The associations of religiosity and family atmosphere with lifestyle among Saudi adolescents

There have been gradual sociocultural changes in Saudi Arabia due to globalization. This allows a unique opportunity to examine religiosity and family atmosphere in relation to lifestyle among Saudi adolescents. In this cross-sectional study, 2067 school students (grades 7–12) from 32 randomly selected schools in Al-Qassim, Saudi Arabia were enrolled. Perceived religiosity, family atmosphere, lifestyle (e.g., physical activity, diet, screen time, obesity, and smoking), demography, parental attributes, and religious practices were assessed with validated scales and questions. A risk profile was created from the lifestyle variables (none, one, two, or ≥ three), and the students were grouped into low versus high religiosity and low versus high family atmosphere using a median split. Multinomial regressions were used to model the lifestyle risk profile. The mean age ±standard deviation was 15.5 years ±1.7, and 35% were girls; 28% had no risk factors, 32% had one, 25% had two, and 15% had ≥3. After adjustment, both low religiosity and low family atmosphere were significant correlates of the lifestyle risk profile (e.g., ≥3 risk factors: religiosity OR = 2.9, 95% CI: 2.1, 4.0; family atmosphere OR = 2.0, 95% CI: 1.5, 2.8). Those with both low religiosity and low family atmosphere were more likely to have a higher lifestyle risk profile than those who scored high in religiosity and better in family atmosphere (e.g., ≥3 risk factors: OR = 5.9, 95% CI: 3.7, 9.5). Hence, higher religiosity and better family atmosphere are associated with less risky lifestyles among Saudi adolescents

Individual-level correlates of problematic internet use among adolescents: A nationally representative study in Saudi Arabia

Objective: Though there is no consensus on its definition, problematic Internet use (PIU), especially in adolescents, is concerning. Research into risk factors is needed. We explored associations between lifestyle and individual characteristics associated with PIU in a nationally representative sample of adolescents. Methods: Students (Grades: 7–12; n ​= ​2,546) from randomly selected schools in three major cities across Saudi Arabia completed Young's Internet Addiction Test (YIAT) and questions about demography, lifestyle, religiosity, and Internet use. A multilevel regression model was used to assess correlates of PIU (defined as YIAT ≥40). Results: Participants’ mean (SD) age was 15.6 (±1.8) years; 54% were girls. The PIU prevalence was 41.8%, while the prevalence of Internet addiction (YIAT ≥70) was 3.7%. The odds of having PIU increased incrementally and significantly across increasing screen times (OR 1.2, 1.9, 2.3, and 2.9 for 3–4, 5–6, 7–8, and >8 ​h/daily, respectively; ref ≤2 ​h) and across decreasing ages of Internet initiation (OR 1.0, 1.2 and 1.4 respectively for 11–12, 9–10 and ​≤8 years, respectively; ref ≥13 years). The odds of having PIU were ∼20% higher among those with low or moderate (ref ​= ​high) religiosity, although results were not statistically significant. Additionally, the odds of having PIU were higher among those who had unhealthy diets (OR 1.4). Conclusion: PIU prevalence is high among adolescents in Saudi Arabia. Delaying Internet initiation among children may help reduce PIU