Young Sexual Minority Adolescent Experiences of Self-expression and Isolation on Social Media: Cross-sectional Survey Study.

Young Sexual Minority Adolescent Experiences of Self-expression and Isolation on Social Media: Cross-sectional Survey Study.
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DOI:
10.2196/26207
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发表时间:
2021-09-15
期刊:
影响因子:
5.2
通讯作者:
Richer AM
Richer AM
中科院分区:
医学2区
文献类型:
--
作者:
Charmaraman L;Hodes R;Richer AM

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青少年早期的特点是在性别和性行为规范方面普遍存在自我和同伴监管,这可能影响性少数青年的心理健康。在这一发展时期,社交媒体的使用也正在成为与同龄人沟通的主要模式,允许可能影响福祉的风险和弹性行为。这项探索性研究旨在研究中学的性少数群体如何使用社交媒体,他们与谁联系以及出于什么目的,以及与异性恋同龄人相比,这些行为与心理健康之间的关联。在我们对1033名10至16岁的青少年进行的横断面调查研究中,(平均年龄12.7岁,标准差1.21岁),我们进行了一项探索性研究,(212/873,24.3%的样本已知的性取向)与他们的异性恋同伴(n=661),获得84.46%(1033/1223;总的可能)的响应率。性少数群体在他们最喜欢的社交媒体网站上拥有较小的网络(β=-0.57; P<.001),当朋友分享好消息时,他们很少积极回应(β=-0.35; P=.002),当朋友分享坏消息时,他们很少试图让朋友感觉更好(β=-0.30; P=.01)。然而,与异性恋青年不同,性少数群体更经常报告加入一个团体或基于网络的社区,使自己感觉不那么孤独(β=.28; P=.003)。性少数群体的孤独感和社会孤立感平均值高于异性恋学生(β= 0.19; P<0.001)。性少数群体过去试图伤害自己的可能性也是其他人的两倍(β= 0.81;比值比[OR] 2.24,95%CI 1.64-3.06; P<0.001),并且更有可能出现达到流行病学中心抑郁定义的症状。(β= 0.15; OR 1.16,95% CI 1.08-1.25; P<0.001)。约39.1%(83/212)的性少数群体没有人可以谈论他们的性取向。与异性恋青少年相比,性少数群体加入父母不赞成的社交媒体网站的可能性高1.5倍(β= 0.41; OR 1.50,95% CI 1.14-1.97; P= 0.004),更有可能报告在网上看到与自我伤害相关的视频(β= 0.33; OR 1.39,95% CI 1.06-1.83; P= 0.02)。考虑到先前关于性少数青年支持性和安全的网络空间的报告,我们的研究结果表明,性少数青年更喜欢维持小的,紧密的网络社区(除了他们的家庭)来表达自己,特别是在接触网络社区以减少孤独感时。未来的纵向研究可以确定在这个困难的发展时期,心理健康和社交媒体使用对性少数群体的任何双向影响。
Early adolescent years are marked by pervasive self- and peer-regulation regarding gender and sexuality norms, which can affect the mental well-being of sexual minority youth. During this developmental period, social media use is also emerging as a dominant mode of communication with peers, allowing for both risk and resilient behaviors that can impact well-being. This exploratory study aims to examine how sexual minorities in middle school use social media, who they are connected to and for what purposes, and the associations between these behaviors and mental well-being compared with their heterosexual peers. In our cross-sectional survey study of 1033 early adolescents aged between 10 and 16 years (average age 12.7, SD 1.21 years) from 4 middle school sites in the Northeastern United States, we conducted an exploratory study comparing sexual minorities (212/873, 24.3% of sample with known sexual orientation) with their heterosexual peers (n=661), obtaining an 84.46% (1033/1223; total possible) response rate. Sexual minorities reported having smaller networks on their favorite social media website (β=−.57; P<.001), less often responded positively when friends shared good news (β=−.35; P=.002), and less often tried to make friends feel better when they shared bad news (β=−.30; P=.01). However, sexual minorities more often reported joining a group or web-based community to make themselves feel less alone (β=.28; P=.003), unlike heterosexual youth. Sexual minorities had higher averages of loneliness and social isolation (β=.19; P<.001) than heterosexual students. Sexual minorities were also twice as likely to have tried to harm themselves in the past (β=.81; odds ratio [OR] 2.24, 95% CI 1.64-3.06; P<.001) and were more likely to have symptoms that reached the Center for Epidemiological Studies-Depression definition of depression (β=.15; OR 1.16, 95% CI 1.08-1.25; P<.001). About 39.1% (83/212) of sexual minorities had no one to talk to about their sexual orientation. Sexual minorities were 1.5 times more likely to have joined a social media website their parents would disapprove (β=.41; OR 1.50, 95% CI 1.14-1.97; P=.004) and more likely to report seeing videos related to self-harm (β=.33; OR 1.39, 95% CI 1.06-1.83; P=.02) on the web than heterosexual youth. Given previous reports of supportive and safe web-based spaces for sexual minority youth, our findings demonstrated that sexual minority youth prefer to maintain small, close-knit web-based communities (apart from their families) to express themselves, particularly when reaching out to web-based communities to reduce loneliness. Future longitudinal studies could determine any bidirectional influences of mental well-being and social media use in sexual minorities during this difficult developmental period.
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