title: Problematic computer game use as expression of Internet addiction and its association with self-rated health in the Lithuanian adolescent population.
abstract: OBJECTIVE
  Computers and the Internet have become an integral part of today's life. Problematic gaming is related to adolescent's health. The aim of our study was to evaluate the prevalence of Internet addiction among 13-18-year-old schoolchildren and its relation to sex, age, and time spent playing computer games, game type, and subjective health evaluation.
  
  
  METHODS
  A total of 1806 schoolchildren aged 13-18 years were interviewed. The evaluation of Internet addiction was conducted by the Diagnostic Questionnaire according to Young's methodology. The relation between the choice of computer games type, time spent while playing computer games and respondents' Internet addiction were assessed by using multivariate logistic regression analysis.
  
  
  RESULTS
  One-tenth (10.6%) of the boys and 7.7% of the girls aged 13-18 years were Internet addicted. Internet addiction was associated with the type of computer game (action or combat vs. logic) among boys (OR=2.42; 95% CI, 1.03-5.67) and with the amount of time spent playing computer games per day during the last month (≥5 vs. <5h) among girls (OR=2.10; 95% CI, 1.19-3.70). The boys who were addicted to the Internet were more likely to rate their health poorer in comparison to their peers who were not addicted to the Internet (OR=2.48; 95% CI, 1.33-4.62).
  
  
  CONCLUSIONS
  Internet addiction was significantly associated with poorer self-rated health among boys.
authors: Department of Environmental and Occupational Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. Electronic address: ruta.ustinaviciene@lsmuni.lt.
authors: Ruta
authors: R
authors: Ustinavičienė
authors: Department of Environmental and Occupational Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. Electronic address: lina.skemiene@lsmuni.lt.
authors: Lina
authors: L
authors: Škėmienė
authors: Department of Environmental and Occupational Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. Electronic address: dalia.luksiene@lsmuni.lt.
authors: Dalia
authors: D
authors: Lukšienė
authors: Department of Environmental and Occupational Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. Electronic address: ricardas.radisauskas@lsmuni.lt.
authors: Ričardas
authors: R
authors: Radišauskas
authors: Department of Environmental and Occupational Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. Electronic address: gintare.kaliniene@lsmuni.lt.
authors: Gintarė
authors: G
authors: Kalinienė
authors: Department of Environmental and Occupational Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. Electronic address: paulius.vasilavicius@lsmuni.lt.
authors: Paulius
authors: P
authors: Vasilavičius
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health; D016739:Behavior, Addictive / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D020407:Internet; D008097:Lithuania / Q000453:epidemiology; D008297:Male; D015999:Multivariate Analysis; D015995:Prevalence; D057566:Self Report; D018910:Video Games / Q000523:psychology*
keywords: Adolescents; Computer games; Internet addiction; Self-rated health