Child Health Nurs Res.  2025 Jul;31(3):134-143. 10.4094/chnr.2025.003.

Association between smartphone overdependence and sexual behavior in adolescents: a secondary data analysis of the 19th Youth Health Behavior Survey

• Lee BR
• Lee JH

• KMID: 2570316
• DOI: http://doi.org/10.4094/chnr.2025.003

Abstract

Purpose
The majority of adolescents use smartphones, and their overdependence on smartphones has emerged as a serious social issue. Although studies have explored the effect of smartphone overdependence on adolescent problem behaviors, research on its influence on sexual behavior is scarce. This study aimed to examine the association between smartphone overdependence and sexual behavior among adolescents.
Methods
This study used data from the 19th Korea Youth Risk Behavior Web-Based Survey conducted in 2023. Smartphone overdependence was the independent variable, and sexual behaviors (sexual intercourse and contraceptive use) were the dependent variables. Multivariate regression analysis was performed to control for confounding variables.
Results
The study participants included 52,880 adolescents aged 13–18 years. Among them, 28.0% (n=14,672) were classified as smartphone overdependent, 6.5% (n=3,349) had sexual experience, and 65% (n=2,182) of those with sexual experience reported using contraception. Smartphone overdependence was not significantly associated with sexual experience but was significantly associated with contraceptive use. Adolescents in the non-overdependent group were 1.27 times more likely to use contraception than those in the smartphone overdependent group (95% confidence interval, 1.07–1.52; p<.007).
Conclusion
The findings highlight a significant association between smartphone overdependence and contraceptive use among adolescents. Policy interventions and educational strategies that consider adolescents’ smartphone usage patterns and trait factors are necessary.

Keyword

Adolescent; Korea; Secondary data analysis; Sexual behavior; Smartphone