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Gender, Internet identification, and Internet anxiety: correlates of Internet use.

This paper reports a study that investigated the effects of gender, Internet anxiety, and Internet identification on use of the Internet. The study involved 608 undergraduate students (490 females and 118 males). We surveyed the students' experience with the Internet, as well as their levels of Internet anxiety and Internet identification. We found a number of gender differences in participants' use of the Internet. Males were proportionally more likely to have their own web page than were females. They used the Internet more than females; in particular, they were more likely to use game websites, to use other specialist websites, and to download material from the Internet. However, females did not use the Internet for communication more than males. There was a significant positive relationship between Internet identification and total use of the Internet, and a significant negative relationship between Internet anxiety and total use of the Internet. Controlling for Internet identification and Internet anxiety, we found a significant and negative correlation between gender and use of the Internet. In total, all three of our predictors accounted for 40% of the variance in general Internet use: with Internet identification accounting for 26%, Internet anxiety accounting for 11%, and gender accounting for 3%.

Anxiety↗

Linkages between depressive symptomatology and Internet harassment among young regular Internet users.

Recent reports indicate 97% of youth are connected to the Internet. As more young people have access to online communication, it is integrally important to identify youth who may be more vulnerable to negative experiences. Based upon accounts of traditional bullying, youth with depressive symptomatology may be especially likely to be the target of Internet harassment. The current investigation will examine the cross-sectional relationship between depressive symptomatology and Internet harassment, as well as underlying factors that may help explain the observed association. Youth between the ages of 10 and 17 (N = 1,501) participated in a telephone survey about their Internet behaviors and experiences. Subjects were required to have used the Internet at least six times in the previous 6 months to ensure a minimum level of exposure. The caregiver self-identified as most knowledgeable about the young person's Internet behaviors was also interviewed. The odds of reporting an Internet harassment experience in the previous year were more than three times higher (OR: 3.38, CI: 1.78, 6.45) for youth who reported major depressive symptomatology compared to mild/absent symptomatology. When female and male respondents were assessed separately, the adjusted odds of reporting Internet harassment for males who also reported DSM IV symptoms of major depression were more than three times greater (OR: 3.64, CI: 1.16, 11.39) than for males who indicated mild or no symptoms of depression. No significant association was observed among otherwise similar females. Instead, the association was largely explained by differences in Internet usage characteristics and other psychosocial challenges. Internet harassment is an important public mental health issue affecting youth today. Among young, regular Internet users, those who report DSM IV-like depressive symptomatology are significantly more likely to also report being the target of Internet harassment. Future studies should focus on establishing the temporality of events, that is, whether young people report depressive symptoms in response to the negative Internet experience, or whether symptomatology confers risks for later negative online incidents. Based on these cross-sectional results, gender differences in the odds of reporting an unwanted Internet experience are suggested, and deserve special attention in future studies.

Adolescent↗

Internet use and attitudes towards illicit internet use behavior in a sample of Russian college students.

This study assessed Internet use and attitudes toward illicit use of the Internet in a sample of Russian college students. A sample comprised of 198 students was recruited from a university in Moscow. Each participant completed a survey assessing demographic characteristics, Internet use, and attitudes towards engaging in illicit behaviors over the Internet. About half of the students reported that they used the Internet at least several times a year, with 8% reporting daily use of the Internet. Among Internet users, most reported having Internet access either at home or at a friends' home, and 16 % reported having Internet access from work, school, or a computer center. Among Internet users, the main purpose was for school-related activities (60%), followed by e-mail (55%), entertainment (50%), chatting (24%), and searching for pornography (6%). Although most students thought it was inappropriate to read someone else's e-mail, use someone else's password or credit card information without their permission, or break into someone's computer, many students did endorse those illicit behaviors. Over a fifth of the students reported that they knew hackers. Forty three percent of students agreed that people make too much fuss about watching videos, movies or downloading music on the Internet without paying. Males were more likely than females to report using the Internet for entertainment purposes (p = 0.006) and were more likely to agree that it was okay to break into someone's computer (p = 0.04). The results of this study suggest that these Russian college students predominately use the Internet to help with their schoolwork, to communicate with others, and for entertainment. These results also suggest that interventions may be useful to change attitudes endorsing illicit uses of the Internet.

Adolescent↗

Examining characteristics and associated distress related to Internet harassment: findings from the Second Youth Internet Safety Survey.

OBJECTIVE: We sought to identify the characteristics of youth who are targets of Internet harassment and characteristics related to reporting distress as a result of the incident. PARTICIPANTS AND METHODS: The Second Youth Internet Safety Survey is a national telephone survey of a random sample of 1500 Internet users between the ages of 10 and 17 years conducted between March and June 2005. Participants had used the Internet at least once a month for the previous 6 months. RESULTS: Nine percent of the youth who used the Internet were targets of online harassment in the previous year. Thirty-two percent of the targets reported chronic harassment (ie, harassment > or = 3 times in the previous year). In specific incidents, almost half (45%) knew the harasser in person before the incident. Half of the harassers (50%) were reportedly male, and half (51%) were adolescents. One in 4 targets reported an aggressive offline contact (eg, the harasser telephoned, came to the youth's home, or sent gifts); 2 in 3 disclosed the incident to another person. Among otherwise similar youth, the odds of being a target of Internet harassment were higher for those youth who harassed others online, reported borderline/clinically significant social problems, and were victimized in other contexts. Likewise, using the Internet for instant messaging, blogging, and chat room use each elevated the odds of being a target of Internet harassment versus those who did not engage in these online activities. All other demographic, Internet-use, and psychosocial characteristics were not related to reports of online harassment. Thirty-eight percent of the harassed youth reported distress as a result of the incident. Those who were targeted by adults, asked to send a picture of themselves, received an aggressive offline contact (eg, the harasser telephoned or came to the youth's home), and were preadolescents were each significantly more likely to report distress because of the experience. Conversely, the youth who visited chat rooms were significantly less likely to be distressed by the harassment. CONCLUSIONS: Internet harassment can be a serious event for some youth. Because there has been a significant increase in the prevalence of Internet harassment from 2000 to 2005, adolescent health professionals should continue to be vigilant about such experiences in the lives of young people with whom they interact. Social problems and online aggressive behavior are each associated with elevated odds of being the target of harassment. Thus, prevention efforts may be best aimed at improving the interpersonal skills of young people who choose to communicate with others using these online tools. Adolescent health professionals should be especially aware of events that include aggressive offline contacts by adult harassers or asking the child or adolescent to send a picture of themselves, because each of these scenarios increase the odds of reporting distress by more than threefold. Findings further support the call for the inclusion of Internet-harassment prevention in conventional antibullying programs empowering schools to address Internet bullying situations that occur between students. This will not solve all situations, however. We also must encourage Internet service providers to partner with consumers to be proactive in serious harassment episodes that violate criminal laws and service-provider codes of conduct.

Adolescent↗

University students' Internet attitudes and Internet self-efficacy: a study at three universities in Taiwan.

This study was conducted to explore university students' attitudes and self-efficacy toward the Internet. Moreover, the relationships between their attitudes and self-efficacy toward the Internet were also investigated. The sample of this study included 1,313 students, coming from three universities in Taiwan. It was found that male students expressed significantly more positive attitudes than females on their "perceived control" of the Internet. The male students also revealed better Internet self-efficacy than their female counterparts. Moreover, students having more on-line hours per week, in general, displayed more positive Internet attitudes and Internet self-efficacy. In addition, students' grade level also played an important role in their Internet attitudes; graduate students tended to possess more positive Internet attitudes. More importantly, students' Internet attitudes were highly correlated with their Internet self-efficacy. The results in this study seemed to reveal that students' attitudes toward the Internet could be viewed as one of the important indicators for predicting their Internet self-efficacy. It is also suggested that some training programs or courses may be helpful in improving university students' attitudes and self-efficacy toward the Internet.

Adolescent↗

Internet access and Internet use for health information among people living with HIV-AIDS.

Widespread access to the Internet has the potential to improve the health care and quality of life of people with chronic illnesses, including people living with HIV-AIDS. However, the Internet is not equally accessible to all persons. We surveyed 96 men and 51 women living with HIV-AIDS regarding their experiences using the Internet. Results showed that persons with 12 or fewer years of education were significantly less likely to have used the Internet and were less likely to have been instructed in Internet use. A broad range of health-related Internet activities was reported including searching for health, AIDS-specific information, and using the Internet to communicate with providers. Among current Internet users, individuals who had an Internet connection in their home reported significantly more experiences using the Internet, including Internet use for interpersonal communication and search functions. A digital divide therefore exists among people living with HIV-AIDS, and the benefits of the Internet appear better achieved with home access.

Acquired Immunodeficiency Syndrome↗

Internet identification and future internet use.

This paper reports a study investigating the relationship between Internet identification and future Internet use. We predict that Internet identification is stable over time and that it is predictive of future use. The participants were 216 undergraduate students (184 females and 32 males) from five universities in the United Kingdom. They completed a questionnaire concerning their use of the Internet and a measure of Internet identification at the start of the academic year and at the end of the academic year. We found that Internet identification measured at the beginning of the academic year was positively related to Internet identification measured at the end of the academic year. Furthermore, there was a positive relationship between Internet identification and future general Internet use and a positive relationship between Internet identification and future educational Internet use.

Adolescent↗

General practitioners and the Internet--a questionnaire survey of Internet connectivity and use in Lothian.

OBJECTIVE: To determine the extent of Internet connectivity and use by GPs in the Lothian Health Board area and to investigate which Internet medical information resources GPs find most useful for work related purposes. DESIGN: Postal questionnaire. SETTING: General Practice. SUBJECTS: Postal questionnaires were sent to all GPs listed in the Lothian Health Primary Care mailing list. In total 546 questionnaires were sent to 126 practices during April/May 1999. RESULTS: At least one response was received from 86% of practices and overall 56% of questionnaires were returned. Ninety two percent of practices that responded indicated that an Internet connection was available with 86% reporting that access was restricted to one computer. Sixty seven percent of responding GPs indicated that they had used the Internet, with more time being spent using the Web than Email. Of the Internet users 54%, rated the Internet as useful or very useful for work related purposes. Accessibility and immediacy of access to information were among the most useful aspects of Internet use, with locating specific resources and lack of time being highlighted as commonly reported difficulties. Popular medical Internet resources included Medline/Pubmed, the eBMJ/BMA site and a range of other resources produced by authoritative medical bodies. CONCLUSION: This study indicates high Internet connectivity in Lothian general practices, with increased levels of use by GPs compared with previous benchmark studies and high levels of perceived usefulness of the Internet in relation to GPs work. Training and education of GPs is clearly required if they are to take best advantage of improved Internet accessibility.

Adult↗

Internet over-users' psychological profiles: a behavior sampling analysis on internet addiction.

What kinds of psychological features do people have when they are overly involved in usage of the internet? Internet users in Korea were investigated in terms of internet over-use and related psychological profiles by the level of internet use. We used a modified Young's Internet Addiction Scale, and 13,588 users (7,878 males, 5,710 females), out of 20 million from a major portal site in Korea, participated in this study. Among the sample, 3.5% had been diagnosed as internet addicts (IA), while 18.4% of them were classified as possible internet addicts (PA). The Internet Addiction Scale showed a strong relationship with dysfunctional social behaviors. More IA tried to escape from reality than PA and Non-addicts (NA). When they got stressed out by work or were just depressed, IA showed a high tendency to access the internet. The IA group also reported the highest degree of loneliness, depressed mood, and compulsivity compared to the other groups. The IA group seemed to be more vulnerable to interpersonal dangers than others, showing an unusually close feeling for strangers. Further study is needed to investigate the direct relationship between psychological well-being and internet dependency.

Adolescent↗

Net-generation attributes and seductive properties of the internet as predictors of online activities and internet addiction.

Born between 1977 and 1997, Net-generation is the first generation to grow up surrounded by home computers, video games, and the Internet. As children of the Baby Boomers, the Internet is the medium of choice for the Net-geners. Based on the assumption that Net-generation has unique characteristics, this study examined (1) how Net-geners addicted to the Internet differ from the non-addicted and (2) how these attributes, together with the seductive properties of the Internet, are related to Internet addiction. Data were gathered from a probability sample of 699 Net-geners between the ages of 16 and 24. Results show that Net-geners addicted to the Internet tend to be young female students. Being emotionally open on the Net and a heavy user of ICQ were most influential in predicting Net-geners' problematic use of the Internet. Addicted Net-geners are also strongly linked to the pleasure of being able to control the simulated world in online games. The finding reinforces previous research that "dependents" of the Internet spend most of their time in the synchronous communication environment engaging in interactive online games, chat rooms, and ICQ for pleasure-seeking or escape, while "non-dependents" use information-gathering functions available on the Internet. Furthermore, Internet addicts tend to watch television significantly less, indicating a displacement effect on traditional media use for the Net-generation.

Adolescent↗

A descriptive project evaluation to determine Internet access and the feasibility of using the Internet for cardiac education.

OBJECTIVE: The study's objective was to evaluate patients attending a cardiac secondary prevention clinic on their accessibility to the Internet and to investigate their perceptions on using the Internet to obtain educational information for secondary prevention. DESIGN: This was a prospective, descriptive, cross-sectional project. SETTING: The study took place at a tertiary care hospital in Southern Ontario, Canada. SUBJECTS: The subjects were 50 individuals attending a cardiac secondary prevention clinic. They were primarily male (80%) with an average age of 60 years. MEASURES: A self-administered questionnaire was used that identified demographics, current Internet access, experience with using the Internet for health care information, and perceptions of the utility of Internet information. RESULTS: Sixty-six percent had Internet access at home, and 51% said they used the Internet daily. A significant number of participants indicated they would access an Internet site for continued educational support after discharge from a secondary prevention cardiac clinic. CONCLUSION: The results from this project evaluation suggest that Internet-based education would be a valuable adjunct to current secondary prevention care delivery models.

Cross-Sectional Studies↗

Biases in internet sexual health samples: comparison of an internet sexuality survey and a national sexual health survey in Sweden.

The internet is becoming a favored technology for carrying out survey research, and particularly sexual health research. However, its utility is limited by unresolved sampling questions such as how biased internet samples may be. This paper addresses this issue through comparison of a 'gold standard' random selection population-based sexual survey (The Swedish Sexual Life Survey) with an internet-based survey in Sweden which used identical demographic, sexual and relationship questions, to ascertain the biases and degree of comparability between the recruitment methods. On the internet questionnaire, there were significant differences between males and females on all the measured indices. There were no significant differences in proportions of males and females, or nationality, between the two samples. However, the internet samples for both males and females were significantly more likely to be younger, originally from and currently living in a major city, better educated, and more likely to be students and less likely to be retired. Relationship variables were less likely to be significantly different between samples: there were no differences for males or females between the SSS and the internet samples on having been in a committed relationship, and how they met their present partner, nor for males in having discussed separation in the past year. However, there was a higher proportion of people attracted to the same sex, and higher numbers of sex partners (as well as a higher proportion of people reporting no sex) in the past year, in the internet sample. These data suggest that apart from the demographics of age, location, and education, currently being in a committed relationship, and the number of sex partners in the past year, internet samples are comparable for relationship characteristics and history with a national sexual life survey. Comparison of internet data with random survey data in other western countries should occur to determine if these patterns are replicated.

Adolescent↗

Characteristics of latino men who have sex with men on the internet who complete and drop out of an internet-based sexual behavior survey.

To identify biases and threats to validity of Internet survey data collection on HIV-related risk behaviors, we studied 1,546 Latino men who have sex with men on the Internet recruited through banner impressions on a leading national gay Internet site. The study could be completed in English or Spanish. Of those commencing, 33.6% dropped out before completing the 450-field questionnaire. None of the linguistic variables (level of use of Spanish or English) predicted dropout. However, dropouts were more likely to identify as Puerto Rican or Black, to reject the $20 compensation or offer it to a charity, to not have met men for sex on the Internet, to identify as bisexual or heterosexual, and to use Web sites or personal ads for contact and to use the Internet less at home than those who completed the study. Men in seroconcordant monogamous relationships and those who had not met a man for sex on the Internet were also more likely to drop out. These data suggest that there are no linguistic and few demographic and Internet use variables that are associated with dropout. Issues of compensation and respondent characteristics that make it likely that there will be a large number of inapplicable data fields in the questionnaire appear to be significant predictors of dropout. Although there were many data missing, the dropouts did not appear to be at greater HIV-associated risk than the completers. The fact that there appear to be few systematic demographic or Internet use biases in dropouts suggests that the completers do not represent a seriously skewed sample of those Latinos who commence the Internet survey.

Analysis of Variance↗

Quality of internet access: barrier behind internet use statistics.

The rapid growth of the Internet is increasingly international with young people being the early adopters in most countries. However, the quality of Internet access looms as a major barrier hidden behind Internet use statistics. The goal of this study was to provide an in-depth evaluation of young people's perspectives on using the Internet to obtain health information and resources (e-health). Using an inductive qualitative research design, 27 focus groups were conducted in Ontario, Canada. The 210 young participants were selected to reflect diversity in age, sex, geographic location, cultural identity and risk. A major finding was how the quality of Internet access influenced young people's ability to obtain health information and resources. Quality of Internet access was affected by four key factors: 1. Privacy, 2. Gate-keeping, 3. Timeliness and 4. Functionality. Privacy was particularly relevant to these young people in getting access to sensitive health information (e.g. sexual activities). Variations in access quality also impacted participation in mutual support, fostering social networks and getting specific health questions answered. These results serve as a warning about using Internet penetration statistics alone as a measure of access. Concerted attention is needed on improving the quality of Internet access for achieving the potential of e-health. This is imperative for addressing the digital divide affecting populations both within countries and globally between countries.

Adolescent↗

The Internet Alert Project: spreading the word about high-risk sexual activities advertised on the Internet.

The Internet is an emerging venue for facilitating high-risk sexual behavior; in particular, use of the Internet to seek out sex partners has been shown to be associated with high-risk sexual behaviors, such as an increase in number of sexual partners and an increase in anal sex, which can increase the risk of contracting and transmitting sexually transmitted diseases (STDs) including HIV. In an effort to assist health departments around the country, the Internet Alert Project was developed to provide Centers for Disease Control and Prevention (CDC) project officers and field staff with information about Internet-advertised, high-risk sexual activities in areas that do not have access to sexually explicit material on the Internet. An evaluation was conducted to determine the utility of the Internet Alert Project, its effect on knowledge and awareness of recipients and on public health efforts. Results of the evaluation show the alerts are a useful and valuable tool. The alerts have helped to increase knowledge about sexually-related uses of the Internet and have also driven public health efforts in the field. The results also indicate the need for project areas to access information found on the Internet in order to keep up with the ever-changing behaviors of at-risk populations.

Advertising↗

Shyness and locus of control as predictors of internet addiction and internet use.

The new psychological disorder of Internet addiction is fast accruing both popular and professional recognition. Past studies have indicated that some patterns of Internet use are associated with loneliness, shyness, anxiety, depression, and self-consciousness, but there appears to be little consensus about Internet addiction disorder. This exploratory study attempted to examine the potential influences of personality variables, such as shyness and locus of control, online experiences, and demographics on Internet addiction. Data were gathered from a convenient sample using a combination of online and offline methods. The respondents comprised 722 Internet users mostly from the Net-generation. Results indicated that the higher the tendency of one being addicted to the Internet, the shyer the person is, the less faith the person has, the firmer belief the person holds in the irresistible power of others, and the higher trust the person places on chance in determining his or her own course of life. People who are addicted to the Internet make intense and frequent use of it both in terms of days per week and in length of each session, especially for online communication via e-mail, ICQ, chat rooms, newsgroups, and online games. Furthermore, full-time students are more likely to be addicted to the Internet, as they are considered high-risk for problems because of free and unlimited access and flexible time schedules. Implications to help professionals and student affairs policy makers are addressed.

Adolescent↗

Urology and the Internet: an evaluation of internet use by urology patients and of information available on urological topics.

OBJECTIVE: To determine the use of the Internet by urological patients for obtaining information about their disease, and to conduct an evaluation of urological websites to determine the quality of information available. PATIENTS AND METHODS: Questionnaires about Internet use were completed by 180 patients attending a general urological outpatient clinic and by 143 patients attending a prostate cancer outpatient clinic. The Internet evaluation was conducted by reviewing 50 websites listed by the Hotbottrade mark search engine for two urological topics, prostate cancer and testicular cancer, and recording details such as authorship, information content, references and information scores. RESULTS: Of the patients actively seeking further information about their health, 19% of the general urological outpatient group and 24% of the prostate cancer group used the Internet to obtain this information. Most websites were either academic or biomedical (62%), provided conventional information (95%), and were not referenced (71%). The information score (range 10-100) was 44.3 for testicular cancer and 50.7 for prostate cancer; the difference in scores was not significant. CONCLUSION: The use of the Internet by patients is increasing, with > 20% of urology patients using the Internet to obtain further information about their health. Most Internet websites for urological topics provide conventional and good quality information. Urologists should be aware of the need to familiarize themselves with urological websites. Patients can then be directed to high-quality sites to allow them to educate themselves and to help them avoid misleading or unconventional websites.

Female↗

Beliefs about cybersex and Internet-mediated sex of Latino men who have Internet sex with men: relationships with sexual practices in cybersex and in real life.

Cybersex (engaging in sexual self-stimulation while online with another person) and meeting partners for sex are commonly reported among men who have Internet sex with men (MISM). We studied 1,026 Latino MISM in the US and constructed a scale to measure beliefs about cybersex. Respondents were recruited to an online Internet study and compensated for their effort. Factor analysis indicated that there were three dimensions: (1) liking cybersex: perceived anonymity and safety of cybersex; (2) potential for greater IRL interaction in seeking partners on the Internet; and (3) a dimension of negative beliefs about Internet contacts which was not psychometrically stable. Safety referred to physical and HIV-related safety. We formed two scales to describe the first two dimensions. Respondents who were high on the 'liking cybersex: perceived anonymity and safety' scale were more likely than low scorers to use chat-rooms and webcams. They were also more likely than low scorers to have had cybersex and phone sex before meeting. Those who were high on the 'IRL interaction' scale were more likely than low scorers to use e-mail, bulletin boards and paid websites. However, there was significantly less disclosure about HIV status and discussion about safer sex by those higher on the 'IRL interaction scale', and when sex in real life did occur, those higher on the 'IRL interaction' scale were more likely to have receptive oral or anal sex, whereas those high on the 'liking cybersex: perceived anonymity/safety' scale were less likely to have insertive sex or be drunk/high. MISM scoring high on the 'IRL interaction' scale were significantly more likely than low scorers to prefer to meet partners on the Internet. We discuss the implications of the Internet for MSM and for sexual IRL interactions in the Internet age.

Attitude to Health↗