Prevalence, patterns of addictions and its impact on mental health among undergraduate medical students in Belagavi: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20254053Keywords:
Digital hygiene, GHQ-28, Internet addiction, Medical students, Mental health, Substance useAbstract
Background: Undergraduate medical students are vulnerable to various forms of addiction owing to academic stress and lifestyle. Both substance use and internet addiction are recognized as determinants of psychological morbidity, potentially affecting their academic performance. This study aimed to assess the prevalence and patterns of substance use and internet addiction and their impact on mental health among undergraduate medical students in Belagavi.
Methods: A cross-sectional study was conducted among 498 undergraduate medical students in November–December 2024. Data were collected using a structured, pretested questionnaire which included socio-demographic data, ASSIST (Alcohol, Smoking and Substance Involvement Screening Test), AUDIT (Alcohol Use Disorders Identification Test), GHQ-28 (General Health Questionnaire-28) and Young's Internet Addiction Test. Statistical analysis was performed using SPSS v25.0 with association assessed using the chi-square test with a significant level (p<0.05)
Results: Most participants (91.4%) were aged 19–25 years, with 57.2% males. Internet addiction was found in 58.6% (mild–moderate) and 0.4% (severe). Substance use was low sedatives (4.4%), inhalants (0.6%) and risky alcohol use in 23.9% of the participants. Psychological distress was mild in 16.9% and moderate in 2%. Tobacco, alcohol use and internet addiction were significantly associated with anxiety and depression (p<0.001).
Conclusions: Internet addiction and substance use though varying in prevalence, A significant proportion of medical students had internet and substance-related addictions, with significant mental health effects. Targeted interventions such as counseling, stress management and digital hygiene training are warranted to mitigate these risks.
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References
American Society of Addiction Medicine. Public Policy Statement: Definition of Addiction. 2011. Available at: https://www.asam.org/quality-care/ definition-of-addiction. Accessed on 21 July 2025
Young KS. Internet addiction: The emergence of a new clinical disorder. Cyber Psychol Behav. 1998;1(3):237–44. DOI: https://doi.org/10.1089/cpb.1998.1.237
United Nations Office on Drugs and Crime. World Drug Report 2024. Vienna: UNODC. 2024.
World Health Organization. WHO report on the global tobacco epidemic, 2023: protect people from tobacco smoke. Geneva: World Health Organization. 2023.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), India, 2019–21: Karnataka. Mumbai: IIPS. 2021.
World Health Organization Regional Office for Europe. Teens, screens and mental health: new evidence, new solutions. Copenhagen: WHO Region. Available at: https://www.who.int/europe/ news. Accessed on 21 July 2025.
Raveendran R, Jose R, Jacob SR, George AS, Vinayak N, Muhyudheen MK, et al. Internet usage among medical students: prevalence, addiction and health issues. Int J Community Med Public Health. 2021;8(9):4030–6. DOI: https://doi.org/10.18203/2394-6040.ijcmph20213040
National Medical Commission. Mental Health Survey 2024: Undergraduate Medical Education. Available at: https://www.nmc.org.in. Accessed on 21 August 2025.
Lokesh N, Sivaranjini K, Rajaa S, Bharadwaj B, Sahu SK. Status of substance use among undergraduate medical students in a selected Government Medical College in Puducherry. An explanatory mixed method study. Indian J Community Med. 2023;48(4):258–63. DOI: https://doi.org/10.4103/ijcm.ijcm_202_22
Verenkar YJ, Vaz FS. Prevalence and pattern of alcohol consumption using alcohol use disorder identification test among students at a medical college in Goa, India. Int J Community Med Publ Health. 2018;5(7):2935–8. DOI: https://doi.org/10.18203/2394-6040.ijcmph20182626
Umesh NM, Olickal JJ. Prevalence, associated factors and reasons for the initiation of alcohol use among female college students during the COVID-19 pandemic: A mixed-methods study from Urban Bengaluru, India. Clin Epidemiol Glob Health. 2023;23:101371 DOI: https://doi.org/10.1016/j.cegh.2023.101371
Sahu M, Gandhi S, Shah N, Jha S, Nalliah S, Bhattacharya S, et al. A systematic review and meta-analysis of substance use among medical students in India. Indian J Psychiat. 2022;64(3):223–34. DOI: https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_672_21
Das S, Kamath VG, Prabhu DA, Praharaj SK, Pandey AK. Knowledge and attitude regarding substance use and its determinants among college students in a coastal town of South India. Indian J Psychol Med. 2025;47(1):25-31. DOI: https://doi.org/10.1177/02537176241234764
Bant DD, HR S, Subramanian AA, Jabeen B. A cross-sectional study to assess prevalence, pattern, trend and impact of substance abuse among medical students. Indian J Publ Health Res Dev. 2022 Jul 1;13(3):648. DOI: https://doi.org/10.37506/ijphrd.v13i3.18172
Sharma A, Shashidhar M, Maddali V. A study to assess the prevalence of substance abuse and its impact among medical students in a medical college. Int J Comm Med Publ Heal. 2023;10(11):4380–7. DOI: https://doi.org/10.18203/2394-6040.ijcmph20233482
Abbas H, Rasheed N, Mani UA, Kumar M. Internet addiction among MBBS students at a New Delhi medical college: Prevalence and determinants of a silent pandemic. J Family Med Prim Care. 2024;13(2):730-735. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1242_23
Srijampana VV, Endreddy AR, Gujjarlapudi C, Sayyad AP. Internet addiction and its impact on medical education in India: A meta-analysis. Curr Med Issues. 2023;21:242-5. DOI: https://doi.org/10.4103/cmi.cmi_79_23
Prakash P, Meena PS, Kumar A, Jilowa CS. Internet addiction and its mental health correlates among Indian medical graduate students in Rajasthan: A cross-sectional study. MGM J Med Sci. 2023;10:281-6. DOI: https://doi.org/10.4103/mgmj.MGMJ_238_22
Marakwar AS, Narlawar U. Nomophobia and internet addiction among medical undergraduate students from a tertiary care teaching institute of Central India: a cross sectional study. Int J Comm Med Publ Heal. 2025;12(8):3696–700. DOI: https://doi.org/10.18203/2394-6040.ijcmph20252482
Paul O, Chaudhuri A, Banerjee U, Paul KK. A study to assess the impact of gender and psychiatric distress on coping responses and the levels of anxiety, depression and suicidal ideation in undergraduate medical students. J Sci Soc. 2022;49(3):140–7. DOI: https://doi.org/10.4103/jss.jss_2_22
Garg S, Lamba S, Rawal M, Singh S, Kumar L, Bansal K. Comparison of prevalence of psychological morbidities, associated factors and coping styles between pre/para-clinical and clinical undergraduate medical students: A rural institution-based cross-sectional study in a Northern State of India. Med J Babylon. 2022;19(2):191–202. DOI: https://doi.org/10.4103/MJBL.MJBL_105_21
Saxena SK, Mani RN, Dwivedi AK, Ryali VSSR, Timothy A. Association of educational stress with depression, anxiety and substance use among medical and engineering undergraduates in India. Ind Psychiatry J. 2019;28(2):160–9. DOI: https://doi.org/10.4103/ipj.ipj_3_20
Niranjjan R, Nancy S, Gayathri S, Arulvijayavani S. Mental health status and substance abuse among medical students in Karaikal, Puducherry, India. Bioinformation. 2024;20(3):292–6. DOI: https://doi.org/10.6026/973206300200292
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