# Prevalence of Internet Addiction and Its Associated Factors Among Undergraduate Students at the University of Botswana: A Cross-Sectional Study

**Authors:** Lorato Keutule, Keneilwe Molebatsi, Anthony A. Olashore

PMC · DOI: 10.1177/00469580261432826 · 2026-03-24

## TL;DR

This study found that internet addiction is very common among university students in Botswana and is linked to depression and anxiety.

## Contribution

The study provides the first local data on internet addiction and its psychological correlates among Botswana undergraduates.

## Key findings

- The prevalence of internet addiction among students was 88.4%.
- Depression and anxiety were significant predictors of internet addiction.
- Social networking was the most common reason for internet use.

## Abstract

Internet Addiction (IA) is an emerging public health concern, especially among young adults. It has been associated with various psychiatric conditions, including depression and anxiety. Despite increasing internet access in Botswana, local data on IA and its psychological correlates remain limited. This study investigates the prevalence and patterns of internet addiction and its association with depression and anxiety among undergraduate students at the University of Botswana. A cross-sectional study was conducted among 500 undergraduate students from 5 randomly selected faculties. Participants completed the Young Internet Addiction Test (YIAT), Patient Health Questionnaire-9 (PHQ-9), and Zung Self-Rating Anxiety Scale (SAS). Data were analyzed using descriptive statistics and multiple linear regression. The mean age was 21.42 years (SD = 4.36); 52.2% were female. The prevalence of IA was 88.4%. Social networking was the most common reason for internet use (91.8%). High depression scores were observed in 64% of participants, and moderate anxiety levels in 47%. Depression (B = 0.26; P < .001), anxiety (B = 0.12; P < .02), and time spent online (B = 0.33; P < .001) were significant predictors of IA. IA is common among university students in Botswana and is linked to depression and anxiety. These findings underscore the importance of routine screening, education, and psychological support in universities.

## Linked entities

- **Diseases:** depression (MONDO:0002050), anxiety (MONDO:0005618)

## Full-text entities

- **Diseases:** addictive behaviors (MESH:D000437), Addiction (MESH:D019966), disorder of behavioral reinforcement (MESH:D001523), psychological disorders (MESH:D000067073), impulse control and substance use disorders (MESH:D007174), sleep disturbances (MESH:D012893), craving (MESH:C564883), Depression (MESH:D003866), impaired (MESH:D060825), COVID-19 (MESH:D000086382), Anxiety (MESH:D001007), gambling and gaming disorders (MESH:D005715), deficits in executive functioning (MESH:D001289), ORCID iDs (MESH:C535742), impaired emotion regulation (MESH:C565631), anxious symptoms (MESH:D012816), sleep disruption (MESH:D019958)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

11 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13013993/full.md

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Source: https://tomesphere.com/paper/PMC13013993