A mixed-method study on prevalence, associated factors, and perception of nomophobia among undergraduate students of a medical college in Nagpur, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20253691Keywords:
Nomophobia, Smartphone addiction, Medical students, Mixed-methods, Mobile phone dependencyAbstract
Background: Nomophobia, or “no mobile phone phobia,” is an emerging behavioral problem characterized by anxiety when individuals are unable to use their mobile phones. Medical students are particularly vulnerable due to heavy academic and social reliance on smartphones. This study aimed to estimate the prevalence and identify associated factors and explore perceptions related to nomophobia among undergraduate medical students.
Methods: A mixed-method cross-sectional study was conducted among 365 MBBS students at a medical college in Central India. Data on sociodemographic profile, smartphone use, and nomophobia severity were collected using a pretested, self-administered questionnaire incorporating the 20-item nomophobia questionnaire (NMP-Q). Associations were tested using Chi-square. For the qualitative component, in-depth interviews were conducted with six students identified with severe nomophobia, and thematic content analysis was performed.
Results: Moderate nomophobia was observed in 63% of participants, mild in 23%, severe in 3%, and none in 11%. nomophobia was significantly associated with age group (p=0.004), place of residence (p<0.001), and primary purpose of smartphone use (p<0.001). Qualitative analysis identified five major themes: perceived necessity, emotional attachment, awareness of overuse, control versus dependence, and emerging technology-related nomophobia, with students reporting increasing reliance on AI tools such as ChatGPT for academic support.
Conclusions: Nomophobia is highly prevalent among medical undergraduates, particularly among younger students, hostel residents, and those using smartphones mainly for leisure or social networking. Targeted interventions promoting digital well-being and controlled smartphone use are needed to mitigate its potential academic and psychological impacts.
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References
Dabhi H, Satodiya V, Garg S. Goel R, Vala A. A cross-sectional study to know the prevalence, pattern, and contributing factors associated with nomophobia in medical students. International Journal of Research in Medical Sciences. 2024;12(7)2370–4. DOI: https://doi.org/10.18203/2320-6012.ijrms20241885
George G, Vincent J, George JB. A study on the prevalence of nomophobia and its associated factors among the medical students of a medical college in central Kerala. Int J Community Med Public Health. 2023;10:2224-7. DOI: https://doi.org/10.18203/2394-6040.ijcmph20231707
Bhattacharya S, Bashar M, Srivastava A, Singh A. NOMOPHOBIA: No Mobile Phone Phobia. Journal of Family Medicine and Primary Care. 2019;8(4):1297–300. DOI: https://doi.org/10.4103/jfmpc.jfmpc_71_19
Tuco KG, Castro-Diaz SD, Soriano-Moreno DR, Benites-Zapata VA. Prevalence of Nomophobia in University Students: A Systematic Review and Meta-Analysis. Healthc Inform Res. 2023;29(1):40-53. DOI: https://doi.org/10.4258/hir.2023.29.1.40
Bartwal J, Nath B. Evaluation of nomophobia among medical students using smartphone in north India. Med J Armed Forces India. 2020;76(4):451-5. DOI: https://doi.org/10.1016/j.mjafi.2019.03.001
Sethia S, Melwani V, Melwani S, Priya A, Gupta M, Khan A. A study to assess the degree of nomophobia among the undergraduate students of a medical college in Bhopal.International Journal of Community Medicine and Public Health. 2018;5(6):2442–5. DOI: https://doi.org/10.18203/2394-6040.ijcmph20182174
Jilisha G, Venkatachalam J, Menon V, Olickal JJ. Nomophobia: A mixed-methods study on prevalence, associated factors, and perception among college students in Puducherry, India. Indian Journal of Psychological Medicine. 2019;41(6):541–8. DOI: https://doi.org/10.4103/IJPSYM.IJPSYM_130_19
Devi KA, Thomas PE, Kumari P, Rani P, Sharma P, Kapoor M, et al. Prevalence and associated factors of nomophobia among undergraduate students of AIIMS Patna. Int J Med Res Rev. 2023;11(3):71-7.
Kubrusly M, Silva PG, Vasconcelos GV, Leite ED, Santos PD, Rocha HA. Nomophobia among medical students and its association with depression, anxiety, stress and academic performance. Revista Brasileira de Educação Médica. 2021;45(03):e162. DOI: https://doi.org/10.1590/1981-5271v45.3-20200493.ing
Anusuya Gs, Dinah H, Arumugam B, Karthik Rc, Annamalai R, Mani E. A Cross-sectional Study on Nomophobia among Undergraduate Medical Students in Chennai, India. Journal of Clinical & Diagnostic Research. 2021;15(12):1. DOI: https://doi.org/10.7860/JCDR/2021/51757.15772
Sharma M, Mathur DM, Jeenger J. Nomophobia and its relationship with depression, anxiety, and quality of life in adolescents. Industrial psychiatry journal. 2019;28(2):231-6. DOI: https://doi.org/10.4103/ipj.ipj_60_18
Chandak P, Singh D, Faye A. An exploratory study of nomophobia in post graduate residents of a teaching hospital in Central India. Int J Indian Psychol. 2017;4:48–56. DOI: https://doi.org/10.25215/0403.147
Yildirim C, Correia AP. Exploring the dimensions of nomophobia: Development and validation of a self-reported questionnaire. Comput Human Behav. 2015;49:130–7. DOI: https://doi.org/10.1016/j.chb.2015.02.059
Bivin JB, Mathew P, Thulasi PC, Philip J. Nomophobia - Do we really need to worry about? Rev Prog. 2013;1:1–5.
Sharma N, Sharma P, Sharma N, Wavare RR. Rising concern of nomophobia amongst Indian medical students. Int J Res Med Sci. 2015;3:705–7. DOI: https://doi.org/10.5455/2320-6012.ijrms20150333
Gezgin DM, Cakir O, Yildirim S. The relationship between levels of nomophobia prevalence and internet addiction among high school students: The factors influencing Nomophobia. Int J Res Educ Sci. 2018;4:215–25. DOI: https://doi.org/10.21890/ijres.383153
Aguilera-Manrique G, Marquez-Hernande V, Alcaraz-Cordoba T, Granados-Gamez G, Gutierrez-Puertas V, Gutierrez-Puertas L. The relationship between nomophobia and the distraction associated with smartphone use among nursing students in their clinical practicum. PLoS One. 2018;13:1–14. DOI: https://doi.org/10.1371/journal.pone.0202953
Lapointe L, Boudreau-Pinsonneault C, Vaghefi I. Is smartphone usage truly smart? A qualitative investigation of IT addictive behaviors. Proceedings of the Annual Hawaii International Conference on System Sciences. 2013:1063–72. DOI: https://doi.org/10.1109/HICSS.2013.367
Khan MM. Adverse effects of excessive mobile phone use. Int J Occup Med Environ Health. 2008;21:289–93. DOI: https://doi.org/10.2478/v10001-008-0028-6
Argumosa-Villar L, Boada-Grau J, Vigil-Colet A. Exploratory investigation of theoretical predictors of nomophobia using the Mobile Phone Involvement Questionnaire (MPIQ) J Adolesc. 2017;56:127-35. DOI: https://doi.org/10.1016/j.adolescence.2017.02.003
Fullwood C, Quinn S, Kaye LK, Redding C. My virtual friend: A qualitative analysis of the attitudes and experiences of Smartphone users: Implications for Smartphone attachment. Pergamon: Computers in Human Behavior; 2017:75. DOI: https://doi.org/10.1016/j.chb.2017.05.029
King ALS, Valença AM, Silva ACO, Baczynski T, Carvalho MR, Nardi AE. Nomophobia: dependency on virtual environments or social phobia?. Comput Hum Behav. 2013;29:140-4. DOI: https://doi.org/10.1016/j.chb.2012.07.025
Kanmani A, Bhavani U, Maragatham RS. Nomophobia-an insight into its psychological aspects in India. Int JIndian Psychol. 2017;4:6-15. DOI: https://doi.org/10.25215/0402.041
Lin CY, Griffiths MD, Pakpour AH. Psychometric evaluation of Persian Nomophobia questionnaire: differential item functioning and measurement invariance across gender. J Behav Addict. 2018;7:100-8. DOI: https://doi.org/10.1556/2006.7.2018.11
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