Liu Jessica, Charmaraman Linda, Bickham David
REACH Lab Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, CA, USA.
Wellesley Centers for Women, Wellesley College, Youth, Media, & Wellbeing Research Lab, Wellesley, MA, USA.
Subst Use Misuse. 2024;59(7):1039-1046. doi: 10.1080/10826084.2024.2320372. Epub 2024 Feb 28.
: The purpose of our study was to identify whether different aspects of social media use were associated with substance use among middle- and high school-aged youth. : Participants were recruited from four Northeast U.S. middle schools and invited to complete an online survey in Fall 2019 and Fall 2020. We conducted separate adjusted logistic mixed effects models the substance use outcomes: ever use of alcohol, cannabis, e-cigarettes, tobacco cigarettes, prescription drugs, and multiple substances. Our sample included = 586 participants (52.7% female, 58% White). : Seeing a social media post about drugs/alcohol in the past-12-months was significantly associated with higher odds of ever using alcohol, cannabis, e-cigarettes, and multiple substance use. Total number of social media sites ever used was significantly associated with higher odds of ever using cannabis, cigarettes, e-cigarettes, and multiple substances. Checking social media every hour or more was significantly associated with higher odds of ever using alcohol. Higher problematic internet use score was significantly associated with higher odds of ever using cannabis, e-cigarettes, and multiple substances. Online social support seeking score was not associated substance use. : Our findings support the need for substance use prevention and social media literacy education and screening to begin early, ideally in elementary school before youth are using social media and substances.
我们研究的目的是确定社交媒体使用的不同方面是否与初高中年龄段青少年的物质使用有关。参与者从美国东北部的四所中学招募，并被邀请在2019年秋季和2020年秋季完成一项在线调查。我们针对物质使用结果进行了单独的调整逻辑混合效应模型分析，这些结果包括：曾经使用过酒精、大麻、电子烟、香烟、处方药以及多种物质。我们的样本包括586名参与者（52.7%为女性，58%为白人）。在过去12个月内看到过关于毒品/酒精的社交媒体帖子，与曾经使用酒精、大麻、电子烟以及多种物质使用的较高几率显著相关。曾经使用过的社交媒体网站总数，与曾经使用大麻、香烟、电子烟以及多种物质的较高几率显著相关。每小时或更频繁地查看社交媒体，与曾经使用酒精的较高几率显著相关。较高的网络使用问题得分，与曾经使用大麻、电子烟以及多种物质的较高几率显著相关。在线寻求社会支持得分与物质使用无关。我们的研究结果支持了尽早开展物质使用预防以及社交媒体素养教育和筛查的必要性，理想情况是在青少年开始使用社交媒体和物质之前的小学阶段就开始。
