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Interaction of Socioeconomic Status with Risky Internet Use Gambling and Substance Use in Adolescents from a Structurally Disadvantaged Region in Central Europe

机译:中欧一个结构性弱势地区青少年的社会经济地位与危险的互联网使用赌博和物质使用的相互作用

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摘要

Background and aims: The current level of knowledge concerning the effect of socioeconomic status (SES) on internet use, gambling, and substance use in structurally disadvantaged regions is scarce. The objective of this study was an investigation of the relationship between SES and risky internet use, gambling and substance use in a structurally disadvantaged region in Central Europe. Methods: A cross-sectional survey was conducted among high school students ( = 1063) in a Czech structurally disadvantaged region in autumn 2017. Binary Logistic Regression models were applied to data from the modified Excessive Internet Use scale (mEIUS), a standard tool for measuring the risk of addictive behavior on the internet and the risk of excessive gaming. Other data were collected using the Lie/Bet (problematic gambling), CAGE (acronym of the key words: cut, angry, guilty and eye-opener), and the Cannabis Abuse Screening Test (CAST) (problematic alcohol/cannabis use) tools. Results: There were statistically significant differences between at-risk and not-at-risk groups in addictive behavior on the internet and gaming, while none were found in problematic gambling. Individual dimensions of SES showed significant effects on substance use. Regarding parenting styles, significant differences were found only in the risk of addictive behavior on the internet or gaming between the authoritarian and authoritative styles. Being engaged in behavioral addictions with one´s parents increased the odds of the behavioral addiction risk and decreased the odds of the substance addiction risk. Engagement with one´s parents in substance addictions decreased the odds of the behavioral addiction risk and increased the odds of the substance addiction risk. Discussion and Conclusions: The results point at specific relations between SES and the risk of addictive behaviors on the internet and gaming within structurally disadvantaged regions. The results of SES and/or structurally disadvantaged region measures obtained in research, policy-making, and care-provision may improve the focus of actions taken.
机译:背景和目的:在结构上处于不利地位的地区,有关社会经济地位(SES)对互联网使用,赌博和毒品使用的影响的知识尚不多。这项研究的目的是调查中欧在结构上处于不利地位的地区,SES与危险的互联网使用,赌博和药物使用之间的关系。方法:2017年秋季,对捷克结构不利地区的高中生(= 1063)进行了横断面调查。将二进制Logistic回归模型应用于来自经修改的互联网过度使用量表(mEIUS)的数据,该数据是测量互联网上的成瘾行为的风险和过度游戏的风险。其他数据是使用Lie / Bet(问题性赌博),CAGE(关键词的缩写:cut,生气,内gui和大开眼界)以及大麻滥用筛查测试(CAST)(问题性酒精/大麻使用)工具收集的。结果:在互联网和游戏上瘾的行为上,高风险人群与非高风险人群之间存在统计学上的显着差异,而有问题的赌博中没有发现差异。 SES的各个维度均显示出对物质使用的重大影响。关于养育方式,仅在互联网上的成瘾行为或独裁方式与权威游戏之间的成瘾行为风险之间存在显着差异。与父母一起进行行为成瘾的行为增加了行为成瘾风险的几率,并降低了物质成瘾风险的几率。与父母一起从事药物成瘾的行为降低了行为成瘾风险的几率,并增加了物质成瘾风险的几率。讨论与结论:结果指向SES与结构性弱势地区互联网和游戏上瘾行为的风险之间的特定关系。在研究,决策和提供保健方面获得的SES和/或结构不利地区的措施的结果可能会改善行动重点。

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