Document Type : Original Article

Authors

1 Former BDS Student, Faculty of Dentistry, Manipal University College Malaysia, Melaka, Malaysia,

2 Former BDS Student, Faculty of Dentistry, Manipal University College Malaysia, Melaka, Malaysia

3 Department of Community Medicine, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia

Abstract

BACKGROUND: Behavioral addiction to smartphones is a common phenomenon in the present 
digital age, wherein indulgence in these devices is compulsive and impacts physical, social, and 
psychological health of the population. The smartphones effect on a dental student’s life is detrimental 
to their academics, health, and efficiency in providing clinical patient care. To assess use and addiction 
of smartphones among dental students under six major domains and to compare this based on their 
gender, ethnicity, and year of study.
MATERIALS AND METHODS: A cross‑sectional study using a validated questionnaire, Smartphone 
addiction scale was conducted among 349 undergraduate students (N = 349) at a private dental 
school in Malaysia.
RESULTS: Overall results are presented as mean scores under six domains with total score as 
142.40 (33.65). The total scores compared between two genders did not show statistical difference, 
however on comparing individual domains, females (25.25) had higher mean score for daily life 
disturbance (P = 0.013) and males (30.17) for cyberspace‑oriented relationship (P = 0.001). 
Chinese students had higher scores with respect to withdrawal (32.45) and cyberspace‑oriented 
relationship (29.48) as compared to other ethnicities. Year 4 students show higher scores than other 
years in daily life disturbance (27.44), tolerance (16.81), and overuse (16.51).
CONCLUSION: Our research presents the extent and pattern of smartphone of usage and addiction 
among the undergraduate students at a dental school in Malaysia. The indicators of addiction 
highlighted in the study are pivotal in spreading awareness regarding this overuse and addiction as 
well as planning further research in this area.

Keywords

1. ASAM Definition of Addiction; September 15, 2019. Available from: 
https://www.asam.org/Quality‑Science/definition‑of‑addiction. 
[Last accessed on 2021 Jun 07].
2. Kim JH. Currents in internet addiction. J Korean Med Assoc 
2006;49:202‑8.
3. Department of Statistics Malaysia. ICT Use and Access by 
Individuals and Households Survey Report, 2019. Strategic 
Communication and International Division, Department of 
Statistics, Malaysia; 2019.
4. Kwon M, Lee JY, Won WY, Park JW, Min JA, Hahn C, et al.
Development and validation of a smartphone addiction 
scale (SAS). PLoS One 2013;8:e56936.
5. Silva HM. A new and serious disease arises in schools. J Edu 
Health Promot 2020;9:1.
6. Amiri M, Dowran B, Salimi H, Zarghami MH. The problematic 
use of mobile phone and mental health: A review study in Iran. 
J Edu Health Promot 2020;9:290.
7. Chegeni M, Shahrbabaki PM, Shahrbabaki ME, Nakhaee N, 
Haghdoost A. Why people are becoming addicted to social media: 
A qualitative study. J Educ Health Promot 2021;10:175.
8. Prasad M, Patthi B, Singla A, Gupta R, Saha S, Kumar JK, et al.
Nomophobia: A cross‑sectional study to assess mobile phone 
usage among dental students. J Clin Diagn Res 2017;11:C34‑9.
9. Saheer A, Shalik M, Roy H, Nazrin N, Rashmi R. Nomophobia: 
A cross‑sectional study to assess mobile phone usage among Al 
Azhar dental students, Kerala. Int J Dev Res 2018;8:20825‑8.
10. Baghianimoghadam MH, Shahbazi H, Masoodi Boroojeni D, 
Baghianimoghadam B. Attitude and usage of mobile phone 
among students in Yazd university of medical science. Iran Red 
Crescent Med J 2013;15:752‑4.
11. Chen B, Liu F, Ding S, Ying X, Wang L, Wen Y. Gender differences 
in factors associated with smartphone addiction: A cross‑sectional 
study among medical college students. BMC Psychiatry 
2017;17:341.
12. Parasuraman S, Sam AT, Yee SW, Chuon BLC, Ren LY. 
Smartphone usage and increased risk of mobile phone addiction: 
A concurrent study. Int J Pharm Investig 2017;7:125‑31.
13. YangZ, Asbury K, GriffithsMD. Do Chinese and British university 
students use smartphones differently? A cross‑cultural mixed 
methods study. Int J Ment Health Addict 2018;17:644‑57.
14. Bian M, Leung L. Linking loneliness, shyness, smartphone 
addiction symptoms, and patterns of smartphone use to social 
capital. Soc Sci Comput Rev 2014;33:61‑79.
15. Tang A, Eachus P, Szeto S, Royle W. Smartphone use, Executive Function, and Psychological Health among College Students. 
INTED2018 Proceedings; 2018. [doi: 10.21125/inted.2018.0378].
16. Payne KB, Wharrad H, Watts K. Smartphone and medical 
related App use among medical students and junior doctors in 
the United Kingdom (UK): A regional survey. BMC Med Inform 
Decis Mak 2012;12:121.
17. Hadi A, Nawawi H, Shamsuri N, Rahim N, Pasi H. Smartphone 
addiction and its relationship with psychological health among 
students of a medical school in East Coast Malaysia. Asian J 
Pharm Clin Res 2019;12(7):257‑60. [doi: 10.22159/ajpcr. 2019.
v12i18.34396].