Associations between Problematic Smartphone Use, Unhealthy Behaviors, and Mental Health Status in Korean Adolescents: Based on Data from the 13th Korea Youth Risk Behavior Survey (2017)
Open accessAbstract
Objective We aimed to assess the associations between problematic smartphone use, unhealthy behaviors, and mental health status among adolescents.Methods The data for this cross-sectional study were obtained from the 13th Korea Youth Risk Behavior Survey (2017). From among the 62,276 adolescents who participated in this nationwide web-based survey, 54,603 (87.7%) who used smartphones were selected as the study population. Unhealthy behaviors included smoking, drinking, physical inactivity, skipping breakfast, and fast food consumption. For the examination of mental health status, we considered sleep disturbances, stress, depressive symptoms, suicidal ideation, and suicide attempts. The associations between problematic smartphone use, unhealthy behaviors, and mental health were analyzed using multiple logistic regression analyses.Results More than four hours of use on weekdays (31.3%) and weekends (61.3%) and the use of smartphones for communication (46.9%) were associated with unhealthy behaviors and mental health problems. Furthermore, adolescents who experienced conflicts with family (22.3%) and friends (25.8%) and academic problems (3.4%) were likely to have health problems.Conclusion The results suggest that problematic smartphone use may disrupt adolescents’ health. Therefore, there is a need for prevention programs for problematic smartphone use at home and at school to improve adolescents’ health.
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There is mixed evidence from three studies (all with some concerns) between social media exposure and depressive symptoms.
“There is also mixed evidence from three studies (all with some concerns) between social media exposure and depressive symptoms”
From Associations between social media, adolescent mental health, and diet: A systematic review (2023) · cites this paper as [43]
The Results report an association between smartphone use for communication and depressive symptoms in Korean adolescents, so this paper is relevant to the citing sentence. Its exposure measure is broader than social media exposure specifically; the paper does not itself assess mixed evidence across three studies or rate their quality. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThere is no evidence from one study with some concerns that social media use is associated with stress in either females or males.
“There is no evidence from one study with some concerns that social media use is associated with stress in either females (OR [95% CI] = 0.95 [0.86 -1.06]) or males (0.92 [0.84 -1.01]).”
From Associations between social media, adolescent mental health, and diet: A systematic review (2023) · cites this paper as [43]
The Methods classify social media within a broader smartphone-use-for-communication group, but the Results do not report the quoted female or male odds ratios for stress. The Results refer to gender-stratified supplementary tables without giving those estimates in our copy. Searches for both quoted estimates and gender-specific stress findings did not locate them. (LLM, conf=0.74)
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- Authors
- Kim, H. R., & Han, M. A.
- Affiliations
- Chosun University (KR)
- Corresponding author
- Kim, Hae Ran
- Venue
- Psychiatry Investigation
- Publisher
- Korean Neuropsychiatric Association
- Published
- 2020-12-25
- Volume
- 17
- Issue
- 12
- Pages
- 1216-1225
- ISSN
- 1738-3684 (ISSN-L)
- 1976-3026
- PMC
- PMC8560339
- OpenAlex
- W3118054639
- Cited by
- 33
- References
- 53
- Citations by year
- 2026: 9 · 2025: 5 · 2024: 9 · 2023: 5 · 2022: 4 · 2021: 1
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Psychiatry Investigation (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Education › Child Development and Digital Technology
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Keywords
- smartphone addiction, adolescents, harmful habits, mental health, sleep disorders, stress, depressive symptoms, suicidal ideation, suicide attempts, smoking, alcohol consumption, physical inactivity, breakfast skipping, fast food consumption, family conflict, peer conflict, academic difficulties, screen time
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