关键词: hazardous alcohol use longitudinal design problem gambling social media

Mesh : Adult Humans Male Female Gambling / epidemiology Social Media Alcoholism / epidemiology Longitudinal Studies Digital Health

来  源:   DOI:10.1093/alcalc/agae024   PDF(Pubmed)

Abstract:
OBJECTIVE: A wide variety of social media platforms exist, each offering tailored solutions to attract specific target audiences based on their social media needs and interests. This diversity may pose a risk factor for the development or perpetuation of harmful behaviors. Research has established a connection between social media use and increased health risk behaviors. This six-wave exploratory longitudinal study investigated the associations between active social media use, hazardous alcohol use, and problem gambling among adult social media users.
METHODS: Data were collected via surveys in 6-month intervals, starting in March-April 2021 (T1: N = 1530; Mage = 46.67; SD = 16.42; 50.33% male). Of the T1 respondents, 58.10% participated in T6 (n = 889). Measures included the frequency of use of different social media platforms, the 3-item Alcohol Use Disorders Identification Test (AUDIT-C), and the Problem Gambling Severity Index (PGSI). Hybrid multilevel regression models were used for analyses.
RESULTS: We found positive within-person effects of weekly Facebook use and between-person effects of weekly use of Facebook, TikTok, and gambling-related online communities on drinking. These results suggest an increase in hazardous alcohol consumption over time among the platforms\' active users. Weekly Instagram use had a negative between-person effect on hazardous alcohol use. Individuals using TikTok or gambling communities weekly were more prone to problem gambling compared to non-weekly users.
CONCLUSIONS: There are risks involved in the active use of some social media services among adult users. Prevention work, including digital health interventions, should be targeted according to the appropriate user group.
摘要:
目标:存在各种各样的社交媒体平台,每个人都提供量身定制的解决方案,以根据他们的社交媒体需求和兴趣吸引特定的目标受众。这种多样性可能是有害行为发展或延续的风险因素。研究已经建立了社交媒体使用和增加健康风险行为之间的联系。这项六波探索性纵向研究调查了活跃的社交媒体使用之间的关联,有害酒精的使用,以及成人社交媒体用户之间的赌博问题。
方法:通过6个月的调查收集数据,从2021年3月至4月开始(T1:N=1530;Mage=46.67;SD=16.42;50.33%男性)。在T1受访者中,58.10%参与T6(n=889)。措施包括使用不同社交媒体平台的频率,3项酒精使用障碍识别测试(AUDIT-C),和问题赌博严重性指数(PGSI)。采用混合多水平回归模型进行分析。
结果:我们发现每周使用Facebook的人内正效应和每周使用Facebook的人内正效应,TikTok,和赌博相关的在线社区饮酒。这些结果表明,随着时间的推移,平台活跃用户的危险酒精消费量有所增加。每周使用Instagram对危险酒精的使用产生了负面影响。与非每周用户相比,每周使用TikTok或赌博社区的个人更容易出现问题赌博。
结论:成人用户积极使用某些社交媒体服务存在风险。预防工作,包括数字健康干预措施,应根据相应的用户组进行定位。
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