{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:37:43Z","timestamp":1791419863348,"version":"4.3.3"},"reference-count":43,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2020,7,3]],"date-time":"2020-07-03T00:00:00Z","timestamp":1593734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"First Faculty of Medicine, Charles University, and General University Hospital in Prague","award":["Progres no. Q06\/LF1"],"award-info":[{"award-number":["Progres no. Q06\/LF1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background and aims: The current level of knowledge concerning the effect of socioeconomic status (SES) on internet use, gambling, and substance use in structurally disadvantaged regions is scarce. The objective of this study was an investigation of the relationship between SES and risky internet use, gambling and substance use in a structurally disadvantaged region in Central Europe. Methods: A cross-sectional survey was conducted among high school students (n = 1063) in a Czech structurally disadvantaged region in autumn 2017. Binary Logistic Regression models were applied to data from the modified Excessive Internet Use scale (mEIUS), a standard tool for measuring the risk of addictive behavior on the internet and the risk of excessive gaming. Other data were collected using the Lie\/Bet (problematic gambling), CAGE (acronym of the key words: cut, angry, guilty and eye-opener), and the Cannabis Abuse Screening Test (CAST) (problematic alcohol\/cannabis use) tools. Results: There were statistically significant differences between at-risk and not-at-risk groups in addictive behavior on the internet and gaming, while none were found in problematic gambling. Individual dimensions of SES showed significant effects on substance use. Regarding parenting styles, significant differences were found only in the risk of addictive behavior on the internet or gaming between the authoritarian and authoritative styles. Being engaged in behavioral addictions with one\u00b4s parents increased the odds of the behavioral addiction risk and decreased the odds of the substance addiction risk. Engagement with one\u00b4s parents in substance addictions decreased the odds of the behavioral addiction risk and increased the odds of the substance addiction risk. Discussion and Conclusions: The results point at specific relations between SES and the risk of addictive behaviors on the internet and gaming within structurally disadvantaged regions. The results of SES and\/or structurally disadvantaged region measures obtained in research, policy-making, and care-provision may improve the focus of actions taken.<\/jats:p>","DOI":"10.3390\/ijerph17134803","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T03:19:27Z","timestamp":1594005567000},"page":"4803","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Interaction of Socioeconomic Status with Risky Internet Use, Gambling and Substance Use in Adolescents from a Structurally Disadvantaged Region in Central Europe"],"prefix":"10.3390","volume":"17","author":[{"given":"Benjamin","family":"Petruzelka","sequence":"first","affiliation":[{"name":"Department of Addictology, General University Hospital in Prague, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"},{"name":"Department of Addictology, Charles University, First Faculty of Medicine, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaroslav","family":"Vacek","sequence":"additional","affiliation":[{"name":"Department of Addictology, General University Hospital in Prague, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"},{"name":"Department of Addictology, Charles University, First Faculty of Medicine, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0606-879X","authenticated-orcid":false,"given":"Beata","family":"Gavurova","sequence":"additional","affiliation":[{"name":"Department of Addictology, General University Hospital in Prague, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"},{"name":"Department of Addictology, Charles University, First Faculty of Medicine, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matus","family":"Kubak","sequence":"additional","affiliation":[{"name":"Faculty of Economics, Technical University of Ko\u0161ice, 04001 Ko\u0161ice, Slovak Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Gabrhelik","sequence":"additional","affiliation":[{"name":"Department of Addictology, General University Hospital in Prague, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"},{"name":"Department of Addictology, Charles University, First Faculty of Medicine, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5432-4148","authenticated-orcid":false,"given":"Vladimir","family":"Rogalewicz","sequence":"additional","affiliation":[{"name":"Department of Addictology, General University Hospital in Prague, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"},{"name":"Department of Addictology, Charles University, First Faculty of Medicine, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miroslav","family":"Bartak","sequence":"additional","affiliation":[{"name":"Department of Addictology, General University Hospital in Prague, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"},{"name":"Department of Addictology, Charles University, First Faculty of Medicine, Apolin\u00e1\u0159sk\u00e1 447\/4, 128 00 Prague, Czech Republic"},{"name":"Department of Social work, J.E. Purkyn\u011b University in \u00dast\u00ed nad Labem, Moskevsk\u00e1 54, 400 96 \u00dast\u00ed nad Labem, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,7,3]]},"reference":[{"key":"ref_1","unstructured":"European Commission (2019, January 29). Report from the Commission to the European Parliament and the Council on Progress in the EU\u2019s 2013-2020 Drugs Strategy and 2013-2016 EU Action Plan on Drugs. Available online: https:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/?Qid=1449834750605&uri=CELEX:52015SC0257."},{"key":"ref_2","first-page":"84","article-title":"Identifying the Disadvantaged Regions for Concentrated State Support Using the DEA Method","volume":"46","year":"2015","journal-title":"Sci. Agric. Bohem."},{"key":"ref_3","unstructured":"OECD (2019, January 29). OECD Regions and Cities at a Glance 2018. 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