Background There is limited evidence on technology addiction among adolescents in low- and middle-income countries where 90% of global adolescents live. We aimed to investigate the prevalence and correlates of technology addiction (Internet, gaming, smartphone, television) among school-going adolescents in India. Methods A cross-sectional survey covering the entire district (administrative unit for health) of India was conducted among representative sample of school-going adolescents using stratified cluster sampling. A total of 1729 adolescents completed the survey (age M = 12.58; SD = 0.97) by responding to Internet Addiction Test-Adolescents, Game Addiction Scale, Smartphone Addiction Scale and Television Addiction Scale. Associated factors were analyzed using binomial logistic regression analysis. Results Almost all the participants (99.59%; 95% confidence interval (CI): 99.28–99.91%) were using technology in one or other form. Prevalence of technology addiction among the users was 10.69% (95% CI: 5.26–16.11%). Phone addiction (8.91%; 95% CI: 3.31–14.52%) was the most common type followed by gaming addiction (2.55%; 95% CI: 1.16–3.95%). Technology addiction among adolescents was significantly associated with several risk factors at individual, family and school levels. Conclusion Technology addiction emerges as an important public health problem among adolescents in India. An integrated socio-ecological framework with multi-level approach that targets risk factors at various levels is required to promote healthy behaviors towards technology.
Background There is an increasing need for Mental Health Promotion (MHP) among adolescents, especially in developing countries with limited resources and rapid socio-demographic transition. With the growing burden of mental health problems among adolescents (suicide, depression) and their preferences to seek help from their peers, improving Mental Health Literacy (MHL) and behaviours for First Aid in Mental Health (MH-FA) becomes crucial to promote their mental health. Methods Schools are ideal settings for reaching the vulnerable adolescents. The proposed study evaluates the effectiveness of a classroom-based teacher-led integrated school mental health intervention called SUMS (MHP + MHL + MH-FA). The study will involve a pragmatic, cluster-randomised waitlist-controlled design to evaluate the effectiveness of SUMS intervention using schools as unit-of-randomisation. The study will be conducted in Srinivaspura taluka (Sub-district) of Kolar district (administrative unit of health) of Karnataka in collaboration with a multi-disciplinary expert team from NIMHANS (National Institute of Mental Health And Neuro Sciences), Bangalore-India and Department of Education, Government of Karnataka, India. A total of 8 schools (400 students studying in 6–8 grade) from Srinivaspura taluka will be randomised into intervention and waitlist control group. The intervention group will receive SUMS intervention through 10–15 h of classroom sessions. The primary outcome is the improvement in positive mental health literacy, as measured by the Mental Health-Promoting Knowledge (MHPK-10) scale. Changes in MH-FA knowledge and intentions, Mental health stigma, help-seeking and resilience are assessed as secondary outcomes. Data will be collected at baseline, 6-weeks, 6-months and 12-months post-intervention. The waitlist-control schools will receive the interventions at the end of the 12-month follow-up assessment in intervention-schools. Discussion This is the first study to integrate Mental Health Literacy with Mental Health Promotion and behaviours for First Aid in Mental Health to promote mental health well-being among adolescent school children in India. With a need to build a more substantial evidence base on School Mental Health Promotion approaches in developing countries, the study findings will have implications for implementing and operationalising Health and Wellness Ambassador initiative in India. Trial registration Clinical Trials Registry - India, CTRI/2019/07/020394. Registered prospectively on 29 July 2019. (ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=35724&EncHid=&userName=sums).
Background: One of the most important public health issue for developing nations in the world with special reference to India is preventive blindness. In the world, 36 million people are blind and 217 million people are with moderate or severe distance vision impairment. The aim and objectives of the study were a qualitative survey to get an initial picture of rural residents knowledge of the prevalent eye disease; serve as an initial assessment of patient’s baseline knowledge of eye conditions and possible treatment methods to aid in the future development of educational outreach initiatives and studies.Methods: A cross sectional study was carried out in the rural areas of Jajpur, Nayagarh, Puri and Cuttack district of Odisha during preventive eye screening camps. The study was carried over 6 months from Jan to July 2018. The sample size was calculated to be 914 and the study subjects were all aged 40 years and above comprising of 64.7% male and 35.3% female.Results: In this study we found out that 60.18% reported previous eye doctor visits, 24.08% reported using eye drops prescribed by a non-doctor, while 60.18% of the non-doctor visitors reported not knowing that a doctor should prescribe eye drops. While 76.69% had little or no awareness regarding glaucoma, 51.87% had a fair idea regarding cataract surgery.Conclusions: The increase in patient awareness of prevalent eye diseases and treatments could lead to an increase in patient acceptance regarding the importance of routine eye examinations for proper identification and treatment of various eye conditions.
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