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Abstract
Background: Drug use (DU) and addictive internet use (AIU) are two increasing risk behaviors among youth in China. However, little information is available on the relationship between addictive internet use and DU. Therefore, we investigate the role of AIU on DU behavior and its impact on the variables such as pro-drug attitude (PDA), anti-drug attitude (ADA), social norm of drugs and intentions on DU.
Method: A total of 3018 students (47% boys, 53% girls), who were from 15 secondary schools (five middle schools, five academic high schools, and five vocational high schools) and one university in Wuhan, China, completed paper-and-pencil questionnaires during class-time. A conceptual model was developed based on Reasoned Behavior Theory. Structural equation modeling (SEM) was used to test the proposed model.
Results: The prevalence rate of internet addiction and DU are 5 and 4%, respectively. In the SEM model (GFI = 0.920, AGFI = 0.907, RMSEA = 0.047), adolescent DU and intention of DU were significantly predicted by AIU, which is mediated by PDA, ADA, and perceived social norm of DU.
Conclusions: These findings contribute to the theoretical and managerial understanding of the role of AIU behaviors on adolescent DU. It suggests that prevention education of DU should be strengthened among young internet users.