Impulsivity mediates the impact of early life adversity on high risk behaviors among Tunisian adolescents

Mlouki, I.; Bouanène, Inès; Sioud, Imen; Bchir, A.; Al’Absi, Mustafa; Mhamdi, Sana El

doi:10.1016/j.pmedr.2021.101424

Cited by 12 publications

(14 citation statements)

References 47 publications

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“…In addition to health literacy, a significant difference was observed in the prevalence of IA for gender, grade, peer relationship and parental supervision. The male sex was a risk factor for IA, which was consistent with previous studies [51,58]. This may be related to the time spent online; girls focus on playing time-killing games, socializing, texting and shopping online, which have shorter durations than online gaming, whereas boys prefer massive multiplayer online role-playing games (MMORPGs) and violent games, resulting in longer online screen times [19].…”

Section: Plos Onesupporting

confidence: 87%

“…The propensity of any involvement in problematic behaviors is determined by the balance among risk and protective factors in the three systems [48]. In recent years, many scholars have focused on the risk and protective factors of adolescent internet addiction, including adverse childhood experiences (ACEs), traumatic experiences and peer attachment [11,12,[49][50][51]. In addition, the mediating role of internet addiction has become a hot topic of recent research.…”

Section: Plos Onementioning

confidence: 99%

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The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study

Liu

Yan

et al. 2023

PLoS ONE

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Background Internet addiction has emerged as a major global concern as a potential adverse impact of internet exposure on adolescents. Internet addiction is associated with many demographic variables; however, there is a lack of consensus on its relationship with health literacy. Therefore, the aim of the present study was to assess the rates of internet addiction and health literacy level among middle school students (grades 7 to 12) in Chongqing, China, as well as to investigate the association between them. Methods A cross-sectional, questionnaire-based study was conducted among 8971 students who were randomly selected by using stratified cluster sampling between November and December 2019. The Internet Addiction Diagnostic Questionnaire, Adolescent Health Literacy Scale and a self-designed basic information questionnaire were used to collect data. Chi-square tests were performed to compare the differences in the distribution of internet addiction across health literacy levels as well as some sociodemographic characteristics. Multivariate logistic regression analyses were conducted to identify the association between health literacy and internet addiction. Results The prevalence of internet addiction among middle school students in Chongqing was 6.1%. The percentage of the students who spent more than 4 hours online every day in the past week was 14.3%. In addition, 26.7%, 26.0%, 28.3% and 26.3% of the participants reported low functional, interactive, critical and total health literacy, respectively. After adjusting for the confounding effects of demographics, multivariate regression analysis showed that critical health literacy was a protective variable for internet addiction, while functional, and interactive health literacy were the risk variable (P<0.05). Furthermore, the internet addiction rates were higher among boys, students with good peer relationships, and students without parental supervision, whereas internet addiction rates were lowest among students in grade 12. Conclusions The prevalence of internet addiction among middle school students in Chongqing is relatively high. Internet addiction is strongly negatively associated with critical health literacy, but it is positively associated with functional and interactive health literacy but not total health literacy. This study provides preliminary evidence for the predictive role of health literacy in internet addiction of adolescents.

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Section: Plos Onesupporting

confidence: 87%

Section: Plos Onementioning

confidence: 99%

The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study

Liu

Yan

et al. 2023

PLoS ONE

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“…A meta-analytic review also stated that boys are at higher risk of experiencing severe physical abuse, psychological abuse and neglect, whereas girls are more likely to be victims of sexual abuse [ 15 ]. Earlier evidence have also mentioned that male victims are less likely to report sexual abuse [ 2 , 36 ], so the observed gender differences might be related to reporting bias. Therefore, it requires special attention.…”

Section: Discussionmentioning

confidence: 99%

Adverse childhood experiences and health risk behaviours among adolescents and young adults: evidence from India

Maurya

2023

BMC Public Health

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Background Adverse childhood experiences (ACEs) are traumatic and stressful events that occur in childhood. These experiences at home, school, or in the community may damage the cognitive health and emotional skills of children and adolescents. Objective The present study examines the association between Adverse childhood experiences and risky health behaviour indicators while controlling other background characteristics among boys and girls. This study also assesses outcomes in the aggregate to estimate the impact of cumulative adversity on various risky health behavioural factors among boys and girls among adolescents and young adults (age group 13–23) in India. Data and methods Data were drawn from the second wave of the “Understanding the lives of adolescents and young adults (2018–2019)” survey. Bivariate and logistic regression analysis were conducted to fulfill the objective. Results The findings show that nearly 30% of boys and 10% of girls had violent behaviour. Substance use prevalence was much higher among boys (34.11%) than girls (6.65%). More boys had negative gender attitudes. The majority of the study participants had multiple ACEs. Boys who experienced more than three or more childhood adversity had two times higher odds (OR: 2.04; CI: 1.01–4.16) of the early sexual debut, while the same figure for girls was thirteen times (OR: 13.13; CI: 3.95–43.69) than their male counterparts. Conclusion The study findings underlined the need for implementing outcome-oriented approaches to adolescents’ health care and behavioural risks. Therefore, identifying and intervening with adolescents and young adults who are at the highest risk of engaging in risky behaviors early in life may reduce the risk of these behaviors persisting into adulthood. In order to avoid health risk behavior in later stages among adolescents and young adults, policymakers need to focus on ACEs as risk factors and take action to reduce this burden. A potential model could be to create awareness among family members, caregivers, and communities to be more empathetic toward the children.

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“…Adverse Childhood Experiences (ACEs), which include being subject to physical, mental or sexual violence as well as extra-familial adversities during the first 18 years of life, are connected to a wide range of detrimental health impacts in adolescence and later life [ 1 , 2 ]. According to recent literature, there are gender disparities concerning childhood maltreatment [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The mechanism through which ACEs impact teenage behavior have been extensively investigated [ 2 , 8 ]. However, few studies examined the pathway between ACEs and internet addiction in recent literature [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Gender differences in adverse childhood experiences, resilience and internet addiction among Tunisian students: Exploring the mediation effect

Mlouki,

Majdoub,

Hariz

et al. 2024

PLOS Glob Public Health

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Adverse Childhood Experiences (ACEs) are a common public health issue with a variety of consequences, including behavioral addiction such as Internet Addiction (IA). Despite widespread recognition of this issue, the underlying mechanisms are not well studied in recent literature. Additionally, studies have indicated gender disparities in the prevalence and manifestation of ACEs and IA. The objective of this study was to investigate the mediating effect of resilience on the link between ACEs and IA among high-school students according to gender in Mahdia city (Tunisia). We conducted a cross-sectional survey for two months (January- February 2020), among 2520 schooled youth in Mahdia city (Tunisia). The Arabic-language edition of the World Health Organisation ACE questionnaire was used. The validated Arabic versions of the Adolescent Psychological Resilience Scale and the Internet Addiction Test were the screening tools for resilience and IA. Data were analyzed according to gender. The majority of youth (97.5%) were exposed to at least one ACE with the most prevalent being emotional neglect (83.2%). Exposure to extra-familial ACEs was also high reaching 86.9% with higher rates among boys for all types of social violence. Internet addiction was common among students (50%) with higher prevalence for boys (54.4% vs 47.7%for girls, p = 0.006). Resilience scores were86.43 ± 9.7 for girls vs 85.54 ± 9.79 for boys. The current study showed that resilience mediated the link between ACEs, especially intrafamilial violence, and internet addiction (%mediated = 15.1). According to gender, resilience had a significant mediating role on internet addiction for girls (%mediated = 17) and no significant role for boys. The mediating effect of resilience in the relationship between ACEs and cyberaddiction among schooled adolescents in the region of Mahdia (Tunisia) has been identified.

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Impulsivity mediates the impact of early life adversity on high risk behaviors among Tunisian adolescents

Cited by 12 publications

References 47 publications

The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study

The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study

Adverse childhood experiences and health risk behaviours among adolescents and young adults: evidence from India

Gender differences in adverse childhood experiences, resilience and internet addiction among Tunisian students: Exploring the mediation effect

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