scholarly journals SMARTPHONE ADDICTION AND BEHAVIORAL OUTCOMES IN SOUTH KOREA: A SYSTEMATIC REVIEW AND META-ANALYSIS

2021 ◽  
Vol 9 (2) ◽  
pp. 358-369
Author(s):  
Asad Shahjehan ◽  
Sajjad Ahmad Afridi ◽  
Maqsood Haider ◽  
Amjad Iqbal ◽  
Shahab Aziz

Purpose of the study: There is considerable debate on smartphone addiction and its relationship with behavioral outcomes however in literature there is only one meta-analysis in the country-specific context and none in the South Korean context. Ranked 6th based on smartphone penetration in the world it is imperative to quantify the association. Methodology: A systematic review was conducted to collect published sources about smartphone addiction and its relationships with behavioral outcomes. The identified sources were evaluated for appropriateness and inclusion in the meta-analysis was made. Thirty-one studies were included in the Meta-analysis providing data from 32 samples (n=11,002) and presented associations with 13 behavioral outcomes. Main Findings: Meta-analytical tests presented a positive and significant relationship between smartphone addiction and the overall subject’s behavioral outcomes. Among the behavioral outcomes identified through the systematic review, six had significant while seven had an insignificant association with smartphone addiction. Lastly, these behavioral outcomes were quantitatively classified into 6 groups based on direction, significance, and heterogeneity of their reported effects. Overall smartphone addiction has a significant role in modifying certain behaviors of an individual. Applications of this study: The results of this study enforce the opinion that smartphone addiction tends to significantly enhance negative behavioral outcomes while limits positive outcomes in the South Korean population. Novelty/Originality of this study: This is the first country-specific study conducted regarding smartphone addiction. This is also the first meta-analysis study conducted which evaluated the effects of smartphone addiction on multiple behavior outcomes.

2021 ◽  
Vol 28 (Number 2) ◽  
pp. 103-125
Author(s):  
Asad Shahjehan ◽  
Syed Imad Shah ◽  
Javeria Andleeb Qureshi ◽  
Anees Wajid

Though smartphones have become the icon of the 21st century, they are possibly the biggest source of non-drug addiction. The purpose of this meta-analysis was to identify behavioral outcomes associated with smartphone addiction, and to evaluate their overall and individual relationships with smartphone addiction. This metaanalysis conducted a preliminary review of 6115 studies which investigated the relationships between smartphone addiction and behavioral outcomes. Fifty-three studies fulfilled the inclusion criteria developed for this study and their review identified thirteen behavioral outcomes of smartphone addiction. Meta-analytical tests confirmed a positive and significant relationship between smartphone addition and overall behavioral outcome. However, the combined effects were significantly heterogeneous and this could be attributed to the diverse nature of behavioral outcomes, dispersion of studies across the globe, and varying demographics of samples. The results showed the prevalence of the following eight behavioral outcomes: anxiety, depression, loneliness, mental health, self-control, self-regulation, stress; and withdrawal that had a significant and positive relationship with smartphone addiction, while only self-esteem had a significant and negative relationship with smartphone addiction. Finally, depression was identified as the behavioral outcome that has a significant and positive relationship with smartphone addiction irrespective of global geographic and demographic variations. This article has elaborated on smartphone addiction criteria similar to that established for researches in substance abuse and addiction. Furthermore, the article has been able to show that smartphone addiction and its problematic use has become an emerging problem with grave consequences.


Author(s):  
Shijie Liu ◽  
Tao Xiao ◽  
Lin Yang ◽  
Paul D. Loprinzi

Background: With the emergence of electronic products, smartphones have become an indispensable tool in our daily life. On the other hand, smartphone addiction has become a public health issue. To help reduce smartphone addiction, cost-effective interventions such as exercise are encouraged. Purpose: We therefore performed a systematic review and meta-analysis evaluating existing literature on the rehabilitative effects of exercise interventions for individuals with a smartphone addiction. Methods: We searched PubMed, Web of Science, Scopus, CNKI, and Wanfang from inception to September 2019. Nine eligible randomized controlled trials (RCT) were finally included for meta-analysis (SMD represents the magnitude of effect of exercise) and their methodological quality were assessed using the PEDro scale. Results: We found significant positive effects of exercise interventions (Taichi, basketball, badminton, dance, run, and bicycle) on reducing the total score (SMD = −1.30, 95% CI −1.53 to −1.07, p < 0.005, I2 = 62%) of smartphone addiction level and its four subscales (withdrawal symptom: SMD = −1.40, 95% CI −1.73 to −1.07, p < 0.001, I2 = 81%; highlight behavior: SMD = −1.95, 95% CI −2.99 to −1.66, p < 0.001, I2 = 79%; social comfort: SMD = −0.99, 95% CI −1.18 to −0.81, p = 0.27, I2 = 21%; mood change: SMD = −0.50, 95% CI 0.31 to 0.69, p = 0.25, I2 = 25%). Furthermore, we found that individuals with severe addiction level (SMD = −1.19, I2 = 0%, 95%CI:−1.19 to −0.98) benefited more from exercise engagement, as compared to those with mild to moderate addiction levels (SMD = − 0.98, I2 = 50%, 95%CI:−1.31 to −0.66); individuals with smartphone addiction who participated in exercise programs of 12 weeks and above showed significantly greater reduction on the total score (SMD = −1.70, I2 = 31.2%, 95% CI −2.04 to −1.36, p = 0.03), as compared to those who participated in less than 12 weeks of exercise intervention (SMD = −1.18, I2 = 0%, 95% CI−1.35 to −1.02, p < 0.00001). In addition, individuals with smartphone addiction who participated in exercise of closed motor skills showed significantly greater reduction on the total score (SMD = −1.22, I2 = 0 %, 95% CI −1.41 to −1.02, p = 0.56), as compared to those who participated in exercise of open motor skills (SMD = −1.17, I2 = 44%, 95% CI−1.47 to −0.0.87, p = 0.03). Conclusions: Exercise interventions may have positive effects on treating smartphone addiction and longer intervention durations may produce greater intervention effects.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e048266
Author(s):  
Aubrey Mbulelo Sosibo ◽  
Nomusa Christina Mzimela ◽  
Phikelelani Siphosethu Ngubane ◽  
Andile Khathi

IntroductionPre-diabetes is a metabolic condition characterised by moderate glycaemic dysregulation and is a front-line risk factor to multiple metabolic complications such as overt diabetes. To the best of our knowledge, this will be the first systematic review and meta-analysis that focuses on generating a comprehensive pooling of studies that report on the pre-diabetes prevalence in South Africa. Therefore, the review’s purpose will be to screen and elect reports that can be used to synthesise and provide the best estimate prevalence and correlate of pre-diabetes in the South African population.Methods and analysisTo determine the prevalence and correlates of pre-diabetes in South African, we will search PubMed, Embase and African Journal online for published or unpublished studies reporting the prevalence of pre-diabetes in South Africa starting from the year 2000 to 2020. Studies will be assessed for eligibility by checking if they meet the inclusion criteria. Eligible studies will undergo data extraction and risk of bias assessment. We will perform a subgroup analysis to detect probable causes of heterogeneity.Ethics and disseminationThe review will not require ethics clearance because non-identifiable data will be used. The review outcomes will give more insight into the current burden that pre-diabetes has in South Africa.PROSPERO registration numberCRD42020182430.


2019 ◽  
Author(s):  
Caroline Robert ◽  
Mojisola Erdt ◽  
James Lee ◽  
Yuanyuan Cao ◽  
Nurhazimah Binte Naharudin ◽  
...  

BACKGROUND The risk of development of chronic diseases related to poor nutrition increases with age. In the face of an aging population, it is important for health care sectors to find solutions in delivering health services efficiently and effectively to middle-aged and older adults. OBJECTIVE The aim of this systematic review and meta-analysis was to consolidate the literature that reported the effectiveness of eHealth apps in delivering nutritional interventions for middle-aged and older adults. METHODS A literature search from five databases (PubMed, CINAHL, Cochrane, Web of Science, and Global Health) from the past 5 years was performed. Studies were selected for inclusion that used eHealth to deliver nutritional interventions to adults aged 40 years and above, and reported health and behavioral outcomes. Two independent reviewers searched for research articles and assessed the eligibility of studies to be included in the review. A third reviewer resolved disagreements on study inclusion. We also assessed the quality of the included studies using the CONSORT 2010 checklist. RESULTS A total of 70 studies were included for analysis. The study quality ranged from 44% to 85%. The most commonly used eHealth intervention type was mobile apps (22/70, 31%). The majority of studies (62/70, 89%) provided multicomponent health interventions, which aimed to improve nutrition and other health behaviors (eg, exercise, smoking cessation, medication adherence). Meta-analysis results indicated high and significant heterogeneity; hence, conclusions based on these results should be considered with caution. Nonetheless, the results generally showed that eHealth interventions improved anthropometric and clinical outcomes, but not behavioral outcomes such as fruit and vegetable consumption. CONCLUSIONS The use of eHealth apps to deliver health interventions has been increasing in recent years, and these apps have the potential to deliver health services to a larger group of people. Our findings showed that the effectiveness of eHealth apps to deliver health interventions for middle-aged to older adults was supported by the improvement of anthropometric and clinical outcomes. Future work could aim to develop research frameworks in administering eHealth interventions to address heterogeneity in this field of research.


Author(s):  
Christian Mangala ◽  
Joseph Fokam ◽  
Denis Maulot Bangola ◽  
Mireille Moundanga ◽  
Thérèse Nkoa

Context: The residual risk of HIV transmission is still a real problem into the transfusional settings of limited resources countries. Blood banks of African countries confront the risk of transmitting HIV to recipients. The objective of this study is to estimate the residual risk of HIV in African transfusion settings and to compare this residual risk with that of other countries in the South (developping countries). Methods: This study resulted of a systematic review with meta-analysis of data from several comprehensive studies carried out between 2011 and 2017 whose purpose was focused on the residual risk of HIV transmission through blood transfusion. The studies on the residual risk were systematically searched in the different databases (PubMed, Medline and Google Scholar). The eligibility criteria were based on published studies which had blood donors as participants, looking at the residual risk of HIV in developing countries and the technique was based on the search for antibodies-P24 Antigen of the HIV or on nucleic acid (RNA) testing. Studies carried out before 2011 and after 2017 were excluded. Studies in rich countries were also excluded. The Cochrane tool was used to assess the risk of bias. Results: A total of 327,278 seronegative donors (for 12 eligible studies) were admitted for this study, i.e. 75.5% of men and 24.5% of women. The median age of all donors was 30.4 years. For studies carried out in the Africa zone (Burkina Faso, Ivory Coast, Nigeria, Democratic Republic of Congo, Tanzania and Zimbabwe), 327,278 donors were initially seronegative, of which 626 were found to be positive. Indeed, out of 742 incident cases in this study from African countries and other countries of the South, 84.4% of positive donors came from African studies and 15.6% of positive donors came from other countries of the South in this study. The residual risk (RR) of HIV in Africa has been estimated at 13 per 1,000,000 donations, with an incidence rate (IR) of 21.5 per 100,000 person-years. And in the other countries of the South (Brazil, Croatia, India, Iran, Malaysia and Pakistan), the RR of HIV has been estimated at 0.6 per 1,000,000 donations, or an incidence rate of 1.1 per 100,000 person-years. Conclusion: The residual risk of HIV in the transfusion environment is still high and still persists in blood banks in southern countries in general and in Africa in particular.


BMJ ◽  
2020 ◽  
pp. m1590 ◽  
Author(s):  
Rosa Parisi ◽  
Ireny Y K Iskandar ◽  
Evangelos Kontopantelis ◽  
Matthias Augustin ◽  
Christopher E M Griffiths ◽  
...  

Abstract Objective To systematically review and provide information on the incidence of psoriasis and quantify global, regional, and country specific estimates of its prevalence. Design Systematic review and meta-analysis. Data sources Medline, Embase, Web of Science, SciELO, Korean Journal Databases, Russian Science Citation Index, WPRIM, SaudiMedLit, Informit, IndMed, and HERDIN were searched systematically from their inception dates to October 2019. Methods Studies were included if they reported on the incidence or prevalence of psoriasis in the general population. Incidence data were summarised descriptively, whereas bayesian hierarchical models were fitted to estimate the global, regional, and country specific prevalence of psoriasis. Results 41 164 records were identified and 168 studies met the inclusion criteria. In adults, the incidence of psoriasis varied from 30.3 per 100 000 person years (95% confidence interval 26.6 to 34.1) in Taiwan to 321.0 per 100 000 person years in Italy. The prevalence of psoriasis varied from 0.14% (95% uncertainty interval 0.05% to 0.40%) in east Asia to 1.99% (0.64% to 6.60%) in Australasia. The prevalence of psoriasis was also high in western Europe (1.92%, 1.07% to 3.46%), central Europe (1.83%, 0.62% to 5.32%), North America (1.50%, 0.63% to 3.60%), and high income southern Latin America (1.10%, 0.36% to 2.96%). Conclusions Eighty one per cent of the countries of the world lack information on the epidemiology of psoriasis. The disease occurs more frequently in adults than in children. Psoriasis is unequally distributed across geographical regions; it is more frequent in high income countries and in regions with older populations. The estimates provided can help guide countries and the international community when making public health decisions on the appropriate management of psoriasis and assessing its natural history over time. Systematic review registration PROSPERO CRD42019160817.


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