮酒（OR= 1.75；95% CI 1.65–1.85）及吸烟（OR= 1.63；95% CI 1.54–1.72）的风险增加相关。结论：我们发现青少年及年轻成人中患有IAD的个体自杀行为、饮酒和吸烟的风险显著升高。这些发现对于扩展我们对IAD的理解具有重要意义，并对预防青少年及年轻成人的健康风险行为具有极高的指导价值。系统评价注册：https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021257729，标识符：PROSPERO CRD42021257729。