The relationship between time spent on social media and adolescent alcohol use: a longitudinal analysis of the UK Millennium Cohort Study.

The relationship between time spent on social media and adolescent alcohol use: a longitudinal analysis of the UK Millennium Cohort Study.
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DOI:
10.1093/eurpub/ckad163
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发表时间:
2023-12-09
影响因子:
4.4
通讯作者:
Pearce, Anna
Pearce, Anna
中科院分区:
医学3区
文献类型:
--
作者:
Purba, Amrit Kaur;Henderson, Marion;Baxter, Andrew;Katikireddi, S. Vittal;Pearce, Anna

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评估14岁青少年使用社交媒体对17岁时饮酒和酗酒的风险和不平等的影响。使用英国代表性的千禧年队列研究,使用校正的比值比(AORs)或校正的相对风险比(ARRR)估计了在社交媒体上花费的时间(使用问卷[n = 8987]和时间使用日记[n = 2520]进行评估)与过去一个月饮酒频率和酗酒之间的关系。低和高的父母教育组内的协会进行了比较,以检查效果修改。分析考虑了预先规定的混杂因素、基线结局指标(以解决反向因果关系)、样本设计、损耗和项目缺失(通过多重插补)。在社交媒体上花费的时间与酒精使用和酗酒的风险增加有关,呈剂量反应方式。与1-< 30分钟/天的社交媒体用户相比,30分钟-<1小时/天的用户更有可能报告每月饮酒≥6次(ARRR 1.62 [95%置信区间1.20至2.20])和酗酒(AOR 1.51 [1.22 - 1.87]),1-<2小时/天使用者也是如此(ARRR 2.61 [1.90至3.58]; AOR 2.06 [1.69至2.52])和≥2小时/天使用者(ARRR 4.80 [3.65至6.32]; AOR 3.07 [2.54至3.70])。通过时间使用日记测量的社交媒体与更高的风险相关,尽管并不总是表现出剂量-反应关系。社交媒体使用(与不使用)对酗酒的影响在父母教育程度较高(与较低)的群体中更大。在完整的病例样本中重复分析,并对基线结局指标进行调整,结果一致。研究结果表明,社交媒体的使用可能会增加饮酒和酗酒的风险。有必要采取监管行动,保护青少年免受与酒精有关的有害社交媒体内容的影响。
To estimate the effect of social media use in 14 year olds on risk of and inequalities in alcohol use and binge drinking at 17 years. Using the UK-representative Millennium Cohort Study, the relationship between time spent on social media (assessed using questionnaires [n = 8987] and time-use-diaries [n = 2520]) with frequency of alcohol use in the past month and binge drinking was estimated using adjusted odds ratios (AORs) or adjusted relative risk ratios (ARRRs). Associations within low and high parental education groups were compared to examine effect modification. Analyses accounted for pre-specified confounders, baseline outcome measures (to address reverse causality), sample design, attrition and item-missingness (through multiple imputation). Questionnaire-reported time spent on social media was associated with increased risk of alcohol use and binge drinking in a dose–response manner. Compared to 1-< 30 min/day social media users, 30 min-<1 h/day users were more likely to report alcohol use ≥6 times/month (ARRR 1.62 [95% confidence interval 1.20 to 2.20]) and binge drinking (AOR 1.51 [1.22 to 1.87]), as were 1–<2 h/day users (ARRR 2.61 [1.90 to 3.58]; AOR 2.06 [1.69 to 2.52]) and ≥2 h/day users (ARRR 4.80 [3.65 to 6.32]; AOR 3.07 [2.54 to 3.70]). Social media measured by time-use-diary was associated with higher risks, although not always demonstrating a dose–response relationship. The effect of social media use (vs no-use) on binge drinking was larger in the higher (vs lower) parental education groups. Analyses repeated in complete case samples, and with adjustment for baseline outcome measures revealed consistent findings. Findings suggest social media use may increase risk of alcohol use and binge drinking. Regulatory action protecting adolescents from harmful alcohol-related social media content is necessary.
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Orben A;Przybylski AK;Blakemore SJ;Kievit RA
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期刊: BMJ open
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Atkin AJ;Dainty JR;Dumuid D;Kontostoli E;Shepstone L;Tyler R;Noonan R;Richardson C;Fairclough SJ
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DOI: 10.1016/j.ypmed.2020.105992
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