Internet Usage in Primary and Secondary School Children: A Multi-Center, School-Based, Cross-Sectional Study in Greece

Background Little is known regarding the Internet activities of children, although Internet habits and pathological usage have been previously described in adolescents. Objectives This study aimed in describing Internet use in both primary and secondary school children in order to early detect habits with high risks of developing pathological Internet use. Patients and Methods 2,473 children from 26 primary (aged from 6 to 12) and 16 secondary schools (12 - 15 years old) from seven different regions in Greece participated. Participants answered questions regarding their Internet activities and demographics. Results 367 (40.9 %) children from primary and 707 (44.9 %) from secondary schools played online games daily, while 115 (12.8 %) and 965 (61.2 %) respectively had a Facebook profile. The boys played games and used Facebook more than girls [primary: OR = 1.2, 95% CI (1.0, 1.9), secondary school: OR = 2.3, 95% CI (1.9, 2.9), and [OR = 2.1, 95% CI (1.3, 3.2), OR = 1.3, 95% (1.1, 1.6), accordingly]. Students with home Internet access were more likely to use online games and go on Facebook. Conclusions The male gender and home Internet access are both associated with the higher usage of online games and Facebook, while profiles in Facebook are illegally created at the first years of primary school. Since both Internet activities have been repetitively associated with pathological Internet usage, educators and social services should work on increasing awareness in young children and their parents.