OBJECTIVE:Social media and other digital technology use facilitate connection among adolescents, but also may reinforce norms and substance-related content from peers and advertisers. We use nationally representative data to examine the association between digital technology and past 30-day use of alcohol, cannabis, and vaping. METHODS:Data were drawn from the 2018 Monitoring the Future survey of US adolescents (N = 44,482). Poisson regressions estimated the association between hours/day of technology use and past 30-day use of alcohol, cannabis, and vaping adjusting for grade, sociodemographics, and other past-year drug use. RESULTS:Across grades, mean hours of social media/day was 3.06 (standard deviation = 2.90), past 30-day alcohol, cannabis, flavor vaping, cannabis vaping, and nicotine vaping were 15.7 %, 12.6 %, 10.6 %, 4.9 %, and 11.2 %, respectively. Digital technology use that required interaction with others was associated with increased risk of past 30-day drinking, cannabis use, and vaping. For example, social media 3+ hours/day was associated with past 30-day drinking (adjusted relative risk [aRR]: 1.99, 95 % CI: 1.65, 2.41). The magnitude of association was consistent across texting, phone calls, and video chatting, which were all more strongly associated with substance use than with activities that do not require interaction such as gaming and watching videos. CONCLUSION:Digital technology that facilitates interaction among adolescents, such as texting and social media, is associated with past substance use. Magnitudes of association are consistent across substances, supporting the hypothesis that networks of adolescents are social drivers of substance use, rather than the technology itself.

译文

目的:社交媒体和其他数字技术的使用促进了青少年之间的联系,但也可能加强了来自同龄人和广告商的规范和与物质有关的内容。我们使用具有国家代表性的数据来​​检查数字技术与过去30天的酒精,大麻和电子烟的使用之间的关联。
方法:数据来自2018年美国青少年监控未来调查(N = 44,482)。 Poisson回归估计了技术使用的小时数/天与过去30天的酒精,大麻使用和根据等级,社会人口统计学和其他过去一年的药物使用情况进行调整的雾化之间的关联。
结果:在所有年级中,每天社交媒体的平均小时数为3.06(标准偏差= 2.90),过去30天的酒精,大麻,味雾,大麻雾和尼古丁雾化分别为15.7%,12.6%,10.6%,4.9% ,和11.2%。需要与他人互动的数字技术使用与过去30天喝酒,使用大麻和吸毒的风险增加有关。例如,每天3小时的社交媒体与过去30天的饮酒相关(调整后的相对风险[aRR]:1.99,95%CI:1.65,2.41)。在短信,电话和视频聊天之间,关联的程度是一致的,与不需要使用游戏和观看视频等不需要互动的活动相比,与吸食毒品的关联更紧密。
结论:促进青少年之间互动的数字技术,例如短信和社交媒体,与过去的毒品使用有关。各种物质之间的关联程度是一致的,支持以下假设:青少年网络是物质使用的社会驱动力,而不是技术本身。

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