Association between excessive smartphone use and perceived health consequences among rural university students in Northern Thailand 10.55131/jphd/2023/210203

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Nattapon Pansakun
Supakan Kantow
Tatsanee Chaiya
Punyisa Pudpong
Kamon Charoenthararak


Mobile phone usage has increased dramatically in recent years. University students, in particular, are among the most prolific smartphone users. This research aimed to determine the association between excessive smartphone use and perceived health consequences of such use among rural university students majoring in various fields. The cross-sectional design was used to conduct the study among first-year undergraduate students recruited using the convenient sampling procedure. The questionnaire consisted of three sections: participants’ demographics, excessive smartphone use, and perceptions of health consequences. Data were analyzed using bivariate and multiple linear regression analysis. A total of 590 responses completed the questionnaire. The results showed that 79.2% of the participants were female and the mean age was 18.8 ± 0.6 years. The original sample comprised students belonging to Humanities and Social Sciences; HSS (59.3%), Science and Technology; ST (25.3%), and Health Sciences; HS (15.4%) fields. The level of excessive smartphone use of these students was moderate (49.3%), high (49.0%), and low (1.7%). Over half of them demonstrated the perceived health consequences at a moderate level (76.1%) and a high level (22.0%); only a minority indicated a low level (1.9%). Linear regression analysis showed that excessive smartphone use was positively and significantly associated with the perceptions of health consequences among rural university students (p-value < 0.001). Other variables such as body mass index, father’s occupation, and fields of study were related to the perceived health consequences among rural university students (p-value < 0.05). According to the outcomes of this research, it is recommended that intervention be made to encourage and support appropriate smartphone usage behaviors.

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Nattapon Pansakun, Supakan Kantow, Tatsanee Chaiya, Punyisa Pudpong, Kamon Charoenthararak. Association between excessive smartphone use and perceived health consequences among rural university students in Northern Thailand: 10.55131/jphd/2023/210203. J Public Hlth Dev [Internet]. 2023 Apr. 4 [cited 2024 Apr. 16];21(2):27-39. Available from:
Original Articles
Author Biographies

Nattapon Pansakun, Department of Health Promotion, School of Public Health, University of Phayao, Thailand

Department of Health Promotion, School of Public Health, University of Phayao, Thailand

Supakan Kantow, Department of Occupational Health and Safety, School of Public Health, University of Phayao, Thailand

Department of Occupational Health and Safety, School of Public Health, University of Phayao, Thailand

Tatsanee Chaiya, Division of Central Administration, Maejo University, Thailand

Division of Central Administration, Maejo University, Thailand

Punyisa Pudpong, Department of Occupational Health and Safety, School of Public Health, University of Phayao, Thailand

Department of Occupational Health and Safety, School of Public Health, University of Phayao, Thailand

Kamon Charoenthararak, Inpatient Department, Pakkhat Hospital, Bueng Kan, Thailand

Inpatient Department, Pakkhat Hospital, Bueng Kan, Thailand


Deloitte. Global mobile consumer trends [Internet]. 2017 [cited 2021 Jul 30]. Available from: https://www2.

Derks D, Bakker AB, Gorgievski M. Private smartphone use during worktime: A diary study on the unexplored costs of integrating the work and family domains. Comput Hum Behav Rep. 2021;114:106530. doi: 10.1016/j.chb.2020.106530.

Zencirci SA, Aygar H, Göktaş S, Önsüz MF, Alaiye M, Metintaş S. Evaluation of smartphone addiction and related factors among university students. Int J Res Med Sci. 2018;6(7):2210. doi: 10.18203/2320-6012.ijrms20182805.

Liu QQ, Yang XJ, Hu YT, Zhang CY, Nie YG. How and when is family dysfunction associated with adolescent mobile phone addiction? Testing a moderated mediation model. Child Youth Serv Rev. 2020;111:104827. doi: 10.1016/j.childyouth.2020. 104827.

Boumosleh J, Jaalouk D. Smartphone addiction among university students and its relationship with academic performance. Glob J Health Sci. 2018;10(1):48-59.

Dikeç G, Kebapçı A. Smartphone addiction level among a group of university students. Bağımlılık Dergisi. 2018;19(1):1-9.

Narkprasit C. Innovative mobile technology application to enhance healthcare and quality of life for senior citizens in Bangkok, Thailand. J Public Hlth Dev. 2020;18(1):1-8.

Carbonell X, Chamarro A, Oberst U, Rodrigo B, Prades M. Problematic use of the internet and smartphones in university students: 2006–2017. Int J Environ Res Public Health. 2018;15(3):475. doi: 10.3390/ijerph 15030475.

Lopez-Fernandez O, Kuss DJ, Romo L, Morvan Y, Kern L, Graziani P, et al. Self-reported dependence on mobile phones in young adults: A European cross-cultural empirical survey. J Behav Addict. 2017;6(2):168-77. doi: 10.1556/2006.6.2017.020.

Ng KC, Wu LH, Lam HY, Lam LK, Nip PY, Ng CM, et al. The relationships between mobile phone use and depressive symptoms, bodily pain, and daytime sleepiness in Hong Kong secondary school students. Addict Behav. 2020;101:105975. doi: 10.1016/ j.addbeh.2019.04.033

Elhai, JD, Levine JC, Hall BJ. The relationship between anxiety symptom severity and problematic smartphone use: A review of the literature and conceptual frameworks. J Anxiety Disord. 2019;62:45-52. doi: 10.1016/ j.janxdis.2018.11.005.

Elhai, JD, Yang H, Montag C. Cognitive-and emotion-related dysfunctional coping processes: transdiagnostic mechanisms explaining depression and anxiety’s relations with problematic smartphone use. Curr Addict Rep. 2019;6.4:410-7. doi: 10.1007/s40429-019-00260-4

Kim YJ, Jang HM, Lee Y, Lee D, Kim DJ. Effects of internet and smartphone addictions on depression and anxiety based on propensity score matching analysis. Int J Environ Res Public Health. 2018;15(5):859. doi: 10.3390/ ijerph15050859

Elhai JD, Dvorak RD, Levine JC, Hall BJ. Problematic smartphone use: A conceptual overview and systematic review of relations with anxiety and depression psychopathology. J Affect Disord. 2017;207:251-9. doi: 10.1016/ j.jad.2016.08.030.

Panova T, Carbonell X. Is smartphone addiction really an addiction?. J Behav Addict. 2018;7(2):252-9. doi: 10.1556/ 2006.7.2018.49

O’Dea S. Smartphone users by country worldwide [Internet]. 2021 [Cited 2021 Jul 30]. Available from: https://www.

Office TNS. The 2020 Establishment Survey on the Use of Information and Communication Technology (Annually) [Internet]. 2020. [Cited 2021 Jul 29]. Available from:

Singh MKK, Samah NA. Impact of smartphone: A review on positive and negative effects on students. Asian Soc Sci. 2018;14(11):83-9.

Tangmunkongvorakul A, Musumari PM, Thongpibul K, Srithanaviboonchai K, Techasrivichien T, Suguimoto SP, et al. Association of excessive smartphone use with psychological well-being among university students in Chiang Mai, Thailand. PLOS ONE. 2019;14(1):e0210294. doi: 10.1371/ journal.pone.0210294.

Kil N, Kim J, McDaniel JT, Kim J, Kensinger K. Examining associations between smartphone use, smartphone addiction, and mental health outcomes: A cross-sectional study of college students. Health Promot Perspect. 2021;11(1):36. doi: 10.34172/ hpp. 2021.06.

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: 10.1016/j.adolescence.2017.02.003.

Yang Z, Asbury K, Griffiths MD. An exploration of problematic smartphone use among Chinese university students: Associations with academic anxiety, academic procrastination, self-regulation and subjective wellbeing. Int J Ment Health Addict. 2019;17(3):596-614. doi: 10.1007/s11469-018-9961-1.

Mei S, Hu Y, Wu X, Cao R, Kong Y, Zhang L, et al. Health risks of mobile phone addiction among college students in China. Int J Ment Health Addict. 2022;1-16. doi: 10.1007/s11469-021-00744-3.

Pimpak T, Yoobua C, Limpiteeprakan P. Sleep quality among students at a high school in Sisaket Province, Thailand. J Public Hlth Dev. 2018; 16(1):63-74.

Kang Y, Liu S, Yang L, Xu B, Lin L, Xie L, et al. Testing the bidirectional associations of mobile phone addiction behaviors with mental distress, sleep disturbances, and sleep patterns: a one-year prospective study among Chinese college students. Front. 2020;11:634. doi: 10.3389/fpsyt.2020.00634.

Namwongsa S, Puntumetakul R, Neubert MS, Boucaut R. Factors associated with neck disorders among university student smartphone users. Work. 2018;61(3):367-78. doi: 10.3233/Wor-182819.

Gligor Ș, Mozoș I. Indicators of smartphone addiction and stress score in university students. Wien Klin Wochenschr. 2019;131(5):120-5. doi: 10.1007/s00508-018-1373-5.

Ithnain N, Ghazali SE, Jaafar N. Relationship between smartphone addiction with anxiety and depression among undergraduate students in Malaysia. Int J Health Sci. 2018;8:163-71.

Servidio R. Self-control and problematic smartphone use among Italian University students: The mediating role of the fear of missing out and of smartphone use patterns. Curr Psychol. 2019:1-11. doi: 10.1007/ s12144-019-00373-z.

Cochran WG. Sample Techniques. New York: McGraw-Hill Book; 1985. p. 31.

Kerlinger FN, Pedhazur EJ. Multiple Regresssion in Bahavioral Research. New York: Holt, Rinchart and Winton; 1973.

Al-Barashdi HS, Bouazza A, Jabur NH. Smartphone addiction among university undergraduates: a literature review. J Sci Res Rep. 2015:210-25.

Zarei S, Azodi P, Fatahi T, Azodi F, Mahmoodi M, Jahanpour F. Relationship between internet addiction and identity styles in bushehr university of medical sciences students. J Educ Community Health. 2021;8(1):29-33. doi: 10.52547/jech.8.1.29

Long J, Liu TQ, Liao YH, Qi C, He HY, Chen SB, et al. Prevalence and correlates of problematic smartphone use in a large random sample of Chinese undergraduates. BMC psychiatry. 2016;16(1):1-12. doi: 10.1186/s12888-016-1083-3

Coban, Deniz Adnan. Investigation of the relationship between smartphone addiction and overweight on university students. 2019;26(10):2172-6.

Kim HJ, Min JY, Kim HJ, Min KB. Accident risk associated with smartphone addiction: A study on university students in Korea. J Behav Addict. 2017;6(4):699-707. doi: 10.1556/2006.6.2017.070