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The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks

Elena bozzola.

1 Pediatric Unit, IRCCS Bambino Gesù Children Hospital, 00100 Rome, Italy

2 The Italian Pediatric Society, 00100 Rome, Italy

Giulia Spina

Rino agostiniani.

3 Department of Pediatrics, San Jacopo Hospital, 51100 Pistoia, Italy

Sarah Barni

Rocco russo, elena scarpato.

4 Department of Translational Medical Sciences-Section of Pediatric, University Federico II, 80100 Naples, Italy

Antonio Di Mauro

Antonella vita di stefano, cinthia caruso, giovanni corsello.

5 Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties “G. D’Alessandro”, University of Palermo, 90100 Palermo, Italy

Annamaria Staiano

Associated data.

Data available at Dr Bozzola’s study.

In recent years, social media has become part of our lives, even among children. From the beginning of COVID-19 pandemic period, media device and Internet access rapidly increased. Adolescents connected Internet alone, consulting social media, mostly Instagram, TikTok, and YouTube. During “lockdown”, the Internet usage allowed communication with peers and the continuity activities such as school teaching. However, we have to keep in mind that media usage may be related to some adverse consequences especially in the most vulnerable people, such as the young. Aim of the review is to focus on risks correlated to social media use by children and adolescents, identifying spies of rising problems and engaging in preventive recommendations. The scoping review was performed according to PRISMA guidelines, searching on PubMed the terms “social media” or “social network”, “health”, and “pediatrics”. Excluding articles not pertinent, we found 68 reports. Out of them, 19 were dealing with depression, 15 with diet, and 15 with psychological problems, which appeared to be the most reported risk of social media use. Other identified associated problems were sleep, addiction, anxiety, sex related issues, behavioral problems, body image, physical activity, online grooming, sight, headache, and dental caries. Public and medical awareness must rise over this topic and new prevention measures must be found, starting with health practitioners, caregivers, and websites/application developers. Pediatricians should be aware of the risks associated to a problematic social media use for the young’s health and identify sentinel signs in children as well as prevent negative outcomes in accordance with the family.

1. Introduction

Media device use is increasing year by year in Italy as well as in many other countries. An ISTAT report referred that in 2019, 85.8% of Italian adolescents aged 11–17 years regularly used smartphones, and over 72% accessed Internet via smartphones [ 1 ]. Almost 95% of Italian families with a child had a broadband internet connection [ 2 ]. Internet connection was mostly used to communicate with friends and to use social networks [ 1 ]. In 2020, COVID-19 pandemic represented one of the greatest disruptions for everybody’s everyday life, in Italy as well as all around the world. From the beginning of the pandemic period, media device and Internet access rapidly increased. In line, a 2021 CENSIS report revealed an even progressive increment of smartphone use by adolescents, which reached 95% [ 3 ]. In particular, the majority of adolescents (59%) admitted they use smartphone even more frequently than in the past with a daily use of more than 3 h in 46% of cases. Adolescents connected Internet alone (59%), consulting social media, mostly Instagram (72%), TikTok (62%), and YouTube (58%) [ 4 ]. In this context, social interaction over the Internet or simply social network consulting may play an important part in the lives of many young people, influencing them and their relationship with self-esteem and well-being [ 5 ]. Not being guided and monitored in Internet fruition, the young may be exposed to several risks, including cyberbullying which affects 7% of children aged 11–13 years and 5.2% of 14–17 years old adolescents or stalking which affects more than 600 minors in Italy. On social media, the young are more vulnerable and may display risk behavior, including pertaining substance abuse, sexual behaviors, or violence [ 6 ].

On the other hand, media and social networks are, actually, present in almost any house and are considered a great resource for anybody, including children and adolescents. Especially during “lockdown”, the Internet usage allowed communication with peers and the continuity activities such as school teaching. Social media services enable various form of communication verbally or visually by internet-based networking, bringing people together, facilitating instant connection and interaction, such as a like or a comment on something [ 7 ]. There was also a “school” use of smartphones and social media during lockdown which represented a tool of information and education [ 8 ].

In line, websites and applications that enable users to create and share content or to participate in social networking may be currently use as a definition of a social media. Facebook launched in 2004 and Twitter in 2006 were the first social media introduced, rapidly followed by many others [ 9 ]. Actually, Facebook with 2.9 billion monthly active users, YouTube with 2 billion, Instagram with 1.5 billion, and TikTok with 1 billion are the most accessed social media in the world [ 10 ]. As social media are spreading in every day’s life, regulatory models are required to address a broad range of challenges social media pose to the community, including privacy and protection of sensitive data.

Media usage is related to some adverse consequences especially in the most vulnerable people. The health emergency had a strong impact on the mental and psychological health of adolescents causing changing in their routine and daily activities. Forced isolation increased anxiety and stress especially in the most fragile individuals, such as children and adolescents, leading to a change in habitual lifestyles. The greatest risk was that of taking refuge in excessive use of smartphones, electronic devices, and social networks, running into a “digital overdose” [ 11 ].

A recent survey conducted by the Italian Society of Pediatrics in collaboration with State Police and Skuola.net investigated the relationship with media devices in times of pandemic, investigating the habits of adolescents on the use of media and social networks, underlined that 15% of them declared they “cannot stay without” their own media device [ 1 ].

The aim of the review is to focus on risks correlated to social media use by the young, identifying spies of rising problems, and engaging in preventive recommendations.

2. Materials and Methods

This scoping review has been conducted by The Italian Pediatric Society Scientific Communication Group in order to provide an overview of a complex research area. The aim is reviewing international literature disguising about social media and their effect on the pediatric age, including minors less than 18 years, to underline possible risks found so far, identifying the signs of a dangerous use, and to eventually give new recommendation based on these findings.

We define a risk as the possibility of something unfavorable happens, as an effect or an implication of social media usage and which may potentially affect human health. This scoping review has been performed according to the PRISMA Extension guidelines for Scoping Reviews [ 12 ].

An electronic search was undertaken on PubMed database on 23 January 2022. To avoid missing results that may be of note for our revision study, constructing our search in PubMed, we used all of the important concepts from our basic clinical question, avoiding unnecessary filters.

So, the search terms “social media”, “health”, and “pediatrics” in text or title/abstract were used, with the time span set as “all years”. The search on the selected database has produced n 651 among articles and reviews. Another research was made using “social network”, “health” and “pediatrics” as search terms in text or title/abstract, with the time span always set as “all years”. It resulted in 354 articles/reviews.

The two research were downloaded from PubMed and then uploaded to the web application “Rayyan” [ 13 ], a website used to screen and analyze articles, specific for writing reviews. Additional articles for potential inclusion were identified in a second stage by hand searching the reference lists in relevant articles.

Studies were considered eligible for this scoping review if they met the following inclusion criteria:

  • - Full-length articles or reviews.
  • - Pertaining to children and adolescents up to 18 years old.
  • - Negative impact on a pediatric population using social media.
  • - Social media meant as forms of electronic communication.

The exclusion criteria were:

  • - Reports not in English.
  • - Duplications.
  • - Not pertinent field of investigation (e.g., use of the social media to promote healthcare, benefits of social media, social media used to debate on health-related issues, and social network meant as real social interactions).
  • - The population analyzed was adult (>18 years).
  • - The population had previous pathologies.

To reduce errors and bias, two researchers independently, two researchers conducted the screening process to identify articles that met all inclusion criteria. Using the web application “Rayyan” [ 13 ], duplicates were removed, then titles and abstracts were analyzed to exclude distinctly irrelevant articles. Finally, the eligibility of the articles was confirmed by evaluating the full text. Disagreements regarding inclusion/exclusion were settled by discussion between the researchers.

Relevant articles were selected on the web application “Rayyan” and grouped together based on the issue they were dealing with. Afterwards, data were compiled in a Microsoft Excel spreadsheet to calculate frequencies and percentages of the problems related to social media use, found in the research.

All the 1005 documents have been reviewed for relevance and eligibility.

As shown in the Figure 1 , through the help of the web application “Rayyan” [ 13 ] we removed before screening 9 duplicates, 25 foreign language works, and 49 publications dated before 2004. We excluded paper published before 2004, the year of Facebook foundation, because before that year “social networks” was a term used to mean “social interactions in real life”, as they were not pertinent to our research.

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Object name is ijerph-19-09960-g001.jpg

Flow chart of the selection process. * automation tools were used: 6 records were excluded by automation tools and 3 were excluded by authors. Twenty-five records were excluded because they were not written in English, these were identified using automation tools, but then checked by authors. ** 49 records were removed because they were published before 2004, and no social network existed before that year.

According to PRISMA guidelines [ 12 ], of the 922 works identified, all abstracts were analyzed, and 832 records were excluded. Around 66% of the excluded records were dealing with other topics (e.g., vaccines, promoting health by social media, social networks meant as real social interactions, and social lockdown during SARS-CoV-2 period), a percentage of 28% of the records corresponded to a wrong population: mostly parents, pregnant women, young adults, or children with pathologies (e.g., ADHD). About 6% of the excluded studies used social media tools to recruit people in their studies or to deliver questionnaires.

In conclusion, 90 were the records to be analyzed reading their full-length articles. The whole article of four of them has not been found (“reports not retrieved”), arriving at 86 reports assessed for eligibility. Figure 1 presents the flow chart of the selection process, adapted from PRISMA guideline [ 14 ].

Of the 86 reports attained, we read the whole length articles and then excluded 20 studies.

Of these twenty, 6 were excluded because not leading to any conclusion; 13 were dealing with wrong topics, such as: doctors’ social media knowledge; social lock down during the pandemic; social media marketing; underage and privacy; survey on how social media is perceived by adolescents; time consumed on social media; predictor factors of problematic social media use. Finally, one was not included because it focused on parents and families.

Searching through the cited studies in the included reports, two reviews which were not initially included in the research were added.

With 68 included reports analyzed, there were 15 reviews; of these two were systematic reviews, one validation study, and one editorial. Cross-sectional studies and longitudinal studies have been considered, eight and nine, respectively.

Many articles reported more than one issue correlated to social media use. The most frequent problems involved mental health, followed by diet and weight problems. Table 1 shows the problematic topics found to be related to social media use in children and adolescents and their prevalence, expressed as percentage, over the 68 reports analyzed.

Social media health related problems in a pediatric population. This table shows the issues found in this scoping review. Depression was argued in 19 reports, being the main topic found (27.9% of the whole study). Diet associated problems were discussed in 15 reports, cyberbullying in 15, psychological problems in 14, sleep related problems in 13, addiction in 10, anxiety in 10, sex related problems in 9, behavioral problems in 7, body images distortion in 6, reduced physical activity and related problems has been reported in 5 reports, online grooming in 3 reports, sight problems in 3, also headache in 3, and dental caries in total of 2 articles.

Issue %
Depression1927.9%
Diet1522.1%
Cyberbullying1522.1%
Psychological Problems1420.6%
Sleep1319.1%
Addiction1014.7%
Anxiety1014.7%
Sex Related913.2%
Behavioral Problems710.3%
Body Image68.8%
Physical Activity57.4%
Online Grooming34.4%
Sight34.4%
Headache34.4%
Dental Caries22.9%

The most frequent problems found are related to mental health: depression, anxiety, and addiction.

Other problems are related to sleep, diet and nutrition, cyberbullying, psychological aspects, behavioral problems, sex, body image perception, physical activity, online grooming, sight, headache, and dental caries.

4. Discussion

4.1. social media and depression.

We identified 19 publications reporting a relationship between social media use and depression [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ]. Table 2 summarized the main finding regarding each article. Out of them, four investigated the impact of COVID 19 pandemic on both social media use and depression ( Table 2 ).

Social media and depression.

DomainsReferenceType of PublicationHighlighted
Depression
Addiction
Anxiety
Chiu M. et al. [ ]Clinical studySocial media increased use correlates to Emergency Department visits for mental illness, including depression, addiction, and anxiety.
Depression
Anxiety
Rutter L.A. et al. [ ]Clinical studySocial media use correlates with depressive symptoms, anxiety, and loneliness. Physical activity negatively correlates with depression.
Depression
Psychological problems
Addiction
Anxiety
Body image
Mougharbel F. et al. [ ]ReviewHigh levels of screen time and social media use correlates to depression, anxiety, and misperception of body image, addiction, and mental health outcomes.
Depression
Sleep
Anxiety
Hoge E. et al. [ ]ReviewThe more time adolescents spend on smartphone, the higher levels of depression, insomnia, and anxiety are found one year later.
DepressionHoare E. et al. [ ]Clinical studyAdolescents suffering for depression and mental health impairment in adolescence reported a greater use of social media.
DepressionHa L. et al. [ ]Clinical studySwedish adolescents who spent more than 2 h on social media had higher odds of feeling depressed.
Depression
Diet
Cyberbullying
Sleep
Sex related problems
Online grooming
Chassiakos Y.L.R. et al. [ ]ReviewRisks of media device use include obesity, sleep, attention, and learning impairment, illicit substance use, high-risk sexual behaviors, depression, cyberbullying, and compromised privacy and confidentiality.
Depression
Cyberbullying
Sleep
Anxiety
Sex related problems
Behavioral problems
Sight
Maurer B.T. et al. [ ]ReviewAn increase in digital and social media use relates to physical and mental status impairment in children, including depression, anxiety, cyberbullying, sleep disturbance, behavioral problems, sexting, and myopia.
Depression
Psychological problems
Anxiety
Keles B. et al. [ ]ReviewTime spent on social media, repetitive activities, addictive, or problematic use associated with depression, anxiety, and psychological impairment. Nevertheless, it is not possible to establish whether a causative effect exists.
Depression
Addiction
Khalil S.A. et al. [ ]Clinical StudyA percentage of 65.6% of Egyptians adolescents are having internet addiction, especially Facebook addiction (92.8%) and gaming (61.3%). Those affected by Facebook addiction are at risk of dysthymia.
Depression
Cyberbullying
Body image
Richards D. et al. [ ] ReviewSocial media overuse impacts on mental health, self-esteem, and wellbeing.
Depression
Cyberbullying
Sleep
Sex related problems
Hadjipanayis A. et al. [ ]ReviewSocial media use facilitates socialization, communication, learning skills, and may positively affect education. Potential risks include cyberbullying, Facebook depression, sleep disturbances, and sexting.
Depression
Cyberbullying
Hamm M.P. et al. [ ]ReviewCyberbullying and depression correlate with a regular and constant social media use.
Depression
Cyberbullying
Carpenter L.M. et al. [ ] ReviewInternet, mobile devices, and social networking sites link to mental health impairment and cyberbullying.
Depression
Cyberbullying
Aboujaoude E. et al. [ ] ReviewInternet penetrance and connectivity are strictly related to cyberbullying and altered mental status.
DepressionListernick Z.I. et al. [ ] ReviewDepressive symptoms increased during COVID-19 pandemic era. Risk factors include social isolation, family stress, and social media overuse.
Depression
Sleep
Anxiety
Armitage R.C. et al. [ ]Letter to editorThe degree of social media usage in children correlates with depression, anxiety, and perceived stress level. Bedtime access to and use of mobile devices is significantly associated with inadequate sleep in terms of quality and quantity.
Depression
Anxiety
Caffo E. et al. [ ]ReviewMany factors including isolation, excessive social media use, and parental stress worsened mental status health during COVID-19 era.
Depression
Psychological problems
Anxiety
Chen I.H. et al. [ ]ReviewDuring school closure in COVID-19 pandemic smartphone and social media use increased. An increase of 15–30 min daily negatively influenced mental health status in children.

4.1.1. Before COVID-19 Pandemic

Investigating the impact of social media on adolescents’ wellbeing is a priority due to a progressive increase in mental health problems or addiction and access to Emergency Department [ 15 ]. As Chiu and Rutter stated, there is a positive relationship between internalizing symptoms, such as depression and anxiety, and social media use [ 15 , 16 ]. Depression is connected to a rapidly increased of digital communication and virtual spaces, which substitute face-to-face contact by excessive smartphone use and online chatting. The more time adolescents spend on social device the higher levels of depression are found out. In this sense, social media are representing a risk factor for depression in the young. Depression, anxiety, and behavioral disorders are among the leading causes of illness and disability among adolescents [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ]. Key findings which correlate to depression regarding social media exposure are repeated activities such as checking messages, investment, and addition [ 23 ]. The findings were similar all over the world.

For example, in Sweden, spending more than 2 h on social media was associated with higher odds of feeling [ 20 ]. In Egypt, as well, students who have problematic Internet use, have higher psychiatric comorbidities, such as depression, anxiety, and suicidal tendency [ 24 ].

Social media addiction and more precisely Facebook addiction was linked not only to depression but even to dysthymia, so that the expression “Facebook depression” was coined to identify a relationship between depression and social networking activity [ 15 , 25 , 26 ]. Individuals suffering from Facebook depression may be at an increased risk of social isolation and may be more vulnerable to drugs or behavioral problems [ 26 ].

Internet penetrance and connectivity are also connected to cyberbullying which can lead to depression and suicidality [ 27 , 28 , 29 ].

On the other side, physical activity may decrease depression and anxiety, potentially protecting the young against the harmful effect of social media abuse [ 16 ].

At last, even if a positive correlation between internalizing symptoms and media use device is noted, Hoge states that there is also evidence that social media communication may improve mood and promote health strategies in some occasions [ 18 ].

Finally, even if evidence revealed that social media use is linked to poor mental health, the relationship between social media and depression in adolescents is still to be completely understood. It is still unclear whether social media use leads to more depression or if these depressive symptoms cause individuals to seek out more social media, which could feed into a vicious cycle [ 16 ]. Keles’s conclusion as well suggest defining the relationship between internalizing symptoms and social media use as an association and not a causative effect [ 23 ].

4.1.2. After COVID 19 Pandemic

During COVID-19 pandemic, the state of emergency and social isolation determined an increase in time on screen not only as a source of online education, but to continuously access social media. According to recent data, a percentage of 48% of adolescents spent a mean of 5 h per day on social media and 12% spent more than 10 h. Moreover, with that increase in virtual time depression arose [ 30 ].

The degree of social media usage in children is a significant predictor of depression, which increases with each additional hour of social media use [ 31 ].

During the pandemic, depressive symptoms may have been reactive to the context of being afraid of the virus and necessitating social isolation [ 32 ].

However, in this peculiar period, schoolchildren who increased time spent on either smartphones, social media, or gaming had significantly elevated psychological distress, such as depressive symptoms, than those with decreased time spent on these internet-related activities [ 33 ].

4.2. Social Media and Diet

Out of the reports, 15 dealt with the association of social media use and diet [ 21 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ]. The problems were related to junk food marketing (9 reports) [ 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ] obesity (4 reports) [ 21 , 41 , 42 , 43 ], unhealthy eating behaviors (3 reports) [ 44 , 45 , 46 ], and alcohol marketing (2 reports) [ 21 , 47 ]. In Table 3 the retrieved articles dealing with social media and diet, and their major findings are presented ( Table 3 ).

Social media and diet.

DomainsReferenceType of PublicationHighlighted
Depression
Diet
Cyberbullying
Sleep
Sex related problems
Online grooming
Chassiakos Y.L.R. et al. [ ]ReviewRisks of media device use include obesity, sleep, attention, and learning impairment, illicit substance use, high-risk sexual behaviors, depression, cyberbullying, and compromised privacy and confidentiality.
DietThéodore F.L. et al. [ ]Clinical StudyDigital Marketing represents a major threat for children and adolescents in Mexico, because of its persuasive techniques.
Diet
Dental Caries
Radesky J. et al. [ ]Clinical StudyExposure to advertising is associated with unhealthy behaviors. Children are uniquely vulnerable to the persuasive effects of advertising because of immature critical thinking skills and impulse inhibition. Ads also promote intake of foods that contribute to dental caries.
DietFolkvord F. et al. [ ]ReviewUnhealthy food is advertised intensively on several media platforms that are increasingly used by children. This contributes to the obesity epidemic.
DietSacks G. et al. [ ]Clinical StudyExposure to the marketing of unhealthy products, on social media is associated with a higher risk of related unhealthy behaviors.
Analysis of the advertising policies of the 16 largest social media platforms proved them ineffective in protecting children and adolescents from exposure to the digital marketing of unhealthy food.
DietTan L. et al. [ ]Clinical StudyUnhealthy food marketing to children is a key risk factor for childhood obesity. Analysis of ads encountered in YouTube videos targeted at children revealed that food and beverage ads appeared most frequently with more than half of these promoting noncore or unhealthy foods.
DietMurphy G. et al. [ ]Clinical StudyAdolescents respond more positively to unhealthy food advertising compared to healthy food or non-food advertising.
DietLutfeali S. et al. [ ]Clinical StudyHeavy social media users (>3 h/day) were 6.366 times more willing to comment on ads compared to light users ( < 0.001).
DietKhan M. et al. [ ]Clinical StudyThe food industry has intensified online advertising focused on children during COVID-19 pandemic, helping the widespread of weight gain.
DietKhajeheian D. et al. [ ]Clinical StudyStudents, in primary school and high school, who spend more time using social media, exhibit a greater increase in BMI.
Diet
Sleep
Mazur A. et al. [ ]Clinical StudyObesity correlated to junk food advertisement and a more sedentary lifestyle promoted by social media use. Poor or deregulated sleep affects the regulation of energy balance representing a risk factor for childhood obesity.
DietCusters K. et al. [ ]ReviewRaising in the presence of pro-eating disorder content on websites and social media, which correlates of eating disturbances.
Diet
Cyberbullying
Psychological problems
Body image
Physical activity
Borzekowski D.L.G. et al. [ ]ReviewConstant media access and exposure to unhealthy and risky media messages may increase the interactions, facilitating cyberbullying and exacerbating body image apprehension promoting poor nutrition, psychological problems, and leading to a more sedentary lifestyle.
Diet
Body image
Moorman E.L. et al. [ ]Clinical StudyGreater use the internet sources for nutritional information is related to greater disordered eating.
Diet
Sleep
Online grooming
Purves R.I. et al. [ ]Clinical StudyAlcohol brands on social media portray drinking identities, appealing for young adolescent and with the potential risk to peer group acceptance.

4.2.1. Before COVID-19 Pandemic

Junk food marketing.

Reports found that children are exposed to the marketing of unhealthy foods on social media and to their persuasive techniques. Digital marketing represents a major threat for children and adolescents in Mexico, because of its persuasive techniques. Cola and soft drinks, sweetened juices and in general the so-called junk food have high followers on Facebook and Twitter. [ 34 ]. This may cause an increase in children’s immediate consumption of the promoted product, unhealthy behaviors and may led to obesity, as confirmed by several studies [ 34 , 35 , 36 ]. Reports agree on the youth major vulnerability to unhealthy food advertisement, including digital marketing, sponsored content, influencers, and persuasive design [ 34 , 35 , 36 ]. This contributes to the obesity epidemic [ 36 ].

Major social media platforms do not have comprehensive policies in place to restrict the marketing of unhealthy foods on their platforms [ 36 , 37 ]. Therefore, exposure to the marketing of unhealthy products, on social media may be considered a risk factor for related unhealthy behaviors.

Analysis of the advertising policies of the 16 largest social media platforms proved them ineffective in protecting children and adolescents from exposure to the digital marketing of unhealthy food [ 37 ].

Among social media, YouTube is particularly worrying considering the affinity of the young toward the platform. Unhealthy food advertisements predominate in YouTube content aimed towards children. In fact, analysis of advertisements encountered in YouTube videos targeted at children revealed that food and beverage ads appeared most frequently, with more than half of these promoting unhealthy foods [ 38 ].

As confirmed by an Irish study, adolescents are very attracted to junk food advertisements and are likely to share comments on their network: generalized linear mixed models showed that advertisements for unhealthy food evoked significantly more positive responses, compared to non-food and healthy food. Of all the advertising, they see in social media, they view unhealthy food advertising posts for longer [ 39 ]. This confirms the vulnerability of children towards ad and digital marketing.

Moreover, it has been demonstrated that adolescent heavy social media users (>3 h/day) are more willing to engage with food ads compared to light social media users, and are more willing to “like” Instagram food ads featuring many “likes” versus few “likes”, demonstrating the power of social norms in shaping behaviors. Adolescents interact with brands in ways that mimic interactions with friends on social media, which is concerning when brands promote unhealthy product. [ 40 ]. There is a need of more strict policies to limit digital marketing, which is becoming more and more intense, especially towards children and adolescents.

4.2.2. After COVID-19 Pandemic

During the COVID-19 pandemic, this phenomenon even increased. In fact, the combination of staying at home, online education and social media usage have all caused screen time to surge and the food industry has been quick to identify this change in their target audience and has intensified online advertising and focused on children. The COVID-19 experience led to an increase in risk and severity of inappropriate behavioral eating habits, affecting the health and weight [ 41 ].

4.2.3. Before COVID-19 Pandemic

Social media is the first independent risk factor for obesity in primary school children and the second for high school students. In both primary school and high school models, children’s social media use has the highest impact on child’s BMI [ 42 ]. In addition, heavy media use during preschool years is associated with small but significant increases in BMI, especially if used ≥ 2 h of media per day [ 21 ].

4.2.4. After COVID-19 Pandemic

Obesity and social media correlated through junk food advertisements [ 41 , 43 ]. During COVID 19 pandemic poor quality food, energy-dense, and nutrient-poor products consumption increased, leading to the risk of overweight and obesity. The phenomenon has been called “Covibesity” [ 41 ].

4.3. Unhealthy Eating Behavior

Some social media contents promote pro-anorexia messages [ 44 , 45 , 46 ]. These messages are no longer limited to websites that can be easily monitored, but instead have been transferred to constantly changing media such as Snapchat, Twitter, Facebook, Pinterest, and Tumblr. Consequently, pro-eating disorder content has become more easily accessible by the users. Pro-anorexia website use is correlated with a higher drive for thinness, lower evaluations of their appearance, and higher levels of perfectionism, and all correlates with eating disturbances [ 44 , 46 ].

In detail, there is a real bombardment of unhealthy messages on media promoting low-nutrition aliments and sugar-sweetened drinks [ 45 ].

It is likely that the suboptimal quality of online information on social media platform contributes to the development of unhealthy eating attitudes and behaviors in young adolescent internet users seeking nutritional information. They look for nutritional information on internet sources such as commercial websites or social media in order to lose weight. In this occasion, they may be exposed to higher risk of eating disorders due to the high quantity of misinformation. Moreover, they may find dangerous methods to rapidly lose weight with possible harm for their health [ 46 ].

Literature agrees on the risk of time spent on social media as well as on the poor quality and reliability of weight loss information on media [ 44 , 45 , 46 ].

4.4. Alcohol Marketing

Adolescents identify drinking brands to peculiar images of ideal adults. Brands know well this underlying psychological mechanism and promote that identity adolescents seek, with specific advertisement on social media [ 47 ].

Studies have shown that exposure to alcohol in TV or movies is associated with initiation of this behavior. The major alcohol brands have a strong advertising presence on social media, including Facebook, Twitter, and YouTube. Several studies underlined risky health behaviors, such as illegal alcohol use or overuse. Evidence suggests that peer viewers of this content are likely to consider these behaviors as normative and desirable. Therefore, targeted advertising via social media has a significant effect on adolescent behavior [ 21 ].

4.5. Social Media and Cyberbullying

We identified 15 publications reporting a relationship between social media use and cyberbullying [ 21 , 22 , 25 , 26 , 27 , 28 , 29 , 45 , 48 , 49 , 50 , 51 , 52 , 53 , 54 ]. Table 4 summarized the main finding regarding each article ( Table 4 ).

Social media and cyberbullying.

DomainsReferenceType of PublicationHighlighted
Depression
Diet
Cyberbullying
Sleep
Sex related problems
Online grooming
Chassiakos Y.L.R. et al. [ ]ReviewRisks of media device use include obesity, sleep, attention, and learning impairment, illicit substance use, high-risk sexual behaviors, depression, cyberbullying, and compromised privacy and confidentiality.
Depression
Cyberbullying
Sleep
Anxiety
Sex related problems
Behavioral problems
Sight
Maurer B.T. et al. [ ].ReviewAn increase in digital and social media use relates to physical and mental status impairment in children, including depression, anxiety, cyberbullying, sleep disturbance, behavioral problems, sexting, and myopia.
Depression
Cyberbullying
Body image
Richards D. et al. [ ]ReviewSocial media overuse impacts on mental health, self-esteem, and wellbeing.
Depression
Cyberbullying
Sleep
Sex related problems
Hadjipanayis A. et al. [ ]ReviewSocial media use facilitates socialization, communication, learning skills, and may positively affect education. Potential risks include cyberbullying, Facebook depression, sleep disturbances, and sexting.
Depression
Cyberbullying
Hamm M.P. et al. [ ]ReviewCyberbullying and depression correlate with a regular and constant social media use.
Depression
Cyberbullying
Carpenter L.M. et al. [ ]ReviewInternet, mobile devices, and social networking sites link to mental health impairment and cyberbullying.
Depression
Cyberbullying
Aboujaoude E. et al. [ ]ReviewInternet penetrance and connectivity are strictly related to cyberbullying and altered mental status.
Diet
Cyberbullying
Psychological problems
Body image
Physical activity
Borzekowski D.L.G. et al. [ ]ReviewConstant media access and exposure to unhealthy and risky media messages may increase the interactions, facilitating cyberbullying and exacerbating body image apprehension promoting poor nutrition, psychological problems, and leading to a more sedentary lifestyle.
CyberbullyingWise J. et al. [ ]Letter to EditorPotential negative effects of social media include damage to sleep patterns, cyberbullying, and online grooming.
Cyberbullying
Psychological problems
Sleep
Addiction
Behavioral problems
Physical activity
Sight
Bozzola E. et al. [ ]ReviewCyberbullying, sleep impairment, psychological problems, addiction, musculoskeletal disorders, and eye problems are among the risks of media device use in adolescence.
Cyberbullying
Sex related problems
Body image
Shah J. et al. [ ]ReviewIncreased social media usage correlates with decreased self-esteem and body satisfaction, increment of cyberbullying, and exposure to pornographic material and risky sexual behaviors.
Cyberbullying
Addiction
Sex related problems
O’Keeffe G.S. et al. [ ]EditorialRisks of social media overuse include sexting, cyberbullying, privacy issues, and Internet addiction, all of which may present with vague health symptoms.
Cyberbullying
Psychological problems
Addiction
Nagata J.M. et al. [ ]EditorialMore than 7% of adolescents have problematic media use and addiction to social media. Problematic media use is associated with cyberbullying, poor outcomes in life satisfaction, and mental health.
CyberbullyingMarengo N. et al. [ ]Clinical studyThe risk of cyber-victimization is higher in case of problematic social media use and in female gender.
CyberbullyingUludasdemir D. et al. [ ]Clinical studyHaving daily access to the Internet and the sharing of gender on social media increased the likelihood of cyber victimization.

Cyberbullying may be defined as any behavior performed through electronic or digital media by individuals or groups that repeatedly communicate hostile or aggressive messages intended to inflict harm or discomfort on others. Compared to bullying, cyberbullying may be even more dangerous as victims can be reached anytime and in any place. Moreover, anonymity amplifies aggression as the perpetrator feels out of reach.

Moreover, the ability to hide behind fake names provides bullies the opportunity to communicate in content and language they would not use in front of people [ 26 , 48 , 49 ]. As confirmed by Shah et al., the anonymity of cyberbullying increases the risk for inappropriate behaviors among adolescents [ 50 ].

In literature, cyberbullying has been identified in phone calls, text messages, pictures/video clips, emails, and messaging apps. This is a great public health concern: in Italy, 2015 ISTAT data showed that 19.8% of 11–17 years old internet users report being cyberbullied [ 49 ].

This phenomenon is increasing. In fact, the number of adolescents being cyberbullied at least once in their life increased from 20.8% in 2010 to 33.8% in 2016 [ 50 ].

Victims of bullies exhibit increased depressive symptoms, anxiety, internalizing behaviors, externalizing behaviors, and greater academic distractions [ 21 , 22 , 25 , 27 , 28 , 29 , 51 ].

Cyberbullying has been associated with higher risks of depression, paranoia, anxiety, and suicide than the traditional form of bullying [ 21 , 22 ]. According to a metanalysis of 34 studies, traditional bullying increased suicide ideation by a factor of 2.16, whereas cyberbullying increased it by a factor of 3.12 [ 39 ].

In adolescence, social media intense or problematic use and frequent online contact with strangers are all independently associated with cyberbullying [ 45 , 52 , 53 ]. In this contest, social media represent a risk factor for cyberbullying and for inappropriate behavior related to it. In fact, problematic social media use is an important driver of cyberbullying victimization and perpetration, especially among girls [ 50 , 53 ]. The highest percentage is observed in adolescents, aged 13 to 15 years as suggested by literature reviews and, in particular, by Marengo and Uludasdemir [ 53 , 54 ]. However, Marengo also suggests that in presence of social support, the phenomenon is attenuated [ 53 ].

Moreover, having daily access to the Internet and the sharing of gender on social media increased the likelihood of cyber victimization among adolescents aged 12–17 years. Those who use Tumblr and Snapchat were found to become victims even more frequently [ 54 ].

4.6. Psychological Problems and Social Media

We identified 14 publications reporting a relationship between social media use and psychological problems [ 17 , 23 , 33 , 45 , 49 , 52 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 ]. Table 5 summarized the main finding regarding each article ( Table 5 ).

Social media and psychological problems.

DomainsReferenceType of ArticleHighlighted
Depression
Psychological problems
Addiction
Anxiety
Body image
Mougharbel F. et al. [ ]ReviewHigh levels of screen time and social media use correlates to depression, anxiety, misperception of body image, and mental health outcomes.
Depression
Psychological problems
Anxiety
Keles B. et al. [ ]ReviewTime spent on social media, repetitive activities, addictive, or problematic use associated with depression, anxiety, and psychological impairment. Nevertheless, it is not possible to establish whether a causative effect exists.
Depression
Psychological problems
Anxiety
Chen I.H. et al. [ ]ReviewDuring school closure in COVID-19 pandemic smartphone and social media use increased. An increase of 15–30 min daily negatively affected mental health status in children.
Diet
Cyberbullying
Psychological problems
Body image
Physical activity
Borzekowski D.L.G. et al. [ ]ReviewConstant media access and exposure to unhealthy and risky media messages may increase the interactions, facilitating cyberbullying and exacerbating body image apprehension promoting poor nutrition, psychological problems, and leading to a more sedentary lifestyle.
Cyberbullying
Psychological problems
Sleep
Addiction
Behavioral problems
Physical activity
Sight
Bozzola E. et al. [ ]ReviewCyberbullying, sleep impairment, psychological problems, addiction, musculoskeletal disorders, and eye problems are among the risks of media device use in adolescence.
Cyberbullying
Psychological problems
Addiction
Nagata J.M. et al. [ ]EditorialMore than 7% of adolescents have problematic media use and addiction to social media. Problematic media use is associated with cyberbullying, poor outcomes in life satisfaction, and mental health.
Psychological problemsFavotto L. et al. [ ]Clinical studyChildren with low family communication have high levels of media use and loneliness.
Psychological problemsBoer M. et al. [ ]Clinical studyData among 154,981 adolescents of the world, described that problematic media use is associated with lower well-being.
Psychological problems
Sleep
Physical activity
Buda G. et al. [ ]Clinical studyProblematic social media use correlates with about two times higher odds for worse sleep quality and lower life satisfaction, and it is related to lower levels of vigorous physical activity in girls.
Psychological problemsMc Dool E. et al. [ ]Clinical studyAmong 6300 English students, internet use is negatively associated with feel about appearance, especially in girls.
Psychological problemsTwigg L. et al. [ ]Clinical studyHigher levels of social media use are associated with lower happiness, especially in girls.
Psychological problemsWalsh S.D. et al. [ ]Clinical studyProblematic social media use such as substance use, bullying, and low social support, have been identified as clusters of risk for children mental health.
Psychological problems
Sleep
Sümen A. et al. [ ]Clinical studySocial media addiction in school students is related with lower communication among families, loneliness, emotional problems, attention deficit, peer problems, and it decreases students’ sleep efficiency.
Psychological problems
Headache
Marino C. et al. [ ]Clinical studyAdolescent problematic Internet users have higher levels of somatic symptoms such as headaches and psychological consequences of social media use such as loss of control and relational problems with family and friends.

4.6.1. Before COVID-19 Pandemic

A high use of screen device has been correlated to a low psychological well-being among children and adolescents, especially among females [ 17 ].

For examples, in Canadians adolescents, the prevalence of loneliness was higher for daily computer-mediated communication users than non-daily users [ 55 ]. As well as for cyberbullying, adolescents may benefit from social support, family communication, and interaction to ameliorate feelings of loneliness [ 53 , 55 ]. Boer et al. confirmed that intense user reported more frequent psychological complaints than non-intense user as well as less family and friend support [ 56 ]. In line with this finding, in Lithuania a problematic social media use has been associated with two times higher odds for lower life satisfaction [ 57 ].

Moreover, an intense social media use correlated to either low school well-being and reduced social well-being (decreased family and friends support and relations) [ 56 ].

A relationship between poor life satisfaction, problematic social media use, and lack of social support was found not only in adolescents, but also in children [ 52 , 57 , 58 , 59 , 60 ].

Social media use is also correlated with conduct and emotional problems, attention deficit, peer problems, school impairments, and psychological distress [ 23 , 45 , 61 , 62 ].

Social networks and media device use correlate to low academic outcomes, reduced concentration, and procrastination. In fact, problematic smartphone use correlates to a surface approach to learning rather than to a deep approach, leading to reduced creativity, organization skills, own thinking, and comprehension of information [ 49 ].

4.6.2. After COVID-19 Pandemic

During this COVID-19 pandemic, primary school children reported significantly higher psychological distress than the period prior to the COVID-19 outbreak. Studies showed that schoolchildren who increased time spent on either smartphones, social media, or gaming had significantly elevated psychological distress than those with decreased time spent on these internet-related activities [ 33 ].

4.7. Social Media and Sleep

Extended use of digital media screen time correlates with sleep impairment [ 18 , 21 , 22 , 26 , 31 , 43 , 47 , 49 , 57 , 61 , 63 , 64 , 65 ]. Table 6 summarizes the evidence in literature ( Table 6 ). Exposure to screen-based devices, online social networking sites, and video-sharing platforms is significantly associated with sleep-onset difficulties in adolescents [ 18 , 49 ]. Findings from a meta-analysis of 20 cross-sectional studies show 53% higher odds of poor sleep quality among adolescents with consistent bedtime media use [ 63 ]. Moreover, the use of computers and smartphones among adolescents is associated with daytime sleepiness and fatigue, shorter sleep duration, later bedtime, and unfavorable changes in sleep habits over time [ 22 ]. Smartphones may be easily carried around and even taken to bed. Several sleep disorders correlate to both overall and night phone use among adolescents. It has been demonstrated that social media addiction in school students decreases students’ sleep efficiency [ 61 ]. Use of cellphones, particularly for nighttime texting, and consulting social media were associated with insufficient sleep [ 63 ]. A 5 or more hours daily of media devices use has been related to a higher risk of sleep problems when compared to a 1 h use daily [ 49 ]. This finding is confirmed by Buda who correlates problematic social media with about two times higher odds for a bad sleep quality [ 57 ]. Varghese as well associated social media use with sleep difficulties. Furthermore, YouTube user had two-times higher odds for sleep-onset difficulties [ 63 ].

Social media and sleep.

DomainsReferenceType of ArticleHighlighted
Depression
Sleep
Anxiety
Hoge E. et al. [ ]ReviewThe more time adolescents spend on smartphone, the higher levels of depression, insomnia, and anxiety are found one year later.
Depression
Diet
Cyberbullying
Sleep
Sex related problems
Online grooming
Chassiakos Y.L.R. et al. [ ]ReviewRisks of media device use include obesity, sleep, attention, and learning impairment, illicit substance use, high-risk sexual behaviors, depression, cyberbullying, and compromised privacy and confidentiality.
Depression
Cyberbullying
Sleep
Anxiety
Sex related problems
Behavioral problems
Sight
Maurer B.T. et al. [ ].ReviewAn increase in digital and social media use relates to physical and mental status impairment in children, including depression, anxiety, cyberbullying, sleep disturbance, behavioral problems, sexting, and myopia.
Depression
Cyberbullying
Sleep
Sex related problems
Hadjipanayis A. et al. [ ]ReviewSocial media use facilitates socialization, communication, learning skills, and may positively influence education. Potential risks include cyberbullying, Facebook depression, sleep disturbances, and sexting.
Depression
Sleep
Anxiety
Armitage R.C. et al. [ ]LetterThe degree of social media usage in children correlates with depression, anxiety, and perceived stress level. Bedtime access to and use of mobile devices is significantly associated with inadequate sleep in terms of quality and quantity.
Diet
Sleep
Mazur A. et al. [ ]Clinical studyObesity correlated to junk food advertisement and a more sedentary lifestyle promoted by social media use. Poor or deregulated sleep affects the regulation of energy balance representing a risk factor for childhood obesity.
Diet
Sleep
Online grooming
Purves R.I. et al. [ ]LetterPotential negative effects of social media include damage to sleep patterns, cyberbullying, and online grooming.
Cyberbullying
Psychological problems
Sleep
Addiction
Behavioral problems
Physical activity
Sight
Bozzola E. et al. [ ]ReviewCyberbullying, sleep impairment, psychological problems, addiction, musculoskeletal disorders, and eye problems are among the risks of media device use in adolescence.
Psychological problems
Sleep
Physical activity
Buda G. et al. [ ]Clinical studyProblematic social media use correlates with about two times higher odds for worse sleep quality and lower life satisfaction, and it is related to lower levels of vigorous physical activity in girls.
Psychological problems
Sleep
Sümen A. et al. [ ]Clinical studySocial media addiction in school students is related with lower communication among families, loneliness, emotional problems, attention deficit, peer problems, and it decreases students’ sleep efficiency.
SleepVarghese N.E. et al. [ ]Clinical studyExposure to media device and social media is significantly associated with adolescent sleep-onset difficulties.
Sleep
Behavioral problems
Guerrero M.D. et al. [ ]Clinical studyTime spent on screen has been associated to sleeping problems, especially sleep duration, and with problematic behaviors, higher internalizing, and externalizing symptoms.
SleepLund L. et al. [ ]ReviewRelationship between social media use, late sleep onset, sleep quality, and duration.

In addition, it seems that girls suffer more than boys from these sleep problems [ 57 ].

Sleeping problems, especially sleep duration, have been then associated with time spent on screen, problematic behaviors, and higher internalizing and externalizing symptoms [ 64 ].

Even among children, there is a problem with extended use of social media sites, which result in sleep deprivation due to delayed bedtimes and reduced total sleep duration and quality of rest [ 31 , 65 ]. The report by Hadjipanayis as well confirms that sleeping disturbances may be associated with the disruption of circadian rhythms due to the blue light emission from the electronic screen-based media devices [ 26 ]. Negative outcomes including poor school performance, childhood overweight and obesity, and emotional issues have all been associated with sleep deprivation [ 21 , 26 , 43 , 47 ]. Inadequate sleep quality or quantity associated to social media use represents a risk factor for metabolic conditions such as for diabetes, cardiovascular disease and for mental problem, such as depression or substance abuse [ 49 ].

4.8. Social Media and Addiction

Ten reports found correlations between social media use and risk of different types of addictions: with internet [ 17 , 24 , 49 , 51 , 52 , 66 ], with substance abuse [ 15 , 67 ], with alcohol addiction and gaming [ 67 ], with gambling [ 68 ], and with tobacco use [ 69 ]. In Table 7 , the major findings of the related reports are presented ( Table 7 ).

Social media and addiction.

DomainsReferenceType of ArticleHighlighted
Depression
Addiction
Anxiety
Chiu M. et al. [ ]Clinical StudySocial media increased use correlates to Emergency Department visits for mental illness, including depression, addiction, and anxiety.
Depression
Psychological problems
Addiction
Anxiety
Body image
Mougharbel F. et al. [ ]ReviewHigh levels of screen time and social media use correlates to depression, anxiety, and misperception of body image, addiction, and mental health outcomes.
Depression
Addiction
Khalil S.A. et al. [ ].Clinical StudyA percentage of 65.6% of Egyptians adolescents are having internet addiction, especially Facebook addiction (92.8%) and gaming (61.3%). Those affected by Facebook addiction are at risk of dysthymia.
Cyberbullying
Psychological problems
Sleep
Addiction
Behavioral problems
Physical activity
Sight
Bozzola E. et al. [ ]ReviewCyberbullying, sleep impairment, psychological problems, addiction, musculoskeletal disorders, and eye problems are among the risks of media device use in adolescence.
Cyberbullying
Addiction
Sex related problems
O’Keeffe G.S. et al. [ ]EditorialRisks of social media overuse include sexting, cyberbullying, privacy issues, and Internet addiction, all of which may present with vague health symptoms.
Cyberbullying
Psychological problems
Addiction
Nagata J.M. et al. [ ]EditorialMore than 7% of adolescents have problematic media use and addiction to social media. Problematic media use is associated with cyberbullying, poor outcomes in life satisfaction, and mental health.
AddictionHawi N.S. et al. [ ]Clinical StudyThe Digital Addiction Scale for Children was validated on 822 participants, to assess the behavior of children 9 to 12 years old in association with video gaming, social media, and texting. Females are more susceptible to social media addiction.
AddictionTurhan P. et al. [ ] Clinical StudyAmong a group of 93 adolescents with substance abuse, social media addiction and gaming disorders have been documented more than control group.
AddictionEmond A.M. et al. [ ]ReviewGambling and gaming addiction are emerging problems in children and adolescents. Children are exposed to gambling adverts using media device and television. Moreover, social media sometimes promotes gambling.
AddictionUnger J.B. et al. [ ]Clinical StudyTobacco use in adolescents correlates to tobacco content on social media. In particular, adolescents with more tobacco tweets were more likely to use cigarettes. Advertising messages about tobacco shared trough social media have been connected to tobacco use in adolescents.

Investigating the impact of social media on adolescents’ wellbeing is a priority due to a progressive increase in mental health problems and access to Emergency Department [ 15 ]. Chiu reported that mental health or addiction related emergency department access increased by almost 90% in ten years mainly among adolescents aged 14–21 years. The increment well correlates to an increase availability of social media [ 15 ].

High screen use associated with internet addiction is also confirmed by O’Keeffe who states that technology is influencing children’s lives from a very young age [ 51 ].

More than 7% of youth have problematic social media use, indicated by symptoms of addiction to social media [ 52 ]. Warning signs of internet addiction can be skipping activities, meals, and homework for social media; weight loss or gain; a reduction in school grades [ 41 ]. In detail: concern, loss of controlling tolerance, withdrawal, instability and impulsiveness, mood modification, lies, and loss of interest have been identified as risk factors for smartphone addiction. Females have almost three times more risk for smartphone addiction than males and it may be related to a stronger desire for social relationships [ 66 ]. Main problems correlated to addiction are low self-esteem, stress, anxiety, depression, insecurity, solitude, and poor scholastic outcomes. Smartphone addiction correlates to both fear of missing out (FOMO) and boredom. FOMO is the apprehension of losing experiences and the consequent wish to remain constantly connected with others, continuously checking social applications. Boredom is defined as an unpleasant emotional state, related to lack of psychological involvement and interest associated with dissatisfaction, to cope with boredom adolescents may seek additional stimulation and compulsively use smartphones [ 49 ].

As well as O’Keeffe, Hawi found out that children are starting to use digital devices at a very young age, and so should be screened for the risk of digital addiction. New scales of early identifications have been developed such as the Digital Addiction Scale for Children, validated to assess the behavior of children 9 to 12 years old in association with digital devices usage. Out of the sample size, 12.4% were identified as at risk of addiction and most of them (62.4%) were male. Nevertheless, results demonstrated that weekday device use among females causes more conflicts [ 66 ].

Different grading scales can test addictions. A study assessed 700 adolescents aged from 14 to 18 years and found out that 65.6% were having internet addiction, 61.3% were gaming addicts, and 92.8% Facebook addicts. Internet addict students had statistically significant higher age, higher socioeconomic scale score, male gender, and lower last year grades in comparison to non-addicts. Depression, dysthymia, suicide, social anxiety, and phobias were common comorbidities in addicted adolescents [ 24 ].

In undergraduate students, disordered online social networking use is associated with higher levels of alcohol craving and in pupils aged from 11 to 13, it is associated with a higher likelihood of being substance users [ 67 ]. In addition, excessive video gaming is associated with increased substance use [ 15 , 67 ].

One report showed greater risk for children and adolescents to develop gambling problems. In fact, the prevalence of adolescent gambling has increased in recent years. Across Europe, self-reported rates of adolescent gambling in 2019 ranged from 36% in Italy to 78% in Iceland. Adolescent problem gambling prevalence ranges from 1.6 to 5.6%. Not only adolescents but also children are widely exposed to gambling advertisements on television and via social media. In recent years, there has been an expansion in sports betting online, and this has been heavily promoted by advertising and marketing attractive to adolescents. Gambling is also promoted to children via social media: children are sharing and re-tweeting messages from gambling companies, they are active in conversations around gambling, and regularly consume and share visual gambling adverts. Lastly, there is also a strong relationship between gaming and gambling: in video games, children pretend to gamble and some video games would ask real money to play [ 68 ].

Finally, there might be a relationship between youth using tobacco and tobacco social media posts. It is not clear if the relationship can be cause-effect or only a correlation. Adolescents who participate in conversations about tobacco in social media by posting positive messages about tobacco are more likely to be past-month tobacco users. Posting even only one positive tobacco-related tweet was associated with greater odds of using cigarettes, e-cigarettes, or any tobacco product, compared to those who did not post positive messages about tobacco [ 69 ].

Finally, social media has been associated to social media use and may represent a risk factor for the young as it interferes with dailies activities leading to unhealthy habits. The easy access to social media by smartphone undoubtedly facilitates addiction.

4.9. Social Media and Anxiety

We identified 10 publications reporting a relationship between social media use and anxiety. Out of them, three investigated the impact of COVID 19 pandemic on social media use and anxiety [ 15 , 16 , 17 , 18 , 22 , 23 , 31 , 32 , 33 , 70 ]. Table 8 summarized the main findings ( Table 8 ).

Social media and anxiety.

DomainsReferenceType of PublicationHighlighted
Depression
Addiction
Anxiety
Chiu M. et al. [ ]Clinical StudySocial media increased use correlates to Emergency Department visits for mental illness, including depression, addiction, and anxiety.
Depression
Anxiety
Rutter L.A. et al. [ ]Clinical StudySocial media use correlates with depressive symptoms, anxiety, and loneliness. Physical activity negatively correlates with depression.
Depression
Psychological problems
Addiction
Anxiety
Body image
Mougharbel F. et al. [ ]ReviewHigh levels of screen time and social media use correlates to depression, anxiety, and misperception of body image, addiction, and mental health outcomes.
Depression
Sleep
Anxiety
Hoge E. et al. [ ]ReviewThe more time adolescents spend on smartphone, the higher levels of depression, insomnia, and anxiety are found one year later.
Depression
Cyberbullying
Sleep
Anxiety
Sex related problems
Behavioral problems
Sight
Maurer B.T. et al. [ ]ReviewAn increase in digital and social media use relates to physical and mental status impairment in children, including depression, anxiety, cyberbullying, sleep disturbance, behavioral problems, sexting, and myopia.
Depression
Psychological problems
Anxiety
Keles B. et al. [ ]ReviewTime spent on social media, repetitive activities, addictive or problematic use associated with depression, anxiety, and psychological impairment. Nevertheless, it is not possible to establish whether a causative effect exists.
Depression
Sleep
Anxiety
Armitage R.C. et al. [ ]LetterThe degree of social media usage in children correlates with depression, anxiety, and perceived stress level. Bedtime access to and use of mobile devices is significantly associated with inadequate sleep in terms of quality and quantity.
Depression
Anxiety
Caffo E. et al. [ ]ReviewMany factors including isolation, excessive social media use and parental stress worsened mental status health during COVID-19 era.
Depression
Psychological problems
Anxiety
Chen I.H. et al. [ ]ReviewDuring school closure in COVID-19 pandemic smartphone and social media use increased. An increase of 15–30 min daily negatively influenced mental health status in children.
AnxietyMuzaffar N. et al. [ ]Clinical StudyIncreased anxiety correlates with increased Facebook use and repetitive behavior on social media among adolescents.

4.9.1. Before COVID-19 Pandemic

Evidence agrees that the degree of social media usage in children is a significant predictor of anxiety and perceived stress levels and that it increases with each additional hour of social media use [ 17 , 23 , 31 ]. Anxiety may represent a risk factor for children and adolescents’ health as it influences the way they see their body, the way they feel, and it may impact on social acceptance and relations with peers.

The excessive use of at least one type of screen, including television, computer, social media, and video gaming, has been connected with anxiety symptoms in the pediatric age [ 22 , 23 , 31 ]. Furthermore, in Rutter’s study a significant association between depression and anxiety with social media use has been detached [ 16 ]. Nevertheless, it is still unclear if social media use provoke anxiety or if anxiety is the cause of excessive use of social media [ 16 ]. Emergency department visits for mental health, including anxiety problems, has arisen since 2009, likely linked to the increased use and the harmful effect of social media [ 15 ]. On the contrary, physical activity may protect the young against the harmful effect of social media, preventing depression and anxiety [ 16 ].

In a scientific report, Muzaffar confirmed that an association between anxiety and social media is of note. In detail, increased adolescent generalized anxiety symptoms were associated with increased Facebook use and repetitive Facebook habits. Anxious adolescents may not be able to control their discomfort to the point that they need to regularly go back to check their previous posting on Facebook [ 70 ].

The constant connection to social networks through digital devices, on its side, potentially contributes to feelings of anxiety. Adolescents and children suffering from social anxiety may prefer to interact with texting, instant messaging, and emailing than over face-to-face interactions. However, the behavior may increase risk in individuals vulnerable to social anxiety disorder because substituting digital media for interpersonal communication to avoid feared situations may be reinforced over time, making the person even more avoidant and worsening the symptoms and severity of social anxiety disorder [ 18 ].

However, in some studies, not just overexposure but also underexposure to social media was associated with adolescent anxiety, depression, and suicidal ideation [ 22 ].

4.9.2. After COVID-19 Pandemic

Screen time and social media use have increased during the pandemic. Social media has been helpful during lockdown to keep social relationships and not to discontinuate school activities. However, an excessive Internet use may negatively affect children and adolescents’ well being. So, during social lockdown, an elevated psychological distress and anxious symptoms have been described in schoolchildren who increased time spent on screen [ 32 , 33 ]. Children who increased by 15 or 30 min daily the time spent on internet presented a high level of psychological distress.

4.10. Social Media and Sex Related Problems

Studies have found social media use related to sexual problematic behaviors such as early sexual activity, exposure to pornography, and sexting. [ 21 , 22 , 26 , 50 , 51 , 71 , 72 , 73 , 74 ]. Table 9 summarizes the results ( Table 9 ).

Social media and sex related problems.

DomainsReferenceType of PublicationHighlighted
Depression
Diet
Cyberbullying
Sleep
Sex related problems
Online grooming
Chassiakos Y.L.R. et al. [ ]ReviewRisks of media device use include obesity, sleep, attention, and learning impairment, illicit substance use, high-risk sexual behaviors, depression, cyberbullying, and compromised privacy and confidentiality.
Depression
Cyberbullying
Sleep
Anxiety
Sex related problems
Behavioral problems
Sight
Maurer B.T. et al. [ ].ReviewAn increase in digital and social media use relates to physical and mental status impairment in children, including depression, anxiety, cyberbullying, sleep disturbance, behavioral problems, sexting, and myopia.
Depression
Cyberbullying
Sleep
Sex related problems
Hadjipanayis A. et al. [ ]ReviewSocial media use facilitates socialization, communication, learning skills, and may positively affect education. Potential risks include cyberbullying, Facebook depression, sleep disturbances, and sexting.
Cyberbullying
Sex related problems
Body image
Shah J. et al. [ ]ReviewIncreased social media usage correlates with decreased self-esteem and body satisfaction, increment of cyberbullying, exposure to pornographic material, and risky sexual behaviors.
Cyberbullying
Addiction
Sex related problems
O’Keeffe G.S. et al. [ ]EditorialRisks of social media overuse include sexting, cyberbullying, privacy issues, and Internet addiction, all of which may present with vague health symptoms.
Sex related problemsGazendam N. et al. [ ]Clinical StudySexual activity has been described in a sample of 7882 Canadian students. An increase of sexual activity has been observed in both girls and boys using media. A great social media use has been connected to the strongest association with early sexual activity for girls (RR = 1.42, 95% CI: 1.01–1.47).
Sex related problemsWana G. et al. [ ]Clinical StudySocial media use has been described as a risk factor for sexual behavior. About 7% of adolescents use media to watch pornographic content.
Sex related problems
Body image
Physical activity
Sight
Headache
Solecki S. et al. [ ]Clinical StudyAddictive, smart phone activities of youth is directly affecting their perception of the body, also causing physical problems, eye diseases, headache, and exposure to unwanted sexual material online.
Sex related problemsCollins R.L. et al. [ ]Clinical StudyTraditional media and social media use among adolescents are related to sexual activities and behavior. Video games contain sexual contents. New technologies facilitate pornography access among young.

The prevalence of sex related problems cannot be accurately recorded as for a wide range of definition and sampling methods and the comparison among reports is difficult.

Especially for girls, higher social media use, associated with lower family affluence and poorer body image, are key to early sexual activity [ 71 ].

Social media use was found to be significantly associated with risky sexual behavior among pre-college students in Ethiopia. Facebook, Instagram, YouTube, and other platforms have been identified as a factor that alters adolescent’s perception and influences them to engage in risky sexual behavior. Those who view sexually suggestive Facebook photos have a higher chance of having unprotected sexual intercourse and sex with strangers [ 72 ].

Moreover, youth can be exposed to unwanted sexual material online, including unwanted nude pictures or sexually explicit videos through means such as pop-up windows or spam e-mails [ 73 ].

Children exposed to inappropriate sexual content are prone to high-risk behaviors in subsequent sexual encounters. [ 22 ] Sexting activities may also affect emotional and social wellbeing of adolescents; it is correlated to depression and risky health behaviors, such as substance use, alcohol consumption, and suicide [ 26 , 50 ]. The odds of risky sexual behavior were 1.23 higher in social media user than in other students [ 72 ]. Furthermore, on the internet, pornography is readily accessible by media device, so that Wana found out that 7% of students use social media for pornography. In most cases, adolescents admit they intentionally viewed materials [ 74 ]. Pornographic media depict a fantasy world in which unrealistic encounters result in immediate sexual gratification, and intimate relationships are nonexistent. Repeated exposure of the adolescent brain to the world of online pornography can make it difficult for adolescents to develop mature healthy sexual relationships [ 22 ].

Internet pornography usage has been documented in adolescents before the age of 18. Online pornography is often the first source of sex education for many adolescents, and exposure to violent pornography increases the odds of sexually aggressive behavior [ 50 ]. Peer advice as well as substance abuse are significant predictor for risky sexual behavior [ 72 ].

Finally, among adolescents 10–19 years of age, the rate of sexting ranges from 5 to 22% [ 50 , 72 , 74 ].

Sexting is the use of media to send nude or sexualized contents such as texts, photos, or videos. An extensive sharing of these contents through technology has been connected with a negative impact on the emotional and social wellbeing of adolescents involved. An earlier sexual debut such as the use of drugs and promiscuity have been all associated to the excessive use of sexting. It can also cause spreading of sexual content material without consent, to a third party as a method of bullying or revenge [ 21 , 26 , 51 , 74 ].

4.11. Social Media and Behavioral Problems

Out of the reports, seven explored the influence of social media and behavioral problems [ 22 , 49 , 64 , 75 , 76 , 77 , 78 ]. Table 10 outlines the highlighted findings ( Table 10 ). Behavioral outcomes usually cover five areas, including hyperactivity/inattention, emotional symptoms, conduct problems, peer relationship, and pro-social behavior.

Social media and behavioral problems.

DomainsReferenceType of PublicationHighlighted
Depression
Cyberbullying
Sleep
Anxiety
Sex related problems
Behavioral problems
Maurer B.T. et al. [ ].ReviewAn increase in digital and social media use relates to physical and mental status impairment in children, including depression, anxiety, cyberbullying, sleep disturbance, behavioral problems, sexting, and myopia.
Cyberbullying
Psychological problems
Sleep
Addiction
Behavioral problems
Physical activity
Sight
Bozzola E. et al. [ ]ReviewCyberbullying, sleep impairment, psychological problems, addiction, musculoskeletal disorders, and eye problems are among the risks of media device use in adolescence.
Sleep
Behavioral problems
Guerrero M.D. et al. [ ]Clinical StudyTime spent on screen has been associated to sleeping problems, especially sleep duration, and with problematic behaviors, higher internalizing, and externalizing symptoms.
Behavioral problemsMcNamee P. et al. [ ].Clinical StudyExcessive time of media use has a strong association with emotional distress and worse behavioral outcomes.
Behavioral problemsOkada S. et al. [ ].Clinical StudyAssociation between hours of media use and behavioral problems has been documented among children aged 9–10 years old, in Japan.
Behavioral problemsTahir A. et al. [ ].Clinical StudyRegression analysis predicted a strong positive association of exposure to violent social/electronic media content with level of aggression of adolescents (β = 0.43).
Behavioral problemsDeslandes S.F. et al. [ ].Clinical StudyOnline challenges are a powerful communicative resource but can involve potential self-inflicted injuries to participants, with risks ranging from minor to lethal.

For children aged 10–15 years old, limited time on social media has no effect on most emotional and behavioral outcomes (and can even positively impact social relationships), while there are strong negative associations between very long hours on social media and increased emotional distress and worse behavioral outcomes, which continue for several years [ 75 ].

In accordance to McNamee, the study by Okada conducted in Japan [ 76 ] among children aged 9–10 years old highlighted that mobile devices usage time of less than 1 h was a protective factor for behavior problems in boys. Instead, the usage time of 1 h or more was a risk factor in girls. Among girls, a dose–response positive association was found between duration of mobile devices usage and total difficulty score. A U-shaped association was found between duration of mobile devices usage and behavioral problems in boys: moderate use of mobile devices might be a tool for relaxation or alleviating distress through interactions with peers. However, in the subscale analysis, boys who use two or more hours of mobile devices showed higher risk of emotional problems and peer problems [ 76 ].

Moreover, the social media violent content exposure may be a risk factor for violent and aggressive behaviors. In this context, levels of aggression are directly proportional to exposure of types of violent media content. Electronic and social media showing contents with fights, stealing, dead bodies, and people’s belongings being destroyed influence young viewers, as per observational-learning theory, making them believe that reacting aggressively in response to perception of any offense is acceptable [ 77 ].

In line with Tahir’s report, Maurer underlined a significant association between exposure to media violence and aggressive behavior, aggressive thoughts, angry feelings, and physiologic arousal. Media exposure is also negatively related to personal adjustment and school performance and positively related to risk-taking behaviors [ 22 ].

Another study confirmed that longer the time spent on screens, higher the risk for behavioral problems among children 9–10 years old, and depending on the content type visualization, the risk for an aggressive and rule-breaking behavior. This association was mediated by sleep duration: longer sleep duration was associated with fewer problem behaviors [ 64 ].

Challenges and risk-taking attitudes are frequent in child and youth culture. However, online challenges take on new meanings when mediated by digital sociability; they appear as a powerful communicative resource to reaffirm belonging, recognition, and audience adherence. They are a media strategy adopted by youth in the construction of an internet-mediated identity in which risk and violence are crucial devices in building a self-image capable of maintaining an audience. Nevertheless, they can involve potential self-inflicted injuries to participants, with risks ranging from minor to even lethal [ 78 ].

Finally, an emerging problem is the social phenomenon called Shakaiteki Hikikomori (social withdrawal). Most of them are males and they usually experience a social reclusion range from 1 to 4 years. They refuse to communicate even with their own family and spend even more than 12 h a day in front of a screen [ 49 ].

4.12. Social Media and Body Image

On social media platforms such as Facebook, Snapchat, and Instagram, body image has become an important topic [ 17 , 25 , 45 , 46 , 50 , 73 ]. Table 11 summarized the evidence. ( Table 11 ). People post their most flattering photos and view those of others, creating an online environment that could be damaging to body image acceptance. Spending time on social media puts adolescents under a higher risk of comparing themselves to models that are more attractive. As a result, these unfavorable social comparisons of physical appearance may exacerbate body image apprehension [ 17 , 45 ].

Social media and body image.

DomainsReferenceType of PublicationHighlighted
Depression
Psychological problems
Addiction
Anxiety
Body image
Mougharbel F. et al. [ ]ReviewHigh levels of screen time and social media use correlates to depression, anxiety, and misperception of body image, addiction, and mental health outcomes.
Depression
Cyberbullying
Body image
Richards D. et al. [ ]ReviewSocial media overuse impacts on mental health, self-esteem, and wellbeing.
Diet
Cyberbullying
Psychological problems
Body image
Physical activity
Borzekowski D.L.G. et al. [ ]ReviewConstant media access and exposure to unhealthy and risky media messages may increase the interactions, facilitating cyberbullying and exacerbating body image apprehension promoting poor nutrition, psychological problems, and leading to a more sedentary lifestyle.
Diet
Body image
Moorman E.L. et al. [ ]Clinical StudyGreater use the internet sources for nutritional information is related to greater disordered eating.
Cyberbullying
Sex related problems
Body image
Shah J. et al. [ ]ReviewIncreased social media usage correlates with decreased self-esteem and body satisfaction, increment of cyberbullying, exposure to pornographic material, and risky sexual behaviors.
Sex related problems
Body image
Physical activity
Sight
Headache
Solecki S. et al. [ ]ReviewAddictive, smart phone activities of youth is directly affecting their perception of the body, also causing physical problems, eye diseases, headache, and exposure to unwanted sexual material online.

Moreover, beauty trends are constantly reinforced through social media networks and image-editing tools are often used to alter images to fit beauty standards. Teenagers who, perhaps, are not aware of these digital changing made in commercial photos may become insecure of their image. This may reduce self-esteem and body satisfaction, mainly among adolescent girls, developing body image concerns, engaging in weight-modification behavior, and potentially developing eating disorders. Nowadays, adolescents, and, in particular, girls, need to fit “social media” standard for photo posting; they use to modify photos with specific programs in order to respect society beauty standard. In fact, 28% of girls aged 8–18 years admit to editing their photos to make themselves look more attractive prior to posting online [ 50 ].

In addition to social media causing body image problems, adolescents with body image misperception may look on the internet for advice on how to lose weight quickly. However, the suboptimal quality of online information contributes to the development of unhealthy eating attitudes and behaviors in young adolescents. It may be that the content of these sites promotes eating disorders by providing unhealthy weight loss advice [ 46 ].

Furthermore, the desire of perfection and selfie mania with repeated selfie can cause depression and self-harm. This is a typical symptom of body dysmorphic disorder [ 73 ].

Finally, this association between the use of social media, self-esteem and body image can be a correlation and not a cause-effect relation: girls with lower self-esteem and sensitive to body image complains may use social media more frequently than girls with a higher level of self-esteem. For example, users can make a “selective self-presentation” where they show themselves only in a positive way on their social media profiles [ 25 ].

4.13. Social Media and Physical Activity

Evidence supports a correlation between social media and physical activity [ 45 , 49 , 57 , 73 , 79 ]. Excessive use of smartphones and other digital devices can also cause physical problems, such as a more sedentary lifestyle [ 45 ], which is positively associated with childhood obesity. In addition, non-physiological postures assumed while using smartphones may lead to cervical rigidity and muscle pain resulting in neck strain or “Tech Neck”. Moreover, “texting thumb” is a form of tendinitis that comes from overusing the thumb from excessive texting, video gaming, and web browsing using a smartphone [ 49 , 73 ].

An Australian study found that non-organized physical activity declines between 11 and 13 years, especially in children with a large increase in activities of texting, emailing, social media, and other internet use [ 79 ].

Another study showed that problematic social media use is related to lower levels of vigorous physical activity, especially in girls [ 57 ].

In Table 12 are listed the reports related to this topic and their major content ( Table 12 ).

Social media and physical activity.

DomainsReferenceType of PublicationHighlighted
Diet
Cyberbullying
Psychological problems
Body image
Physical activity
Borzekowski D.L.G. et al. [ ]ReviewConstant media access and exposure to unhealthy and risky media messages may increase the interactions, facilitating cyberbullying, and exacerbating body image apprehension promoting poor nutrition, psychological problems, and leading to a more sedentary lifestyle.
Cyberbullying
Psychological problems
Sleep
Addiction
Behavioral problems
Physical activity
Sight
Bozzola E. et al. [ ]ReviewCyberbullying, sleep impairment, psychological problems, addiction, musculoskeletal disorders, and eye problems are among the risks of media device use in adolescence.
Psychological problems
Sleep
Physical activity
Buda G. et al. [ ]Clinical StudyProblematic social media use correlates with about two times higher odds for worse sleep quality and lower life satisfaction, and it is related to lower levels of vigorous physical activity in girls.
Sex related problems
Body image
Physical activity
Sight
Headache
Solecki S. et al. [ ]ReviewAddictive, smart phone activities of youth is directly influencing their perception of the body, also causing physical problems, eye diseases, headache, and exposure to unwanted sexual material online.
Physical activityKemp B.J. et al. [ ]Clinical StudyAustralian children between 11 y and 13 y who had a larger increase in social media use had lower participation in overall physical activity.

4.14. Online Grooming

Online grooming may be defined as a situation in which an adult builds a relationship with a minor finalized to a sexual abuse using social media. [ 47 , 80 ]. The risk of developing post-traumatic stress disorder in the victims is of note and may affect mental and well-being of children and adolescents [ 80 ].

Children are more vulnerable online as they often escape their parents’ control and may be more willing to share information or pictures about themselves than in real life.

Online grooming, differently to offline sexual abuse, is simpler to perpetrate, due to internet’s technology and accessibility. Furthermore, often the perpetrator misrepresents himself as another child or teenager, in order to establish a trusting relationship [ 21 ].

Teenage girls appear to be more at risk, even if the proportion of male victims is considerable too. In general, minors with problematic internet use are at greater risk of being groomed.

Sexual solicitation has been found to be more common in children spending longer time on internet on weekdays, being involved in sexting, having strangers in social networks friends list, playing online games, and chats. The risk is high even for adolescents whose curiosity and unconsciousness set them at risk of being deceived [ 80 ].

Table 13 presents the reports related to this topic and their major content ( Table 13 ).

Social media and online grooming.

DomainsReferenceType of PublicationHighlighted
Depression
Diet
Cyberbullying
Sleep
Sex related problems
Online grooming
Chassiakos Y.L.R. et al. [ ]ReviewRisks of media device use include obesity, sleep, attention, and learning impairment, illicit substance use, high-risk sexual behaviors, depression, cyberbullying, and compromised privacy and confidentiality.
Diet
Sleep
Online grooming
Purves R.I. et al. [ ]LetterPotential negative effects of social media include damage to sleep patterns, cyberbullying, and online grooming.
Online groomingForni G. et al. [ ]ReviewThis review describes the online grooming phenomenon, victim and perpetrators characteristics, and the importance to implement attention on this problem with preventive measures.

4.15. Social Media and Sight

Studies have investigated the risk of social media on sight, in terms of visual imbalance [ 22 , 49 , 73 ]. Evidence underlines that children can develop ocular disorders from excessive screen time, including myopia, eye fatigue, dryness, blurry vision, irritation, burning sensation, conjunctival injection, ocular redness, dry eye disease, decreased visual acuity, strain, fatigue acute acquired concomitant esotropia, and macular degeneration. During smartphone use, there is a reduction of the blink rate to 5–6/min that promotes tear evaporation and accommodation, leading to dry eye disease [ 49 , 73 ].

In addition, excessive screen time and less time spent outdoors may lead to early development of myopia, particularly with smartphone and tablet use [ 22 ].

Table 14 presents the reports related to this topic and their major content ( Table 14 ).

Social media and sight.

DomainsReferenceType of PublicationHighlighted
Depression
Cyberbullying
Sleep
Anxiety
Sex related problems
Behavioral problems
Sight
Maurer B.T. et al. [ ].ReviewAn increase in digital and social media use relates to physical and mental status impairment in children, including depression, anxiety, cyberbullying, sleep disturbance, behavioral problems, sexting, and myopia.
Cyberbullying
Psychological problems
Sleep
Addiction
Behavioral problems
Physical activity
Sight
Bozzola E. et al. [ ]ReviewCyberbullying, sleep impairment, psychological problems, addiction, musculoskeletal disorders, and eye problems are among the risks of media device use in adolescence.
Sex related problems
Body image
Physical activity
Sight
Headache
Solecki S. et al. [ ]ReviewAddictive, smart phone activities of youth is directly influencing their perception of the body, also causing physical problems, eye diseases, headache, and exposure to unwanted sexual material online.

4.16. Social Media and Headache

There are increased complaints of headaches related to staring at a screen for too long [ 62 , 73 , 81 ]. Reports dealing with social media and headache are listed in Table 15 ( Table 15 ).

Social Media and headache.

DomainsReferenceType of PublicationHighlighted
Psychological problems
Headache
Marino C. et al. [ ]Clinical StudyAdolescent problematic Internet users have higher levels of somatic symptoms such as headaches and psychological consequences of social media use such as loss of control and relational problems with family and friends.
Sex related problems
Body image
Physical activity
Sight
Headache
Solecki S. et al. [ ]ReviewAddictive, smart phone activities of youth is directly influencing their perception of the body, also causing physical problems, eye diseases, headache, and exposure to unwanted sexual material online.
HeadacheÇaksen H. et al. [ ]ReviewAbuse of electronic screens more than 2 h contributes to the chance of reporting headache.

Headache is actually the most common neurologic disorder in the population, children and adolescents included [ 81 ]. It may negatively impact on children and adolescents’ well-being, leading to stress, tiredness, anxiety, and bad mood. Time of usage of media device has been directly connected to headache: in particular, adolescents using more than 3 h a screen have a significantly higher risk of headache compared with those using a device for less than 2 h ( p < 0.001). Spending even 2–3 h with a computer significantly increases the chance of suffering a headache in comparison with those using a computer for less than 2 h ( p < 0.01). Excessive use of electronic devices is considered a risk factor, especially for the development of migraine-type headache ( p < 0.05) [ 81 ].

According to recent studies, headache and somatic symptoms have been found mostly in patients with problematic social media usage, compared with non-problematic peers. There is a consistent association between the problematic use of social media and adolescent psychosomatic health [ 62 , 73 ].

4.17. Social Media and Dental Caries

The association between use of internet and social media has been studied in literature [ 35 , 82 ]. Table 16 summarizes the main findings ( Table 16 ).

Social media and dental caries.

DomainsReferenceType of PublicationHighlighted
Diet
Dental Caries
Radesky J. et al. [ ]Clinical StudyExposure to advertising is associated with unhealthy behaviors. Children are uniquely vulnerable to the persuasive effects of advertising because of immature critical thinking skills and impulse inhibition. Ads also promote intake of foods that contribute to dental caries.
Dental CariesAlmoddahi D. [ ]Clinical StudyStudy conducted in England, Wales, and Northern Ireland. Excessive internet use is associated to dental caries, and this could be mediated by health behaviors.

The association between use of internet social media to obtain oral health information and dental caries has been highlighted in Almoddahi’s report [ 82 ]. In detail, problematic internet use has been associated with unhealthy lifestyles, poor oral health behaviors, and more oral symptoms such as toothache, bleeding gums, and poor self-perceived oral health. Caries and junk food have been both connected to excessive internet use and ads [ 82 ]. Therefore, social media may be a risk factor for caries, poor oral health, and dental outcomes.

In line with Almoddahi, Radesky underlines that advertisements on social media promote intake of foods that contribute to dental caries, such as fast food and sugar beverages [ 35 ]. Nevertheless, evidence suggests that smartphone applications may improve health and oral health when internet-based health interventions are in place. Delivering oral health information via social media may increase tooth brushing and dental outcome [ 82 ].

5. Limitations

From the literature, it is not possible to decide whether social media use causes internalizing symptoms and problematic behaviors examined in this manuscript or whether children and adolescents suffering from depression, anxiety, or other psychological distress are more likely to spend time on social media. We can just state that there is an association between social media use and health problems, but that is not necessarily cause-effect. Moreover, the articles included are different, ranging from reviewers to clinical studies to letters and to editors, so that it may be difficult to accurately compare them. Third, as specified in the materials and methods, we excluded reports not in English letter and not published in PubMed.

Nevertheless, through our manuscript we contribute to the existing literature to highlighting the impact of social media use on adolescents, providing advices to pediatricians in everyday practice.

6. Conclusions

Social media is increasingly being used by children and adolescents, especially during COVID-19 pandemic and the health emergency. Although social media use demonstrated to be of utility, an excessive or non-correct use may be a risk factor for mental health, including depression, anxiety, and addiction.

Social media use may also correlate to a non-adequate nutrition with consumption of junk food marketing leading to weight gain, obesity, dental caries, and unhealthy eating behaviors. Associations have been found also with increasing physical problems due to sedentary lifestyle, obesity, and non-physiological postures. On the other hand, social media can cause problems with body image visualization and acceptance, especially in young adolescent girls with lower self-esteem, who may look for contents for losing weight rapidly, and this can help the extension of anorexia disorders.

Children and adolescents who use social media for many hours a day, are also at higher risk for behavioral problems, cyberbullying, online grooming, sleep difficulties, eye problems, (such as myopia, eye fatigue, dryness, blurry vision, irritation, burning sensation, conjunctival injection, ocular redness, and dry eye disease), and headache. Moreover, uncontrolled social media use, can lead to sexting, exposure to pornography, exposed to unwanted sexual material online, and early sexual activity. Social media users meet more online risks than their peers do, with an increased risk for those who are more digitally competence.

Public and medical awareness must rise over this topic and new prevention measures must be found, starting with health practitioners, caregivers, and websites/application developers. Families should be educating on the dangers and concerns of having children and adolescence online. Prerequisite to inform families how to handle social media is to educate those responsible for training, including health practitioners. In detail, pediatricians should be reminded to screen for media exposure (amount and content) during periodic check-up visits. They need to keep in mind a potential correlation of problematic social media use with depression, obesity and unhealthy eating behavior, psychological problems, sleep disorder, addiction, anxiety, sex related problem, behavioral problem, body image, physical inactivity, online grooming, sight compromising, headache, and dental caries. Pediatricians can also counsel parents to guide children to appropriate content by consulting ratings, reviews, plot descriptions, and by a previous screening of the material. They should inform parents about the potential risk of digital commerce to facilitate junk food, poor nutrition and sweetened aliments, facilitating overweight and obesity. On the contrary, a healthy diet, adequate physical activity and sleep need to be recommended. Pediatricians may also play a role in preventing cyberbullying by educating both adolescent and families on appropriate online behaviors and on privacy respect. They should also promote a face-to-face communication and to limit online communication by social media. Pediatricians may encourage parents to develop rules and strategies about media device and social media use at home as well as in every day’s life.

Funding Statement

This research received no external funding.

Author Contributions

Conceptualization: E.B.; methodology: S.B.; formal analysis G.S. and A.D.M.; Resources R.A. and R.R.; writing E.S. and A.V.D.S.; visualization: C.C.; editing: A.S.; supervision G.C. All authors have read and agreed to the published version of the manuscript.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Data availability statement, conflicts of interest.

The authors declare no conflict of interest.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Angela Patterson Ph.D.

Social Media

Social media’s positive power for young people, social media has the promise of providing increased well-being..

Updated November 15, 2023 | Reviewed by Ray Parker

  • While social media has been tied to negative outcomes for youth, new research highlights the positive.
  • Despite the prevalence of social media, the fundamental need for connection among young people remains.
  • Social media, when used to maintain offline connections, can foster well-being.

Source: Courtesy of Angela Patterson

Thanks to my best friend (whom I met at age 13) and her incredible archival abilities, our teen years are expertly preserved like some '90s-era time capsule. Recently, she unearthed (and promptly shared on Instagram) one of our notes that I’d passed to her in eighth grade, complete with colored ink and silly drawings.

She saved most of these notes, individual sheets of notebook paper containing urgent social commentary on the happenings at J.T. Hutchinson Junior High School, expertly folded for efficient delivery into outstretched hands or locker vents. These notes were our daily lifelines to each other, serving as intentional points of connection and friendship .

Almost 30 years later, young people have traded paper and pens for notes shared via smartphones and text threads. Or Snapchat. Or Instagram. The number of delivery methods has grown exponentially since 1994.

Today’s mediums may be more sophisticated, but they help meet the same core need all teenagers possess: to feel connected to their community of friends and peers.

Much of what we understand today about young people and social media skews toward the negative. And this is necessary, as we must understand what may be harmful about these platforms.

Yet, discoveries of the negative tend to bear questions about the opposite—if we know what’s harmful, what’s helpful? Unsurprisingly, the answer lies in connection.

Springtide Research Institute’s most recent report, The State of Religion & Young People 2023: Exploring the Sacred, showed that while some young people didn’t believe sacred moments could happen online, others expressed that they could—and could be as meaningful as those offline. Young people’s descriptions of what made those moments sacred varied greatly, but the common thread was how digital interfaces allowed them to connect to someone or something important.

In this case, digital spaces acted as connective tissue between the physical, the emotional, and the metaphysical, serving as a container for young people to experience connection and the accompanying emotions—more often than not, those moments benefited their well-being.

So what if social media could be part of the wellness solution rather than the pathology problem? Current research is beginning to explore these more nuanced dissections, pointing to how social media interactions can promote positive outcomes.

  • Researchers Soojung Jo and Mi Young Jang reviewed prior studies to understand how young people achieve emotional well-being via social media. They found that emotional well-being on social media is defined as,
Being happy and maintaining emotional health through relationships with others via internet-based communication platforms.

Well-being generally occurs when young people approach social media to connect with others, feel safe, or gain information. As a result, they gain better relationships with peers and more positive moods.

  • Researchers Chia‑chen Yang, Sean Holden, and Jati Ariati created a framework to understand young people’s social media use concerning their psychological well-being. The model includes activities performed on social media, motives for social media use, and communication partners connected through social media.

Their model shows that:

  • Social media use is associated with increased well-being when young people engage actively, directly interacting with followers with whom they have relationships, actively creating or sharing content, or using it to maintain or be entertained.
  • Social media is associated with decreased well-being when young people use it to compensate for something lacking. Their use is more passive (i.e., browsing), and their communication partners are mainly those with whom they don’t have strong relationships.

social media effect on youth essay

Notice what lies at the core of what is associated with positive well-being instead of the negative. It’s the presence of connection versus a search to alleviate disconnection.

Those experiencing positive outcomes are interacting with people they’re close to and receiving social support based on their interactions with their content. Those experiencing negative outcomes search for connections and turn to social media to fill a void.

Even then, research shows that sometimes these young people still feel they’re falling short, whether they’re genuinely not connecting with others or the connections they are experiencing just aren’t satisfying their need for closeness.

For social media to be a conduit for positive outcomes, young people’s motivations for use matter. For them to be guided to social media for entertainment, there’s a good chance that their core needs for friendship and connection are being met elsewhere. For them to want to use social media to maintain relationships, it means those relationships were formed and solidified offline.

To make social media a place for positive outcomes, what matters most is what’s happening outside it. Social and digital spaces can’t be the only place where life, and the connection that comes with it, is happening. To ensure this technology serves as a conduit for well-being, one of the most impactful things we can do as adults is to ensure young people use it as one of many avenues for connection rather than seeking it out as the primary way to manufacture it.

Whether sheets of folded notebook paper or a series of direct message (DM) threads, young people will use what’s available to them to create meaningful connections. As adults, we must help set the conditions so social media remains a tool and doesn’t become a crutch.

Jo, S. & Jang, M.Y. (2023). Concept analysis of adolescent use of social media for emotional well-being. International Journal of Nursing Practice, 29 (1). https://doi-org.fgul.idm.oclc.org/10.1111/ijn.13116

Smith, D., Leonis, T & Anandavalli, S. (2021). Belonging and loneliness in cyberspace: impacts of social media on adolescents’ well-being, Australian Journal of Psychology , 73:1, 12-23. DOI: 10.1080/00049530.2021.1898914

Yang, C.; Holden, S. M; Ariati, J. (2021). Social media and psychological well-being among youth: The multidimensional model of social media use. Clinical Child and Family Psychology Review , 24 (3), 631-650. DOI:10.1007/s10567-021-00359-z

Angela Patterson Ph.D.

Angela Patterson, Ph.D., is a media psychologist and head writer for Springtide Research Institute, which surveys and interviews young people on topics like mental health, technology, and spirituality.

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Is social media use bad for young people’s mental health? It’s complicated.

Laura Marciano

July 17, 2023 – On May 23, U.S. Surgeon General Vivek Murthy issued an advisory warning about the potential dangers of social media for the mental health of children and teens . Laura Marciano , postdoctoral research fellow at the Lee Kum Sheung Center for Health and Happiness and in the  Department of Social and Behavioral Sciences at Harvard T.H. Chan School of Public Health, says that social media use might be detrimental for young people’s well-being but can also have positive effects.

Q: What are your thoughts on the Surgeon General’s advisory?

A: The advisory highlighted compelling evidence published during the last decade on the potential harmful impact of social media on children and adolescents. Some of what young people experience online—including cyberbullying, online harassment and abuse, predatory behaviors, and exposure to violent, sexual, and hate-based content—can undoubtedly be negative. But social media experiences are not limited to these types of content.

Much of the scientific literature on the effects of social media use has focused on negative outcomes. But the link between social media use and young people’s mental health is complicated. Literature reviews show that study results are mixed: Associations between social media use and well-being can be positive, negative, and even largely null when advanced data analyses are carried out, and the size of the effects is small. And positive and negative effects can co-exist in the same individual. We are still discovering how to compare the effect size of social media use with the effects of other behavioral habits—such as physical activity, sleep, food consumption, life events, and time spent in offline social connections—and psychological processes happening offline. We are also still studying how social media use may be linked positively with well-being.

It’s important to note that many of the existing studies relied on data from people living in so-called WEIRD countries (Western, Educated, Industrialized, Rich and Democratic), thus leaving out the majority of the worldwide population living in the Global South. In addition, we know that populations like minorities, people experiencing health disparities and chronic health conditions , and international students can find social media extremely helpful for creating and maintaining social communities to which they feel they belong.

A number of large cohort studies have measured social media use according to time spent on various platforms. But it’s important to consider not just time spent, but whether that time is displacing time for other activities promoting well-being, like physical activity and sleep. Finally, the effects of social media use are idiosyncratic, meaning that each child and adolescent might be affected differently, which makes it difficult to generalize about the effects.

Literature reviews on interventions limiting social media use present a more balanced picture. For example, one comprehensive review on the effects of digital detox—refraining from using devices such as smartphones—wasn’t able to draw any clear conclusions about whether such detox could be effective at promoting a healthy way of life in the digital era, because the findings were mixed and contradictory.

Q: What has your research found regarding the potential risks and benefits of social media use among young people?

A: In my work with Prof. Vish Viswanath , we have summarized all the papers on how social media use is related to positive well-being measures, to balance the ongoing bias of the literature on negative outcomes such as depression and anxiety. We found both positive and negative correlations between different social media activities and well-being. The most consistent results show a link between social media activities and hedonic well-being (positive emotions) and social well-being. We also found that social comparison—such as comparing how many likes you have with how many someone else has, or comparing yourself to digitally enhanced images online—drives the negative correlation with well-being.

Meanwhile, I am working on the “ HappyB ” project, a longitudinal project based in Switzerland, through which I have collected data from more than 1,500 adolescents on their smartphone and social media use and well-being. In a recent study using that cohort, we looked at how social media use affects flourishing , a construct that encompasses happiness, meaning and purpose, physical and mental health, character, close social relationships, and financial stability. We found that certain positive social media experiences are associated with flourishing. In particular, having someone to talk to online when feeling lonely was the item most related to well-being. That is not surprising, considering that happiness is related to the quality of social connections.

Our data suggest that homing in on the psychological processes triggered during social media use is key to determining links with well-being. For example, we should consider if a young person feels appreciated and part of a group in a particular online conversation. Such information can help us shed light on the dynamics that shape young people’s well-being through digital activities.

In our research, we work to account for the fact that social media time is a sedentary behavior. We need to consider that any behavior that risks diminishing the time spent on physical activity and sleep—crucial components of brain development and well-being—might be detrimental. Interestingly, some studies suggest that spending a short amount of time using social media, around 1-2 hours, is beneficial, but—as with any extreme behavior—it can cause harm if the time spent online dominates a child’s or adolescent’s day.

It’s also important to consider how long the effects of social media last. Social media use may have small ephemeral effects that can accumulate over time. A step for future research is to disentangle short- versus long-term effects and how long each last. In addition, we should better understand how digital media usage affects the adolescent brain. Colleagues and I have summarized existing neuroscientific studies on the topic, but more multidisciplinary research is needed.

Q: What are some steps you’d recommend to make social media use safer for kids?

A: I’ll use a metaphor to answer this question. Is a car safe for someone that is not able to drive? To drive safely, we need to learn how to accelerate, recognize road signs, make safe decisions according to certain rules, and wear safety belts. Similarly, to use social media safely, I think we as a society—including schools, educators, and health providers—should provide children and families with clear, science-based information on both its positive and negative potential impacts.

We can also ask social media companies to pay more attention to how some features—such as the number of “likes”—can modulate adolescent brain activity, and to think about ways to limit negative effects. We might even ask adolescents to advise designers on how to create social media platforms specifically for them. It would be extremely valuable to ask them which features would be best for them and which ones they would like to avoid. I think that co-designing apps and conducting research with the young people who use the platforms is a crucial step.

For parents, my suggestion is to communicate with your children and promote a climate of safety and empathy when it comes to social media use. Try to use these platforms along with them, for example by explaining how a platform works and commenting on the content. Also, I would encourage schools and parents to collaborate on sharing information with young people about social media and well-being.

Also, to offset children’s sedentary time spent on social media, parents could offer them alternative extracurricular activities to provide some balance. But it’s important to remember that social well-being depends on the quality of social connections, and that social media can help to promote this kind of well-being. So I’d recommend trying to keep what is good—according to my research that would include instant messaging, the chance to talk to people when someone is feeling lonely, and funny or inspirational content—and minimizing what’s negative, such as too much sedentary time or too much time spent on social comparison.

– Karen Feldscher

EFFECTS OF SOCIAL MEDIA ON YOUTH

  • January 2021

Muhammad Junaid Ahmed at University of Gujrat

  • University of Gujrat

Umar Farooq at University of Gujrat

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The Influence of Social Media on Youth

Introduction, positive effects, negative outcomes, additional benefit.

These days, media channels are becoming more diverse and innovative. Information and communication technologies and their discoveries provide the media environment intensification. Digital developments are nearly correlated with global and societal changes displayed through the update of social values and interpersonal communication models. These trends are more evident among youth as this social group is the most mobile and responsive to almost all aspects of progress. The media culture of a young person remains remarkably crucial in this process.

The question of how social media impacts youth remains debatable. The book called “Youth and Media: Current Perspectives on Media Use and Effects” examines the effects of the Internet on young people’s socialization: both positive and negative (Baumgartner et al.). The young user faces a massive stream of various information on the Internet. This is partially deposited in the mind and can influence the formation of young people’s attitudes to different aspects of life, their worldview, and the ability to socialize.

First of all, social media affects the mental health of a young person positively. Social media facilitates horizontal connections between people and are used to spread information. According to Baumgartner et al. (45), the media, especially the Internet, provides social support for teenagers, decreasing loneliness and isolation, and helping build new friendships online. The Internet has connected different societies and their cultures in everyday communication and is now creating social relationships on the network (Baumgartner et al. 56). The book’s authors provide various examples of how social media allows for uniting people with similar views. For instance, Baumgartner et al. (56) claim that young people tend to join communities because of the expectation of reciprocity, respect, and a feeling of effectiveness. Users also perceive the online group of interest as a place to interact with its other members. If it is appropriately structured, a community can also be a “safe” place to express ideas (Baumgartner et al. 56). Since young people feel more comfortable and relaxed online than in real life, they can have opinions on various topics without fear of being judged and compared, which contributes to a person’s well-being and mental health.

Secondly, communication on social networks allows the youth to master and maintain relationships with friends and relatives. For example, Baumgartner et al. (87) note that sharing photos on social media enhances family relationships. Online friendship increases the social capital and circle of acquaintances (Baumgartner et al. 87). Its increase leads to an awareness of one’s own needs and significance (Baumgartner et al. 88). The positive effect of the Internet’s influence on young people’s socialization is meaningful. People have new online platforms and chances for interaction and information exchange, facilitating, and accelerating socialization.

Despite some positive sides, several adverse outcomes caused by imbalanced social media usage are presented in the book. For instance, Baumgartner et al. (130) emphasize that young people with insufficient interpersonal experience who have difficulties in live communication perceive the network as more convenient. Consequently, overuse of the Internet can be addictive, leading to depression. Baumgartner et al. (132) observed that young people’s addiction to social networking online leads to using the Internet in more intrusive ways. Therefore, the book reveals not only beneficial factors of social media usage but also states that in case teenagers have poor communication skills offline, they are likely to prioritize online conversations. It may provoke communication anxiety, while the latter stimulates obsessive network use.

Moreover, people who spend much time on social media tend to consider online communication convenient but restrained in communicative effectiveness. It appears due to the lack of various non-verbal cues available in real interaction (Baumgartner et al. 135). According to Baumgartner et al. (136), anxiety resulting from live interaction motivates an obsessive request to communicate safely online, while successful communication attempts increase the amount of time spent on the Internet.

Nevertheless, the book’s compilers suggest that social media enables online learning for those who pursue self-education. According to Baumgartner et al. (60), the possibility of acquiring knowledge and information online affects young people’s socialization, breaking down geographic barriers between people and empowering them to receive information regardless of location. Plunging into a topic of interest, teenagers try to achieve recognition for their expertise. Some researchers call this phenomenon “geek learning” (Baumgartner et al. 97). According to Baumgartner et al. (102), the active use of social networks for communication increases students’ average scores, especially in senior years. Therefore, for numerous adolescents, social networking is an essential motive for self-development.

The Internet, especially media, is integral to the daily life of all people. Society should not categorically affirm that social media causes only benefit or only adverse outcomes. The book “Youth and Media: Current Perspectives on Media Use and Effects” focuses on the fact that social networks’ influence on youth is diverse and ambiguous. The impact on a particular individual depends on their subjective qualities. For example, communication through the Internet can be harmful as it leads to social anxiety and a lack of real-life communication. Simultaneously, this can help those who intend to find new friends and express their thoughts clearly. People should stay conscious about the use of social networks to be able to get the maximum benefit and minimum negative consequences. The Internet has advantages and disadvantages concerning the human mind, largely shaping its position and worldview, and affecting people’s ability to socialize.

Baumgartner, Susanne E., et al., editors. Youth and Media: Current Perspectives on Media Use and Effects . Nomos Verlag, 2018.

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Essay on Effect of Social Media On Youth

Short Essay on Effect of Social Media On Youth

Essay on Effect of Social Media On Youth : Social media has become an integral part of the daily lives of today’s youth, shaping their interactions, perceptions, and behaviors. This essay explores the impact of social media on the youth, focusing on how it influences their self-esteem, relationships, and mental health.

From the pressure to present a curated image online to the constant comparison with others, social media has both positive and negative effects on the youth. Let’s delve deeper into this complex relationship between social media and the younger generation.

Table of Contents

Effect of Social Media On Youth Essay Writing Tips

1. Introduction: Start your essay by introducing the topic of the effect of social media on youth. Briefly explain what social media is and its prevalence among young people.

2. Thesis statement: Clearly state your main argument or position on the impact of social media on youth. This will guide the rest of your essay and help you stay focused on your main point.

3. Positive effects of social media on youth:

  • Social media can help young people connect with others and build relationships.
  • It can provide a platform for self-expression and creativity.
  • Social media can be a source of information and education for young people.

4. Negative effects of social media on youth:

  • Social media can contribute to feelings of loneliness and isolation.
  • It can lead to addiction and excessive screen time.
  • Social media can also expose young people to cyberbullying and harmful content.

5. Impact on mental health:

  • Discuss how social media can impact the mental health of young people, including issues like anxiety, depression, and low self-esteem.
  • Provide examples or studies that support your argument.

6. Impact on relationships:

  • Explore how social media can affect the relationships of young people, including friendships, romantic relationships, and family dynamics.
  • Discuss the role of social media in communication and conflict resolution.

7. Strategies for managing social media use:

  • Offer tips and suggestions for young people on how to use social media in a healthy and balanced way.
  • Encourage setting limits on screen time, practicing digital detox, and seeking support if needed.

8. Conclusion: Summarize your main points and restate your thesis. Reflect on the overall impact of social media on youth and offer some final thoughts or recommendations.

9. Proofread and revise: Before submitting your essay, make sure to proofread it for grammar and spelling errors. Consider revising any unclear or repetitive sections to improve the overall flow and coherence of your writing.

10. Consider different perspectives: While writing your essay, try to consider different viewpoints on the topic of social media and its impact on youth. This will help you present a well-rounded argument and engage with potential counterarguments.

Essay on Effect of Social Media On Youth in 10 Lines – Examples

1. Social media has a significant impact on the mental health of youth, leading to increased rates of anxiety and depression. 2. It can also contribute to a decrease in self-esteem and body image issues among young people. 3. Social media platforms can be a source of cyberbullying, which can have devastating effects on the mental well-being of youth. 4. The constant exposure to unrealistic standards of beauty and success on social media can lead to feelings of inadequacy and low self-worth. 5. Social media can also negatively impact the quality of sleep and overall well-being of youth, as they may spend excessive amounts of time online. 6. The addictive nature of social media can lead to decreased productivity and academic performance among young people. 7. It can also hinder the development of real-life social skills and interpersonal relationships, as youth may rely on online interactions for socialization. 8. Social media can create a false sense of connection and intimacy, leading to feelings of loneliness and isolation in youth. 9. The constant comparison to others on social media can lead to feelings of jealousy and resentment among young people. 10. Overall, the effect of social media on youth can be both positive and negative, but it is important for young people to be mindful of their online habits and prioritize their mental health and well-being.

Sample Essay on Effect of Social Media On Youth in 100-180 Words

Social media has a significant impact on today’s youth. It has revolutionized the way young people communicate, interact, and share information. While social media can have positive effects, such as connecting people from different parts of the world and providing a platform for self-expression, it also has negative consequences.

One major effect of social media on youth is the increase in cyberbullying and online harassment. Young people are often exposed to harmful content and negative influences on social media platforms, leading to mental health issues such as anxiety and depression. Additionally, excessive use of social media can lead to addiction and a decrease in real-life social interactions.

It is important for young people to be aware of the potential dangers of social media and to use it responsibly. Parents and educators should educate youth on how to navigate social media safely and encourage them to maintain a healthy balance between online and offline activities.

Short Essay on Effect of Social Media On Youth in 200-500 Words

Social media has become an integral part of the lives of young people today. With the rise of platforms such as Facebook, Instagram, Twitter, and Snapchat, youth are constantly connected to their peers and the world around them. While social media has many benefits, such as allowing for communication and networking, it also has a significant impact on the mental health and well-being of young people.

One of the main effects of social media on youth is the pressure to present a perfect image online. With the rise of influencers and celebrities showcasing their seemingly flawless lives on platforms like Instagram, young people often feel the need to measure up to these unrealistic standards. This can lead to feelings of inadequacy and low self-esteem, as youth compare themselves to others and feel like they are not good enough.

Furthermore, social media can also contribute to feelings of loneliness and isolation among young people. While it may seem like youth are constantly connected to their friends and peers online, studies have shown that excessive use of social media can actually lead to feelings of loneliness and social isolation. This is because online interactions lack the depth and intimacy of face-to-face communication, leading to a sense of disconnection from others.

In addition, social media can also have a negative impact on the mental health of young people. Studies have shown that excessive use of social media is associated with higher rates of anxiety, depression, and other mental health issues among youth. This is due to the constant comparison to others, cyberbullying, and the pressure to maintain a perfect online image. Furthermore, the addictive nature of social media can also lead to decreased productivity and poor sleep habits among young people.

Despite these negative effects, social media also has some positive impacts on youth. For example, social media can be a powerful tool for activism and social change, allowing young people to connect with like-minded individuals and mobilize for important causes. Additionally, social media can also provide a sense of community and support for youth who may feel marginalized or isolated in their offline lives.

In conclusion, social media has a significant impact on the mental health and well-being of young people. While it can provide many benefits, such as communication and networking opportunities, it also has negative effects, such as pressure to present a perfect image online, feelings of loneliness and isolation, and mental health issues. It is important for young people to be mindful of their social media use and to prioritize their mental health and well-being above all else.

Essay on Effect of Social Media On Youth in 1000-1500 Words

Social media has become an integral part of the lives of young people today. With the rise of platforms such as Facebook, Instagram, Twitter, and Snapchat, the way in which young people communicate, interact, and consume information has drastically changed. While social media has its benefits, it also has a number of negative effects on youth that cannot be ignored.

One of the most significant impacts of social media on youth is the way in which it affects their mental health. Studies have shown that spending excessive amounts of time on social media can lead to feelings of anxiety, depression, and loneliness. This is due in part to the fact that social media often presents a distorted view of reality, with users only sharing the highlights of their lives while hiding the more mundane or negative aspects. This can lead young people to compare themselves unfavorably to their peers, leading to feelings of inadequacy and low self-esteem.

In addition, social media can also contribute to cyberbullying, which can have serious consequences for young people. With the anonymity that social media provides, bullies can easily target their victims without fear of repercussions. This can lead to feelings of isolation and helplessness in the victim, and in some cases, can even lead to self-harm or suicide. The constant pressure to present a perfect image on social media can also contribute to feelings of inadequacy and self-doubt, leading to mental health issues such as anxiety and depression.

Another negative effect of social media on youth is the impact it can have on their relationships. While social media has made it easier than ever to connect with others, it has also made it more difficult to form deep and meaningful relationships. Many young people today rely on social media as their primary means of communication, leading to a lack of face-to-face interaction and genuine connection. This can lead to feelings of loneliness and isolation, as well as a lack of social skills and the ability to form meaningful relationships in the real world.

Furthermore, social media can also have a negative impact on the academic performance of young people. With the constant distractions and interruptions that social media provides, it can be difficult for young people to focus on their studies and complete their assignments. Studies have shown that students who spend excessive amounts of time on social media tend to have lower grades and perform worse academically than their peers who spend less time online. This can have long-term consequences for their future success and career prospects.

Despite these negative effects, social media also has a number of positive impacts on youth. For example, social media can be a valuable tool for young people to connect with others who share similar interests and passions. It can also provide a platform for young people to express themselves creatively and showcase their talents to a wider audience. Social media can also be a valuable source of information and education, with many young people using platforms such as YouTube and Instagram to learn new skills and gain knowledge on a wide range of topics.

In addition, social media can also be a powerful tool for social change and activism. Young people today are using social media to raise awareness about important issues such as climate change, social justice, and mental health. Platforms such as Twitter and Instagram have been instrumental in organizing protests, rallies, and campaigns to bring about positive change in society. Social media has the power to amplify the voices of young people and give them a platform to make a difference in the world.

In conclusion, social media has both positive and negative effects on youth. While it can be a valuable tool for connecting with others, expressing creativity, and raising awareness about important issues, it can also have detrimental effects on mental health, relationships, and academic performance. It is important for young people to use social media in a responsible and mindful way, and to be aware of the potential risks and consequences of excessive use. By striking a balance between the benefits and drawbacks of social media, young people can harness its power for positive change and personal growth.

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Essay on Social Media and Youth

Students are often asked to write an essay on Social Media and Youth in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

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100 Words Essay on Social Media and Youth

Introduction.

Social media is an integral part of modern life. For youth, it’s a platform for expression, communication, and learning.

Impact on Communication

Social media has revolutionized how youth communicate. It bridges geographical gaps and allows instant sharing of ideas.

Learning and Awareness

Social media is also a vast knowledge hub. Youth use it for educational content, current affairs, and trending topics.

Potential Downsides

Despite its benefits, social media can have negative effects. Cyberbullying and misinformation are common issues youth face.

250 Words Essay on Social Media and Youth

Social media has become a pervasive force in today’s society, significantly impacting the youth. It is not just a communication tool but a platform that shapes their perceptions, influences their behaviors, and molds their identities.

The Influence of Social Media

The influence of social media on the youth is profound. It offers a platform for self-expression, helping them articulate their thoughts and ideas. However, it also exposes them to a world of information that may not always be beneficial. The constant exposure to idealized lives can lead to unrealistic expectations and dissatisfaction, often resulting in mental health issues like anxiety and depression.

Learning and Social Media

Social media also serves as a learning platform. It fosters creativity, encourages collaboration, and enhances digital literacy. However, it can also be a source of distraction, affecting academic performance.

The Role of Digital Literacy

Digital literacy plays a crucial role in mitigating the negative effects of social media. It equips youth with the skills to discern reliable information from misinformation, promoting responsible use of these platforms.

The impact of social media on youth is a double-edged sword. It can be a powerful tool for self-expression, learning, and connectivity, but it can also lead to mental health issues and misinformation. Therefore, it is essential to promote digital literacy among the youth to ensure they benefit from social media while avoiding its pitfalls.

500 Words Essay on Social Media and Youth

Social media has become an integral part of our lives, particularly for the youth. It has transformed the way we communicate, interact, and perceive the world. While it offers numerous benefits, it also presents several challenges that impact the younger generation significantly.

The Influence of Social Media on Youth

The influence of social media on youth is profound. It has become the primary source of information, entertainment, and social interaction for them. Social media platforms like Facebook, Instagram, Twitter, and Snapchat have made it possible for youth to connect with their peers globally, breaking geographical barriers. They have also become a platform for self-expression and identity formation.

Yet, the virtual world of social media can also distort reality. The constant exposure to idealized lives, bodies, and experiences can lead to feelings of inadequacy and lowered self-esteem among young people. Moreover, the addictive nature of these platforms can lead to excessive screen time, impacting both physical and mental health.

Opportunities and Learning

Social media, however, is not all about challenges. It also offers a plethora of opportunities for learning and growth. Many young people use these platforms to follow their interests, learn new skills, and stay updated about world events. They also use them to voice their opinions, participate in social activism, and bring about change in society.

Moreover, social media has opened up new career opportunities. From content creation to digital marketing, the rise of social media has led to the emergence of new professions that allow young people to turn their passion into a profession.

Digital Literacy and Etiquette

With the growing influence of social media, it becomes essential to inculcate digital literacy and etiquette among the youth. They should be taught to discern between reliable and unreliable information, to respect others’ privacy, and to use these platforms responsibly. Schools and parents have a crucial role to play in this regard.

In conclusion, social media has both positive and negative impacts on youth. While it can be a powerful tool for learning, communication, and self-expression, it can also lead to issues like cyberbullying, mental health problems, and misinformation. Thus, it is crucial to guide young people to navigate the digital world responsibly. The aim should be to leverage the benefits of social media while minimizing its potential harms. The future of social media is undoubtedly bright, but it is up to us to ensure that it is used wisely and productively.

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The Effect of Social Media on Today’s Youth Quantitative Research

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Introduction

Literature review, research methodology, addiction and the desire to unplug.

Social media has become a part of the daily patterns of most individuals, forming a link between their online and offline experiences. This has made it the most common tool for communication and interaction among both individuals and businesses. Social media has been used in various ways in the Arab region. For instance, social media has also been used to elicit change in Yemen, Jordan and Morocco.

The protestors in these countries have made note of the significance of social media in addressing their issues that concern corruption and other disparities that oppress most of the population. Besides rallying people around social causes and political campaigns, social media in the Arab region has also been used to enhance citizen journalism and civic participation (Turkle, 2011).

This paper looks at the role of social media in the UAE, and its impact on the youth. In order to achieve this, this paper looks at various social media that are used by the youth in the UAE, what he youth see as the main benefits of social media, level of trust in social media, and the limitations that they face with regard to social media.

Social networking has become the easiest way for individuals to communicate, whether they live in the same country, or across the world from each other.

Social networking refers to the “network of social interactions and personal relationships” that consists of devoted websites or applications, which permit users to communicate with each other through posting messages, pictures, and sharing comments, among others (Oxford Dictionaries, 2010).

The drastic impact that various social networking websites such as Facebook and MySpace have on people’s lives, and the way they communicate with one another, has made this topic relatively crucial.

People who are often addicted to such networks get fairly attached to it, causing them to communicate less with their families and replace the need for face-to-face interaction with their friends. This paper examines the effect of social media on the youth of the United Arab Emirates.

Studies show that the media is used for three primary reasons. First, it is used to bring meaning of the social world. Second, it informs people on how to act within a society. And third, it promotes pleasure and entertainment (Lenhardt & Madden, 2011). Based on these three elements that motivate media, it is apparent that various individuals are impacted in different ways by the media.

The audience has varied degree of reliance on the media based on their relationship with both the society, and the media. Studies show that the reliance of an audience on particular media gives that media a certain degree of authority over that audience. This theory is useful in the explanation of the impact of media during crisis, and will also be useful in the analysis of the impact of social media on the youth of the UAE (Boyd, 2007).

According to Al-Jenaibi (2011), social media has also been useful in developing forums for debate and interaction between governments and the communities, as well as, to enhance innovation and collaboration within the government. Social media has been used for various purposes including relaying information and cultural production, as well as, entertainment.

The rapid increase in the number of youth accessing various social media in the last decade has been driven by accessibility of the internet, especially through the mobile phones (Al-Jenaibi, 2011).

According to Al-Jenaibi (2011), the recent trrnsformations in both political and societal matters have been effected by the rapid adoption of social media as a driver for regional change, especially among the Arab youthm “netizens” and women. There has been increased involvement of both youth and women in political and civic actions owing to increased access to the internet.

At the same time, regional and international level policy makers have taken an active role in the regulation of access to the internet and the use of social media for political and societal activism.

The use of the Internet has grown rapidly in the Arab world due to the diversification of its uses from social neworking and entertainment, to more professional engagements between businesses, as well as, in enhancing the transparency and participatory objectives of governance models (Hinduja & Patchin, 2007).

Although some may believe that social networking has helped our youth in many ways, social networking also possesses several negative features that are not widely recognized. Since social networking involves the Internet, it is prone to several dangers that people can easily come across.

Online predators can easily gather certain information; therefore, people are more likely to get security attacks and are prone to hackers due to the personal information they reveal on these social networking communities (ProCon.org, 2012).

A popular example of this involves people who provide detailed information about themselves on MySpace, without having the option of limiting this information to only people they know/accept. In addition, cyber bullying is very common on such websites and can lead to decreased self-esteem and declining of grades (Hinduja & Patchin, 2007).

The various social media investigated in the study include blogs, micro blogs, social network service, video-sharing service, social bookmarking, and image sharing websites (Ito & Baumer, 2010). The quantitative study involved 30 surveys that were randomly distributed in a population of youth aged between 15 and 30 years from different parts in the seven regions of the United Arab Emirates.

The mean age of the sample used was 21 years, with most of the respondents pursuing tertiary education. However, all of the respondents selected had graduated from high school. Reliability of the survey questions was enhanced by rewording the questions in various ways in order to identify the stability of the responses provided.

No inconsistencies were noted in the retests; hence, all 30 surveys were used in analysis of the research question. The survey was administered online, and comprised questions that sought to measure the emotional and social well-being of the youth.

Some of the questions inquired about their state of happiness or sadness compared to other people who did not have access to social networking, whether they had many friends or were lonely at times, and more questions along those lines.

Face to face communication

Favorite way to communicate with friends

The study revealed that despite the prevalence of the use of technology among the youth, most of them still preferred to communicate face to face. Text messaging came in second and the use of social network s third.

Social and digital communication

Use of Social and Digital Communications

The sample was also surveyed for their use of social and digital communications. Texting was observed as a common trend among 87% of the sample, followed by social networking and emailing. These three activities were also the most prevalent on a daily basis, in the same order.

Social networking

Main social networking sites

This analysis of the use of social networking sites showed that it forms a crucial part of the youth’s lives, since more than half of the sample stated that they visit a social site on a daily basis. About 75% of the youth indicated that they were familiar with the privacy policies on social networking sites.

Social networking and social-emotional well-being

Perceived Effect of Social Networking on Social and Emotional Well-Being

Most of the study group indicated that the use of social networking did not influence their social or emotional well being. Some indicated that social networking had a positive effect on them, like for those who were less shy due to social networking, or more outgoing, and more confident.

Social media and relationships

Impact of Social Networking on Relationships

Many youth feel that social media has been useful in enhancing their relationships with both related and non-related people. Conversely, the sample stated that social networking impacted on the time that they spent with their friends or other people in person.

Hate Speech Online

Hate Speech in Social Media

One of the impacts of social media that has not been explored is the use of social media to spread hate speech. The study noted that about half of the sample had encountered various forms of discriminatory content in the various social media indicated earlier. About 25% of the sample also indicated that they encountered hateful content on various social networks on a regular basis.

Cell Phone and Social Networking “Addiction”

Table 15: Frustration with Gadgets and the Desire to Unplug.

Strongly or somewhat agree that they:

  • Get frustrated with friends for texting or social networking when hanging out together 45%.
  • Wish they could unplug for a while sometimes 43%.
  • Sometimes wish they could go back to a time when there was no Facebook 36%.
  • Wish their parents spent less time with cell phones and other devices 21%.

The study revealed that a considerable proportion of the youth could not operate without a cell phone. A considerable number stated that they occasionally felt the need to do away with social networking. This was especially evident in the frustration that most youth expressed due to the distraction that is caused when they were hanging out with their friends.

During the study, it was identified that the most common types of social media were social networks like Facebook, video-sharing websites like YouTube, and micro-blogging sites like Twitter, among others. The respondents in the study showed high familiarity with a variety of social media, including the privacy policies, and the potential ethical and practical shortcomings.

Social networking was identified to have a positive impact on the youth in terms of boosting their confidence and level of interaction. Social media also served as a reliable means of conveying social issues in the UAE. Further research on the topic can be narrowed down to the impact of social media on women in the UAE.

In addition, more research can be conducted to draw a complete picture of the merits, demerits, and possibilities of social media that have made the UAE one of the regions in the world with the highest internet migration rates.

Al-Jenaibi, B. (2011). The Use of Social Media in the United Arab Emirates – An Initial Study. European Journal of Social Sciences , 23(1), 87-96.

Boyd, d. (2007). Why youth (heart) social network sites: the role of networked publics in teenage social life. Youth, Identity, and Digital Media , 119-142.

Hinduja, S., & Patchin, J. (2007). Offline consequences of online victimization: school violence and delinquency. Journal of S. Violence , 6(3), 89–112.

Ito, M., & Baumer, S. (2010). Hanging out, messing around, and geeking out: Kids living and learning with new media. Cambridge, MA: MIT Press.

Lenhardt, A., & Madden, M. (2011). Teens, kindness and cruelty on social network sites. Washington, D.C.: Pew Internet and American Life Project.

Oxford Dictionaries. (2010). Social network . Web.

ProCon.org. (2012). Social Networking . Web.

Turkle, S. (2011). Alone together: Why we expect more from technology and less from each other. New York: Basic Books.

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IvyPanda. (2019, May 31). The Effect of Social Media on Today’s Youth. https://ivypanda.com/essays/the-effect-of-social-media-on-todays-youth/

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Surgeon General: Parents Are at Their Wits’ End. We Can Do Better.

An illustration of a woman holding a baby as a large thorny vine encircles and threatens to overwhelm them.

By Vivek H. Murthy

Dr. Murthy is the surgeon general.

One day when my daughter was a year old, she stopped moving her right leg. Tests found that she had a deep infection in her thigh that was dangerously close to her bone. She was rushed off to surgery. Thankfully, she’s now a healthy, spirited young girl, but the excruciating days we spent in the hospital were some of the hardest of my life. My wife, Alice, and I felt helpless and heartbroken. We got through it because of excellent medical care, understanding workplaces and loved ones who showed up and reminded us that we were not alone.

When I became a parent, a friend told me I was signing up for a lifetime of joy and worry. The joys are indeed abundant, but as fulfilling as parenting has been, the truth is it has also been more stressful than any job I’ve had. I’ve had many moments of feeling lost and exhausted. So many parents I encounter as I travel across America tell me they have the same experience: They feel lucky to be raising kids, but they are struggling, often in silence and alone.

The stress and mental health challenges faced by parents — just like loneliness , workplace well-being and the impact of social media on youth mental health — aren’t always visible, but they can take a steep toll. It’s time to recognize they constitute a serious public health concern for our country. Parents who feel pushed to the brink deserve more than platitudes. They need tangible support. That’s why I am issuing a surgeon general’s advisory to call attention to the stress and mental health concerns facing parents and caregivers and to lay out what we can do to address them.

A recent study by the American Psychological Association revealed that 48 percent of parents say most days their stress is completely overwhelming, compared with 26 percent of other adults who reported the same. They are navigating traditional hardships of parenting — worrying about money and safety, struggling to get enough sleep — as well as new stressors, including omnipresent screens, a youth mental health crisis and widespread fear about the future.

Stress is tougher to manage when you feel you’re on your own, which is why it’s particularly concerning that so many parents, single parents most of all, report feeling lonelier than other adults . Additionally, parents are stretched for time. Compared with just a few decades ago, mothers and fathers spend more time working and more time caring for their children , leaving them less time for rest, leisure and relationships. Stress, loneliness and exhaustion can easily affect people’s mental health and well-being. And we know that the mental health of parents has a direct impact on the mental health of children.

All of this is compounded by an intensifying culture of comparison, often amplified online, that promotes unrealistic expectations of what parents must do. Chasing these expectations while trying to wade through an endless stream of parenting advice has left many families feeling exhausted, burned out and perpetually behind.

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  26. Opinion

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