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Adolescents exposed to discrimination: are they more prone to excessive internet use?

BMC Pediatrics volume 20, Article number: 402 (2020) Cite this article

Abstract

Background

The Internet may serve as a suitable environment for discriminated adolescents as they may consider the online space as the place where they have possibility to build social ties they are missing in their offline life or manage their self-presentation. Therefore, our aim was to explore the association between different types of discrimination by peers (because of gender, physical appearance, culture/skin color/language, unfavorable family situation) and excessive Internet use (EIU), and whether gender moderates this association.

Methods

We used data from a representative sample of 6,462 Slovak adolescents (mean age: 13.00, 49.6% boys) from the HBSC study conducted in 2018. Data were collected through online self-reported questionnaires. We assessed the association between various types of discrimination by peers and EIU using linear regression, and the role of gender as potential moderator.

Results

Discrimination because of physical appearance was most prevalent (18.0%). Adolescents exposed to discrimination by peers reported higher levels of EIU. We found an interaction of gender on the association of discrimination because unfavorable family situation with EIU. Boys who experienced this type of discrimination were at higher risk of EIU compared to girls.

Conclusion

Discriminated adolescents are more likely to use the Internet excessively, with some associations being stronger for boys than for girls. Prevention strategies focused on raising adolescent awareness of the risks and benefits of the Internet should target discriminated adolescents, especially boys, as they seem to be the vulnerable group.

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Background

The Internet can provide a comfortable environment for adolescents experiencing difficulties in their life [1]. Excessive use of it, however, can have a detrimental impact on different life domains. Excessive Internet use (EIU) can cause problems of a physical (headache, backache, dry eyes, neck pain, insomnia), psychological (increase of depressive symptoms, anxiety, stress) and social nature (social isolation) [2,3,4,5]. According to Smahel et al. [6] Internet use can be considered as excessive if children are unable to control their online activities what can cause negative consequence on their normal life. Griffiths [7] discerns the following basic components in his model of Internet addictive behavior: salience, tolerance, mood change, withdrawal symptoms, interpersonal and intrapersonal conflict, and relapse, focused on the negative consequences and also on the way people feel about those experiences. However, there is lack of agreement on the extent to which a situation regards excessive Internet use only or it can be described as an addiction. Previous research showed an increase in the prevalence of risky Internet users from 13.3 to 17.6% in the years from 2009/2010 to 2011/2012 [8]. Regarding the Slovak context, in 2017 94% of Slovak people under the 25 years used Internet on a daily basis [9] and almost 20% of Slovak adolescents reported that they more easily talk about their inner feelings and fears in the online world [10]. This preference for online communication can next lead to EIU. The results of the EU Kids Online study (2020) showed that about 6% of Slovak adolescents met 1–2 criteria of EIU and 2% reported to meet 3–4 criteria of EIU [11]. Evidence is scarce on the early stages of Internet addiction and its impact on adolescents’ lives.

Discrimination may be one of the factors leading to EIU. Discrimination may be invoked by a variety of characteristics, such as gender, body image, race, disability, socioeconomic status or religion [12,13,14,15,16,17]. Previous research has shown frequent and multiple exposure to discrimination to be associated with poor mental and physical health [18, 19]. Discriminated adolescents also felt less socially competent in peer relationships [20], which can result in social isolation [21, 22]. Previous research has also shown several other factors to be related to EIU. According to Kim, Larose and Peng [23], people who have problems maintaining healthy relationships in the offline space, who are shyer, have less confidence in themselves [24] and a higher level of loneliness [25], may find it difficult to control their online activities, which can then lead to EIU. Furthermore, results of the EU Kids Online study (2011) showed that about 10% of the discriminated or psychologically disadvantaged children, aged between 9 and 16 years old, reported being bullied online [26]. However, evidence is lacking on the association between discrimination in the offline space and Internet use, as most studies regard discrimination via the Internet and its impact on an adolescent’s life [27, 28].

Previous research has suggested there are gender differences for several types of discrimination, which may also affect associations with EIU. An increase in symptoms of depression, anxiety or psychological distress was associated with boys experiencing racial discrimination and young women experiencing gender discrimination [13, 14, 29]. Regarding discrimination because of physical appearance, overweight girls reported more exposure to stigmatization and bullying [12]. However, evidence is scarce on the association between different types of discrimination and EIU, and whether gender moderates this association.

Therefore, our aim was to assess the association between various types of discrimination by peers, i.e. because of gender, physical appearance, culture/skin color/language and unfavorable family situation, and excessive Internet use, and whether gender moderates this association. We expect that adolescents exposed to some type of discrimination are at higher risk of EIU.

Methods

Sample and procedure

We used data from the Health Behaviour in School-aged Children (HBSC) study conducted in 2018 in Slovakia. To obtain a representative sample, a two-step sampling procedure was used. First, 140 larger and smaller schools located in rural as well as in urban areas from all regions of Slovakia were randomly selected from a list of all eligible schools in Slovakia and asked to participate in the study. The school response rate (RR) was 77.9%. Second, we obtained data from 8405 adolescents from 11 to 15 years old (RR = 60.0%; mean age = 13.43; 50.9% boys) by using online self-reported questionnaires.

The sample designed for our study comprised the adolescents who answered the questions that measured the different types of discrimination and EIU. This regarded 6462 adolescents (mean age = 13.00, 49.6% boys), the other 1943 were excluded because of missing values. Non-response per items varied between 13,1% and 19.9%. Higher proportions of missing responses could be caused by the fact that the examined items were situated in the second part of the questionnaire. Moreover, adolescents might find it difficult to talk openly about their experiences with discrimination, and the level of their Internet use.

Our study was approved by the Ethics Committee of the Medical Faculty at the P.J. Safarik University in Kosice (16 N/2017). We informed parents about the study via the school administration, and they could opt out if they disagreed with their child’s participation. Participation in the study was fully voluntary and confidential with no explicit incentives provided for participation.

Measures

We measured the level of excessive Internet use in adolescents using the EIU scale [30]. This scale consists of five items with 4-point Likert-type responses, covering the five dimensions of behavioural addiction [7]. These dimensions are: salience (I have gone without eating and sleeping because of the Internet); withdrawal symptoms (I have felt bothered when I cannot be on the Internet); tolerance (I have caught myself surfing when I am not really interested); relapse (I have tried unsuccessfully to spend less time on the Internet); and conflict (I have spent less time than I should with either family, friends, or doing schoolwork because of the time I spend on the Internet). Responses that adolescents could choose were (1) never/almost never, (2) not very often, (3) fairly often, (4) very often. The total EIU score regards the sum score of all items (in this sample M = 7.68, SD = 2.92; and Cronbach’s alpha 0.78).

Discrimination by peers was measured by a question set on discrimination because of gender (How often pupils at school treat you unfairly or negatively because you are a boy or a girl?); physical appearance (How often do pupils at school treat you unfairly or negatively because of your figure or appearance?); culture/SC/L (How often do pupils at school treat you unfairly or negatively because you are using different language or because of different color of your skin?); and unfavorable family situation (How often do pupils at school treat you unfairly or negatively because bad situation at home (money, illness or something else)?). Responses were: (1) never, (2) hardly ever, (3) sometimes, (4) often, (5) very often. This item was dichotomized per domain as: discriminated (sometimes, often, very often), not discriminated (never, hardly ever).

Family affluence was measured using the Family Affluence Scale. We computed the sum score, which we converted to a score ranging from 0 to 1. We then created tertile categories of low (0 to 0.333), medium (0.334 to 0.666) and high (0.667 to 1) socio-economic position.

We used gender as a potential moderating variable.

Statistical analyses

First, we assessed the background characteristics, the mean value of EIU, and the prevalence of different types of discrimination, overall and by gender; we examined gender differences by using chi-square tests. Second, we assessed the association between various types of discrimination by peers and EIU (transformed to z-score), crude and adjusted for gender and age, using ordinary linear regression. Third, we analyzed the degree to which gender modified the effect of different types of discrimination by adding their interactions to the regression model. We analyzed our data using IBM SPSS statistics 20.0 for Windows.

Results

Description of the sample

Descriptive statistics of the sample are presented in Table 1. Less than 20% of our sample reported being discriminated by their classmates for any reason. The most prevalent was discrimination because of physical appearance. Boys seemed to be more exposed to discrimination because of culture/SC/L and unfavorable family situation. In reverse, the prevalence of discrimination because of physical appearance was significantly higher in girls. Of adolescents, 25.7% reported being exposed to at least one type of discrimination, this prevalence being slightly higher for girls than for boys (p < 0.001).

Table 1 Background characteristics of the sample overall and stratified by gender (6,462 Slovak adolescents aged 11–15 years old, HBSC Study 2018)
Full size table

Associations between different types of discrimination and EIU

Discriminated adolescents reported higher levels of EIU (Model 1, Table 2). Regarding the crude model, we found no gender differences in reporting EIU (Model 1, Table 2). Adjustment for gender and age hardly changed the association between different types of discrimination and EIU (Model 2, Table 2). Additional adjustment for family affluence hardly changed findings (findings not shown).

Table 2 Association of excessive Internet use with discrimination by peers because of gender, physical appearance, culture/SC/L or unfavourable family situation: crude betas, betas adjusted for gender, age and interaction terms of discrimination per type with gender; results of linear regression analysis leading to standardized regression coefficients (β) (6462 Slovak adolescents aged 11–15 years old, HBSC Study 2018)
Full size table

Modification by gender of the associations of discrimination and EIU

We found a statistically significant interaction of gender with only one type of discrimination, i.e. because of unfavorable family situation, regarding the association between discrimination and EIU (Model 3, Table 2). The interaction of gender with discrimination because of gender, physical appearance and culture/SC/L with EIU remained non-significant (Model 3, Table 2).

We repeated the analyses with a stratification for gender regarding the association of discrimination because of unfavorable family situation with EIU. These associations were significant among both boys and girls, but the effect of discrimination on EIU differed between genders. Boys who were exposed to discrimination because of unfavorable family situation reported higher levels of EIU than girls.

Discussion

We assessed the associations between different types of discrimination by peers with EIU in Slovak adolescents and a potential moderating effect of gender on this association. Our results showed that almost 20% of the adolescents questioned were exposed to discrimination, most frequently to discrimination because of physical appearance. Adolescents who experienced discrimination tended to report higher levels of EIU. The effect of discrimination by peers because of unfavorable family situation on EIU seemed to be stronger in the case of boys.

We found discrimination by peers to be associated with a higher level of EIU among Slovak adolescents. This contrasts to previous studies conducted on this topic, as we found that discriminated adolescents are not only more likely to experience online risky behavior, such as sexting or cyberbullying [31, 32], but they are also at higher risk of becoming excessive Internet users. Our results can be explained in several ways. First, discrimination by peers can leave discriminated adolescents feeling less socially competent, subsequently socially isolated, with lack of social support [20, 21]. In today’s society the Internet can be considered as an alternative tool for building social ties that adolescents are missing in their offline life [33, 34]. According to Davis’s cognitive–behavioral model of problematic Internet use (PIU), one of the major causes of PIU are maladaptive cognitions users have about themselves. The online space can be seen by discriminated adolescents as a place where they have the possibility to control their self-presentation and gain more positive reactions from other users [35, 36]. This kind of positive experience can easily lead to more frequent use of the Internet, which can then lead to EIU. Second, Internet use can be seen by discriminated children as a coping mechanism for their mental health problems. Previous research has shown an association between discrimination and an increase in depression symptoms or anxiety [37,38,39,40,41]. Discriminated adolescents can then consider the Internet as a place where they can find social support from people who are experiencing similar life conditions or from experts, such as psychologists, with whom they may communicate more easily about their situation than in face-to-face interaction.

We found that boys exposed to discrimination by peers because of unfavorable family situation were at higher risk of EIU compared with girls. Previous research on the association between discrimination and EIU moderated by gender is completely lacking, as most recent studies have been dedicated to online discrimination. We can explain these findings in several ways. First, girls tend to report a higher level of conscientiousness and agreeableness already in earlier adolescence compared to boys [42]. Those personality traits are fundamental for the creation of positive interpersonal relationships specific for girls [43]. Furthermore, there is an increase in girls’ self-disclosure during pre– and early adolescence, while in boys the increase of self-disclosure typically occurs 2 years later [44], which can cause a tendency for adolescent boys to be shyer at a similar age. Adolescent girls are also more likely to have a higher level of social support from their peers, which helps them handle negative feelings caused by discrimination. Second, boys try to respond to discrimination using their personal capacities, which can lead to the adoption of different types of unhealthy behaviors, such as frequent smoking [45], substance use [46] or EIU. According to Lenhart [47], boys are more likely to make friends online by playing online games or using social media. Regarding the types of discrimination, previous research has shown that boys are more sensitive to unfavorable family situations [48]. For example, boys who experience some kind of unfavorable family situation, such as a parental divorce, tend to report more problematic behaviors, such as delinquency and substance use [49]. However, there is a lack of evidence on the association between different types of discrimination and EIU.

Strengths and limitations

The major strength of this study is its large and nationally representative study sample of adolescents. We collected our data through the EIU scale, which is a validated method used previously in various reports [6, 30]. However, some limitations should also be mentioned, too. First, the cross-sectional design of our study prevents the exploration of causal pathways the used variables. Next, we used self-report questionnaires, meaning that respondents’ answers may be affected by social desirability. Adolescents may find it difficult to disclose they are discriminated against; so discrimination might be somewhat under reported, which can then result in a low proportion of different types of discrimination. To get as close to reality as possible, we used online anonymous questionnaires, which probably reduced this effect. Furthermore, in our study we focused only on one direction of the association between different types of discrimination by peers and EIU. Exploration of reverse pathway could provide also interesting findings, as spending of much time online can reduce the number of social interactions which adolescents have in the offline world. This can lead to social isolation, subsequently.

Finally, selection bias may have occurred as only 76.9% of respondents were included into the analysis. The included respondents regarded less boys, younger respondents and respondents from low family affluence background than the excluded respondents. From previous studies [11, 50, 51] we might expect that boys and respondents from lower SES are at higher risk of EIU, while younger respondents are at lower risk of EIU. This could have affected the strengths of the associations as studied, but only to a limited degree given the relatively small percentage that was excluded.

Implications

Our findings that discrimination is associated with EIU implies a need for interventions focused on reducing the social exclusion of discriminated adolescents resulting from peer relationships. Such interventions should target boys in particular, as they seem to be the more vulnerable group. Moreover, our results also show a need for preventive strategies focused on raising adolescents’ knowledge about the risks and benefits associated with Internet use. In our study we explored only EIU in general, but a deeper analysis of specific online activities may bring useful information for developing preventive interventions. Moreover, further research should explore the context of demographic characteristics; such as socioeconomic status, school grade or place of living. Finally, longitudinal research may help to explore the causal pathways between discrimination and EIU.

Conclusion

We found an association between different types of discrimination by peers (because of gender, physical appearance, culture/SC/L and unfavorable family situation) and EIU; gender moderated this association. Adolescents exposed to discrimination reported a higher level of EIU. Boys who experienced discrimination because of the unfavorable family situation were more vulnerable to becoming excessive Internet users than girls. Preventive strategies should focus on raising adolescents’ awareness about the benefits and risks of Internet use, especially among discriminated adolescents, as they seem to be a vulnerable group.

Availability of data and materials

The data used in this study are available from the corresponding author on reasonable request.

Abbreviations

EIU:

Excessive Internet use

HBC study:

Health Behavior in School- aged children study

References

  1. Leung L. Stressful life events, motives for internet use, and social support among digital kids. CyberPsychol Behav. 2007;10:204–14. https://doi.org/10.1089/cpb.2006.9967.

    Article  PubMed  Google Scholar 

  2. Zheng Y, Wei D, Li J, Zhu T, Ning H. Internet use and its impact on individual physical health. IEEE Access. 2016;4:5135–42. https://doi.org/10.1109/ACCESS.2016.2602301.

    Article  Google Scholar 

  3. Guzel N, Kahveci I, Solak N, Comert M, Turan FN. Internet addiction and its impact on physical health. Turk Med Stud J. 2018;5:32–6. https://doi.org/10.4274/tmsj.2018.05.03.0002.

    Article  Google Scholar 

  4. Morrison CM, Gore H. The relationship between excessive internet use and depression: a questionnaire-based study of 1,319 young people and adults. Psychopathology. 2010;43(2):121–6. https://doi.org/10.1159/000277001.

    Article  PubMed  Google Scholar 

  5. Koc M. Internet addiction and psychopathology. Turk Online J Educ Technol. 2011;10(1):143–8.

    Google Scholar 

  6. Smahel D, Helsper E, Green L, Kalmus V, Blinka L, Ólafsson K. Excessive Internet Use among European Children; EU Kids Online. London: London School of Economics Political Science; 2012. Available online: http://eprints.lse.ac.uk/47344/ (Accessed on 23 September 2019).

    Google Scholar 

  7. Griffiths M. A components model addiction within biopsychosocial framework. J Subst Use. 2005;10(4):191–7. https://doi.org/10.1080/14659890500114359.

    Article  Google Scholar 

  8. Kaess M, Parzer P, Brunner R, Koenig J, Durkee T, Carli V, Wasserman C, Hoven CW, Sarchiapone M, Bobes J, Cosman D, Varnik A, Resch F, Wasserman D. Patological internet use is on the rise among european adolescents. J Adolesc Health. 2016;59:236–9. https://doi.org/10.1016/j.jadohealth.2016.04.009.

    Article  PubMed  Google Scholar 

  9. Statista Research Department. Daily internet usage rate in Slovakia in 2017, by age group. 2019. Available online https://www.statista.com/statistics/348166/daily-internet-usage-age-group-slovakia/.

    Google Scholar 

  10. Madarasová Gecková A, Eds.: Národná správa o zdraví a so zdravím súvisiacom správaní 11-, 13- a 15-ročných školákov na základe prieskumu uskutočneného v roku 2017/2018 v rámci medzinárodneho projektu Health Behaviour in School Aged Children (HBSC). Košice: Equilibria, s.r.o., 2019.

  11. Smahel D, Machackova H, Mascheroni G, Dedkova L, Staksrud E, Olafsson K, Livingstone S, Hasebrink U. EU Kids Online 2020: Survey results from 19 countries: EU Kids Online; 2020. https://doi.org/10.21953/lse.47fdeqj01ofo.

  12. Tang-Péronard JL, Heitmann BL. Stigmatization of obese children and adolescents, the importance of gender. Obes Rev. 2008;9:522–34. https://doi.org/10.1111/j.1467-789X.2008.00509.x.

    Article  PubMed  Google Scholar 

  13. Assari S, Moazen-Zadeh E, Caldwell CH, Zimmerman MA. Racial discrimination during adolescence predicts mental health deterioration in adulthood: gender differences among blacks. Front Public Health. 2017;5:104. https://doi.org/10.3389/fpubh.2017.00104.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Assari S, Lankarani MM. Discrimination and psychological distress: gender differences among Arab Americans. Front Psychiatry. 2017;8:23. https://doi.org/10.3389/fpsyt.2017.00023.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Fisher C, Wallace SA, Fenton RE. Discrimination distress during adolescence. J Youth Adolesc. 2000;29(6). https://doi.org/10.1023/A:1026455906512.

  16. Daley A, Phipps SA, Branscombe NR. The social complexities of disability: discrimination, belonging and life satisfaction among Canadian youth. SSM Popul Health. 2018;5:55–63. https://doi.org/10.1016/j.ssmph.2018.05.003.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Van Dyke ME, Vaccarino V, Quyyumi AA, Lewis TT. Socioeconomic status discrimination is associated with poor sleep in African-Americans, but not whites. Soc Sci Med. 2016;153:141–7. https://doi.org/10.1016/j.socscimed.2016.02.012.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Grollman EA. Multiple forms of perceived discrimination and health among adolescents and young adults. J Health Soc Behav. 2012;53(2):199–214. https://doi.org/10.1177/0022146512444289.

    Article  PubMed  Google Scholar 

  19. Spears Brown C, Bigler R. Children’s perception of discrimination: a developmental model. Child Dev. 2005;76(3):533–53. https://doi.org/10.1111/j.1467-8624.2005.00862.x.

    Article  PubMed  Google Scholar 

  20. Oxman-Martinez J, Rummens AJ, Moreau J, Choi YR, Beiser M, Ogilvie L, Armstrong R. Perceived ethnic discrimination and social exclusion: newcomer immigrant children in Canada. Am J Orthop. 2012;82(3):376. https://doi.org/10.1111/j.1939-0025.2012.01161.x.

    Article  Google Scholar 

  21. Surkan PJ, Mukherjee JS, Williams DR, Eustache E, Louis E, Jean-Paul T, Fawzi MCS. Perceived discrimination and stigma toward children affected by HIV/AIDS and their HIV-positive caregivers in Central Haiti. AIDS Care. 2010;22:803–15. https://doi.org/10.1080/09540120903443392.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Juvonen J, Lessard LM, Schacter HL, Suchilt L. Emotional implications of weight stigma across middle school: the role of weight-based peer discrimination. J Clin Child Adolesc. 2017;46:150–8. https://doi.org/10.1080/15374416.2016.1188703.

    Article  Google Scholar 

  23. Kim J, LaRose R, Peng W. Loneliness as the cause and the effect of problematic internet use: the relationship between internet use and psychological well-being. CyberPsychol Behav. 2009;12:451–5. https://doi.org/10.1089/cpb.2008.0327.

    Article  PubMed  Google Scholar 

  24. Chak K, Leung L. Shyness and locus of control as predictors of internet addiction and internet use. CyberPsychol Behav. 2004;7:559–70. https://doi.org/10.1089/1094931042403073.

    Article  PubMed  Google Scholar 

  25. Ceyhan AA, Ceyhan E. Loneliness, depression, and computer self- efficacy as predictors of problematic internet use. CyberPsychol Behav. 2008;11:699–701. https://doi.org/10.1089/cpb.2007.0255.

    Article  PubMed  Google Scholar 

  26. Livingstone S, Gorzig A, Ólafsson K. Disadvantaged children and online risk. London: EU Kids Online Network; 2011.

    Google Scholar 

  27. Tynes BM, Rose CA, Hiss S, Umaña-Taylor AJ, Mitchell K, Williams D. Virtual environments, online racial discrimination, and adjustment among a diverse, school-based sample of adolescents. Int J Gaming Comput Mediat Simul. 2016;6:1–16. https://doi.org/10.4018/ijgcms.2014070101.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Tynes BM, Giang MT, Williams DR, Thompson GN. Online racial discrimination and psychological adjustment among adolescents. J Adolesc Health. 2008;43:565–9. https://doi.org/10.1016/j.jadohealth.2008.08.021.

    Article  PubMed  Google Scholar 

  29. Klonoff EA, Ladrine H, Campbell R. Sexist discrimination may account for well-known gender differences in psychiatric symptoms. Psychol Women Q. 2000;24:93–9. https://doi.org/10.1111/j.1471-6402.2000.tb01025.x.

    Article  Google Scholar 

  30. Škařupová E, Ólaffson K, Blinka L. The effect of smartphone use on trends in European adolescent’s excessive internet use. Behav Inform Technol. 2015;35:1–7. https://doi.org/10.1080/0144929X.2015.1114144.

    Article  Google Scholar 

  31. Bosman J, Bayraktar F, Haenens L. Children’s digital media practices within the European family home: does perceived discrimination matter? J Child Media. 2015;9(1):1–18. https://doi.org/10.1080/17482798.2015.997099.

    Article  Google Scholar 

  32. Livingstone S, Haddon L, Görzig A, Ólafsson K. Risks and safety on the internet: the perspective of European children: full findings and policy implications from the EU Kids Online survey of 9–16 year olds and their parents in 25 countries. London: EU Kids Online Network; 2011.

    Google Scholar 

  33. Wang EST, Wang MCH. Social support and social interaction ties on internet addiction: integrating online and offline contexts. Cyberpsych Beh Soc N. 2013;16:843–9. https://doi.org/10.1089/cyber.2012.0557.

    Article  Google Scholar 

  34. Erwin BA, Turk CL, Heimberg RG, Fresco DM, Hantula DA. The internet: home to a severe population of individuals with social anxiety disorder? J Anxiety Disord. 2004;18:629–46. https://doi.org/10.1016/j.janxdis.2003.08.002.

    Article  PubMed  Google Scholar 

  35. Gil-Or O, Levi-Belz Y, Turel O. The “Facebook-self”: characteristics and psychosocial predictors of false self-presentation on Facebook. Front Psychol. 2015;6:1–10. https://doi.org/10.3389/fpsyg.2015.00099.

    Article  Google Scholar 

  36. Davis RA. A cognitive behavioral model of pathological internet use. Comput Hum Behav. 2001;17:187–95. https://doi.org/10.1016/S0747-5632(00)00041-8.

    Article  Google Scholar 

  37. Greene ML, Way N, Pahl K. Trajectories of perceived adult and peer discrimination among black, Latino, and Asian American adolescents: patterns and psychological correlates. Dev Psychol. 2006;42:218. https://doi.org/10.1037/0012-1649.42.2.218.

    Article  PubMed  Google Scholar 

  38. Huynh VW, Fuligni AJ. Discrimination hurts: the academic, psychological, and physical well-being of adolescents. J Res Adolesc. 2010;20:916–41. https://doi.org/10.1111/j.1532-7795.2010.00670.x.

    Article  Google Scholar 

  39. Priest N, Paradies Y, Trenerry B, Truong M, Karlsen S, Kelly Y. A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Soc Sci Med. 2013;95:115–27. https://doi.org/10.1016/j.socscimed.2012.11.031.

    Article  PubMed  Google Scholar 

  40. Majeno A, Tsai KM, Huyhn VW, McCreath H, Fuligni AJ. Discrimination and sleep difficulties during adolescence: the mediating role of loneliness and perceived stress. J Youth Adolesc. 2018;47:135–47. https://doi.org/10.1007/s10964-017-0755-8.

    Article  PubMed  Google Scholar 

  41. Slopen N, Williams DR. Discrimination, other psychosocial stressors, and self-reported sleep duration and difficulties. Sleep. 2014;37(1):147–56. https://doi.org/10.5665/sleep.3326.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Klimstra T, Hale WW, Raaijmakers QAW, Branje S, Meeus WHJ. Maturation of personality in adolescence. J Pers Soc Psychol. 2009;96:898–912. https://doi.org/10.1037/a0014746.

    Article  PubMed  Google Scholar 

  43. Geary DC, Byrd-Craven J, Hoard MK, Vigil J, Numtee C. Evolution and development of boys’ social behavior. Dev Rev. 2003;23:444–70. https://doi.org/10.1016/j.dr.2003.08.001.

    Article  Google Scholar 

  44. Valkenburg PM, Sumter SR, Peter J. Gender differences in online and offline self-disclosure in pre-adolescence and adolescence. Br J Dev Psychol. 2011;29:253–69. https://doi.org/10.1348/2044-835X.002001.

    Article  PubMed  Google Scholar 

  45. Wiehe SE, Aalsma MC, Liu GC, Fortenberry JD. Gender differences in the association between perceived discrimination and adolescent smoking. Am J Public Health. 2010;100:510–6. https://doi.org/10.2105/AJPH.2009.169771.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Brodish AB, Cogburn CD, Fuller-Rowell TE, Peck S, Malanchuk O, Eccles JS. Perceived racial discrimination as a predictor of health behaviors: the moderating role of gender. Race Soc Probl. 2011;3:160–9. https://doi.org/10.1007/s12552-011-9050-6.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Lenhart, A. Teens, technology and friendships. Pew Research Center. Internet & Technology. Available online: https://www.pewresearch.org/internet/2015/08/06/teens-technology-and-friendships/.

  48. Bojuwoye O, Akpan O. Children’s reactions to divorce of parents. Open Fam Stud J. 2009;2:75–81. https://doi.org/10.2174/1874922400902010075.

    Article  Google Scholar 

  49. Brown JH, Portes PR. Understanding gender differences in children’s adjustment to divorce: Implications for school counselors. J Sch Couns. 2006;4(7):n7.

    Google Scholar 

  50. Urbanova L, Holubčíková J, Madarasová GA, Reijneveld SA, van Dijk JP. Does life satisfaction mediate the association between socioeconomic status and excessive internet use? Int J Environ Res Public Health. 2019;16:3914.

    Article  Google Scholar 

  51. Inchley J, Currie D, Budisavljevic S, Torsheim T, Jåstad A, Cosma A et al., Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report. Volume 1. Key findings. Copenhagen: WHO Regional Office for Europe; 2020. Licence: CC BY-NC-SA 3.0 IGO.

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Acknowledgements

Not applicable.

Authors´ contributions

All authors worked in collaboration for this study. LBU conducted literature searches and provided summaries of previous research studies, worked on the statistical analyses and drafted the manuscript. JH, AMG, SAR and JPvD contributed with their comments to the final version of the analyses and all of them have read and approved the final manuscript as submitted.

Funding

This work was supported by the Slovak Research and Development Agency under the Contract no. APVV-18-0070. The funder did not take a part neither in the design of the study, data collection, analyses, nor interpretation of data or in the writing of the manuscript.

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Authors and Affiliations

  1. Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11, Kosice, Slovakia

    Laura Bitto Urbanova, Jana Holubcikova & Andrea Madarasova Geckova

  2. Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P. J. Safarik University, Kosice, Slovakia

    Laura Bitto Urbanova, Jana Holubcikova, Andrea Madarasova Geckova, Jitse P. van Dijk & Sijmen A. Reijneveld

  3. Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands

    Laura Bitto Urbanova, Jana Holubcikova, Andrea Madarasova Geckova, Jitse P. van Dijk & Sijmen A. Reijneveld

  4. Olomouc University Society and Health Institute, Palacky University Olomouc, Olomouc, Czech Republic

    Andrea Madarasova Geckova & Jitse P. van Dijk

Authors
  1. Laura Bitto Urbanova
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  2. Jana Holubcikova
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  3. Andrea Madarasova Geckova
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  4. Jitse P. van Dijk
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  5. Sijmen A. Reijneveld
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Corresponding author

Correspondence to Laura Bitto Urbanova.

Ethics declarations

Ethics approval and consent to participate

The study was approved by the Ethics Committee of the Medical Faculty at the Pavol Jozef Safarik University in Kosice and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Parents of respondents received written informed consent about the study via the school administration, and they could opt out if they disagreed with their child’s participation. Participation in the study was fully voluntary and confidential with no explicit incentives provided for participation.

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Not applicable.

Competing interests

The authors declare that they have no competing interest.

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Bitto Urbanova, L., Holubcikova, J., Madarasova Geckova, A. et al. Adolescents exposed to discrimination: are they more prone to excessive internet use?. BMC Pediatr 20, 402 (2020). https://doi.org/10.1186/s12887-020-02241-3

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Keywords

BMC Pediatrics

ISSN: 1471-2431

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